Susan Hendricks1, Virginia Julie LaMothe, Areeba Kara, Joan Miller. 1. Author Affiliations: Associate Professor and Associate Dean (Dr Hendricks), Undergraduate Programs, and Project Manager (Dr LaMothe), School of Nursing, Indiana University; and IC Hospitalist (Dr Kara), and Clinical Nurse Specialist (Ms Miller), Indiana University Health Methodist Hospital, Bloomington.
Abstract
PURPOSE: The purpose of this qualitative study was to describe the barriers and facilitators for interprofessional patient-centered rounding across 4 acute care units in a large urban hospital. DESIGN: A qualitative descriptive method that included data gathered over an 18-month period was used. METHODS: Three data sources were included: participant observation of rounding activities, focused meetings related to interprofessional practice, and exit interviews with key informants representing multiple professions and roles. The data were analyzed, and the findings were developed through an extensive transcription, coding, and discussion process. RESULTS: The facilitators and barriers related to the team included high versus low turnover of team membership, structured versus unstructured rounding, valuing versus skepticism about interprofessional practice, and confidence versus hesitancy about skills. Facilitator/barrier pairs related to the environment included rounding aligned versus mismatched with hospital's mission, time for rounding versus competing demands, geographically cohorted versus distributed teams, and readiness for change and innovation versus saturation. CONCLUSION: Factors associated with the members of the interprofessional team were important in successful implementation of interprofessional rounding. The organizational context and structure were also important. Leaders who anticipate implementing interprofessional rounding may incorporate knowledge of these facilitators and barriers into their planning process.
PURPOSE: The purpose of this qualitative study was to describe the barriers and facilitators for interprofessional patient-centered rounding across 4 acute care units in a large urban hospital. DESIGN: A qualitative descriptive method that included data gathered over an 18-month period was used. METHODS: Three data sources were included: participant observation of rounding activities, focused meetings related to interprofessional practice, and exit interviews with key informants representing multiple professions and roles. The data were analyzed, and the findings were developed through an extensive transcription, coding, and discussion process. RESULTS: The facilitators and barriers related to the team included high versus low turnover of team membership, structured versus unstructured rounding, valuing versus skepticism about interprofessional practice, and confidence versus hesitancy about skills. Facilitator/barrier pairs related to the environment included rounding aligned versus mismatched with hospital's mission, time for rounding versus competing demands, geographically cohorted versus distributed teams, and readiness for change and innovation versus saturation. CONCLUSION: Factors associated with the members of the interprofessional team were important in successful implementation of interprofessional rounding. The organizational context and structure were also important. Leaders who anticipate implementing interprofessional rounding may incorporate knowledge of these facilitators and barriers into their planning process.
Authors: Erin Abu-Rish Blakeney; Frances Chu; Andrew A White; G Randy Smith; Kyla Woodward; Danielle C Lavallee; Rachel Marie E Salas; Genevieve Beaird; Mayumi A Willgerodt; Deborah Dang; John M Dent; Elizabeth Ibby Tanner; Nicole Summerside; Brenda K Zierler; Kevin D O'Brien; Bryan J Weiner Journal: J Interprof Care Date: 2021-10-10 Impact factor: 2.338
Authors: Erin Abu-Rish Blakeney; Hebatallah Naim Ali; Nicole Summerside; Danielle C Lavallee; Benjamin Kragen; Mayumi A Willgerodt; Bryan J Weiner; Leah Spacciante; Brenda K Zierler Journal: Health Care Manage Rev Date: 2021 Oct-Dec 01