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Nurse-Physician Communication During Interdisciplinary Team Rounding: An Observational Study in Internal Medicine.

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Increased physician bedside rounding time and structured nurse-physician interaction during interdisciplinary rounds enhance patient care communication. Nurse-physician interaction time was key for inclusive discussions and team engagement.

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Area of Science:

  • Healthcare Management
  • Clinical Communication
  • Patient Care Coordination

Background:

  • Interdisciplinary team rounding is vital for hospital communication and patient care planning.
  • Prior research confirms rounding benefits, but the link between time at the bedside and clinical content delivery is unclear.

Purpose of the Study:

  • To investigate if physician bedside rounding time and nurse-physician interaction influence care plan discussions.
  • To assess the impact on care team member engagement during hospital rounds.

Main Methods:

  • An observational descriptive study was conducted at an academic medical center.
  • Trained observers recorded 1007 patient encounters using a standardized tool during morning rounds.
  • Logistic regression analyzed associations between rounding time, interaction time, and discussion topics.

Main Results:

  • 64.7% of encounters involved nurse-physician interaction (mean 6.1 minutes).
  • Longer bedside rounding correlated with discussions on hospitalization goals and discharge.
  • Longer nurse-physician interaction boosted nurse involvement and patient/family engagement.

Conclusions:

  • Both longer bedside rounding and structured nurse-physician interaction improve communication during rounds.
  • Nurse-physician interaction time is a significant predictor of comprehensive discussions and team engagement.