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Interprofessional Collaboration and Patient/Family Engagement on Rounds in a Comprehensive Stroke Center: A

Anping Xie1, E Alexandra Barany, Elizabeth K Tanner

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Quality Management in Health Care
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Summary
This summary is machine-generated.

Improving stroke care requires better interprofessional collaboration and patient engagement during daily rounds. Current practices show inconsistencies, highlighting the need for a revised rounding model to enhance teamwork and patient involvement.

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Area of Science:

  • Neuroscience
  • Healthcare Quality Improvement
  • Patient-Centered Care

Background:

  • Daily rounds are crucial for interprofessional collaboration and patient/family engagement in stroke care.
  • A baseline assessment was performed in a comprehensive stroke center to evaluate current rounding processes.
  • Findings will guide the development of an improved rounding model.

Purpose of the Study:

  • To assess interprofessional collaboration during daily rounds.
  • To evaluate patient and family engagement during the current rounding process.
  • To identify areas for improvement in stroke care rounds.

Main Methods:

  • A mixed-methods approach with a convergent parallel design was employed.
  • Observations quantified interprofessional collaboration and patient/family engagement.
  • Qualitative interviews explored stakeholder perspectives on current rounding practices.

Main Results:

  • 103 table rounds and 99 bedside rounds were observed; 30 interviews were conducted.
  • Interprofessional collaboration was perceived positively, but participation was inconsistent due to clinical demands.
  • Patient and family engagement during bedside rounds was inconsistently applied.

Conclusions:

  • Current rounding processes present opportunities for enhancing interprofessional collaboration.
  • Inconsistent engagement of patients and families necessitates process revision.
  • Recommendations focus on a revised, collaborative rounding model for poststroke patients.