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An Implementation Science Approach to Promote Bedside Interprofessional Rounding.

Elizabeth Riley1, Sara E Peeples, Misty Williams

  • 1Author Affiliations: College of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Drs Riley, Reeves, and Schay); Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr Peeples); Women Infant Service Line Neonatal Intensive Care Unit, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Williams); Division of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Dr Nienaber); and College of Pharmacy and Center for Implementation Research, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr Curran).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|June 19, 2025
PubMed
Summary
This summary is machine-generated.

Implementing bedside interprofessional rounding (BIPR) in neonatal intensive care units (NICUs) improved nurse participation and reduced central line dwell time. Standardization of BIPR enhances neonatal care quality.

Keywords:
bedside roundselectronic healthcare record utilizationimplementation scienceinterprofessionalneonatal intensive care unit (NICU)

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Area of Science:

  • Neonatal intensive care
  • Implementation science
  • Healthcare communication

Background:

  • Interprofessional communication deficits in Neonatal Intensive Care Units (NICUs) can lead to adverse patient outcomes.
  • Bedside Interprofessional Rounding (BIPR) is a strategy to improve team communication and patient care.

Purpose of the Study:

  • To standardize and increase participation in BIPR using an implementation science framework.
  • To evaluate the impact of BIPR on central line dwell time and patient length of stay (LOS).

Main Methods:

  • Implementation of a BIPR checklist within the electronic health record (EHR).
  • Utilized supporting strategies: Situation, Background, Assessment, Recommendations (SBAR) reporting, staff education, audit & feedback, and leadership engagement.
  • Analyzed pre- and post-implementation data for BIPR usage and quality metrics.

Main Results:

  • The BIPR checklist achieved 87% utilization in the first six months.
  • Increased nurse participation in rounds by 10.5% and reduced average central line dwell time by 15 hours.
  • Standardization of the rounding process was reported, with no significant change in patient LOS.

Conclusions:

  • NICUs can effectively implement BIPR using implementation science strategies to standardize rounding and improve neonatal outcomes.
  • Standardized BIPR tools, staff education, audit & feedback, and leadership support are beneficial for NICUs.