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Nurse Contributions to Daily Rounds
Kristen E Pecanac1, Mariah Larson1, Kristin Merss1
1School of Nursing, University of Wisconsin-Madison, WI, USA.
Western Journal of Nursing Research
|June 10, 2026
Summary
Nurses primarily provide information during family-centered rounds but can act as advocates. They sometimes hesitate to ask questions when prompted, despite opportunities to contribute valuable insights.
Area of Science:
- Pediatric Healthcare
- Nursing Practice
- Communication in Medicine
Background:
- Healthcare institutions vary in their patient rounding models.
- Nurses' participation and involvement in daily rounds can be inconsistent.
Purpose of the Study:
- To analyze nurses' specific contributions during family-centered rounds in a pediatric hospital setting.
Main Methods:
- Secondary analysis of 50 video-recorded patient-clinician conversations during daily rounds.
- Utilized conversation and content analysis to categorize nurse utterances and their functions.
- Focused on data from four pediatric medical teams at a Midwest children's hospital.
Main Results:
- Nurses commonly provided information and assessments during rounds.
- Nurses actively made recommendations and corrected misinformation.
- Nurses asked clarifying questions for themselves and families, but often declined opportunities to ask questions when prompted at the end of discussions.
Conclusions:
- The typical role of nurses in rounds involves information sharing, with less frequent questioning.
- Nurses demonstrated advocacy by posing questions to the medical team on behalf of patients and families.
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