Interprofessional rounding design features and associations with collaboration and team effectiveness

Area of Science:

• Healthcare Management
• Team Collaboration Science
• Patient-Centered Care

Background:

• Multiple interprofessional rounding (IPR) models exist, yet their impact shows mixed results.
• Variations in IPR design may significantly influence practice effectiveness.

Purpose of the Study:

• To explore associations between IPR design variations (location, script use, leader role) and team collaboration (partnership, cooperation).
• To examine the relationship between IPR design, team collaboration, and perceived team effectiveness by practitioners and patients (patient inclusion).

Main Methods:

• Cross-sectional, survey-based design involving practitioners across 15 hospital units at two academic health centers.
• Utilized Hospital Consumer Assessment of Healthcare Practitioners and Systems (HCAHPS) scores for patient perceptions.
• Employed multilevel modeling with moderation analysis to assess relationships.

Main Results:

• Leader role and script use positively associated with cooperation.
• Script use linked to practitioners' perceptions of team effectiveness.
• Cooperation moderated relationships between team effectiveness and IPR location/leader role.
• A significant inverse relationship observed between cooperation and patient inclusion.

Conclusions:

• IPR design elements, specifically leader role and script utilization, can enhance team cooperation.
• Findings suggest that optimizing IPR design may improve team collaboration and effectiveness.
• Further investigation is needed to understand the inverse relationship between cooperation and patient inclusion to ensure patient-centered care.