Date of Award

7-2016

Document Type

Thesis

Degree Name

Master of Science in Nursing (MSN)

First Advisor

Gayle Casterline

Abstract

Daily rounds is one strategy to improve communication between caregivers and engage patients and families in care decisions. The purpose of this study was to determine if the structure of multidisciplinary rounds affected the patient's perception of care. King's Theory of Goal Attainment guided this study related to the relationship of interaction and outcomes three medical surgical units were identified as using different structures for patient rounding: tabletop rounds, nurse-led rounds, and team-based rounds. Patient perceptions were collected from the Professional Research Consultants (PRC) database, a nationally recognized patient satisfaction survey. Over a six month period, survey data was analyzed from a random sample of 100 discharged patients from each unit, as identified by the PRC. Patient perceptions of five specific questions were analyzed: nurse communication, physician communication, decision-making, teamwork, and safety. Analysis of variance (ANOVA) showed no significant differences (p > .05) in patients’ perceptions of care on any variable related to the structure of multidisciplinary rounds on the unit. Effective and frequent multidisciplinary communication, which includes patient and family involvement, may be the key to satisfactory outcomes, regardless of the rounding structure.

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