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Improving nurse-physician teamwork through interprofessional bedside rounding

Overview of attention for article published in Journal of Multidisciplinary Healthcare, May 2016
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Mentioned by

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2 tweeters

Citations

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19 Dimensions

Readers on

mendeley
76 Mendeley
Title
Improving nurse-physician teamwork through interprofessional bedside rounding
Published in
Journal of Multidisciplinary Healthcare, May 2016
DOI 10.2147/jmdh.s106644
Pubmed ID
Authors

Stanislav Henkin, Tony Y Chon, Marie L Christopherson, Andrew J Halvorsen, Lindsey M Worden, John T Ratelle

Abstract

Teamwork between physicians and nurses has a positive association with patient satisfaction and outcomes, but perceptions of physician-nurse teamwork are often suboptimal. To improve nurse-physician teamwork in a general medicine inpatient teaching unit by increasing face-to-face communication through interprofessional bedside rounds. From July 2013 through October 2013, physicians (attendings and residents) and nurses from four general medicine teams in a single nursing unit participated in bedside rounding, which involved the inclusion of nurses in morning rounds with the medicine teams at the patients' bedside. Based on stakeholder analysis and feedback, a checklist for key patient care issues was created and utilized during bedside rounds. To assess the effect of bedside rounding on nurse-physician teamwork, a survey of selected items from the Safety Attitudes Questionnaire (SAQ) was administered to participants before and after the implementation of bedside rounds. The number of pages to the general medicine teams was also measured as a marker of physician-nurse communication. Participation rate in bedside rounds across the four medicine teams was 58%. SAQ response rates for attendings, residents, and nurses were 36/36 (100%), 73/73 (100%), and 32/73 (44%) prior to implementation of bedside rounding and 36 attendings (100%), 72 residents (100%), and 14 (19%) nurses after the implementation of bedside rounding, respectively. Prior to bedside rounding, nurses provided lower teamwork ratings (percent agree) than residents and attendings on all SAQ items; but after the intervention, the difference remained significant only on SAQ item 2 ("In this clinical area, it is not difficult to speak up if I perceive a problem with patient care", 64% for nurses vs 79% for residents vs 94% for attendings, P=0.02). Also, resident responses improved on SAQ item 1 ("Nurse input is well received in this area", 62% vs 82%, P=0.01). Increasing face-to-face communication through interprofessional bedside rounding can improve the perceptions of nurse-physician teamwork, particularly among residents and nurses.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 76 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 76 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 26%
Student > Bachelor 10 13%
Unspecified 9 12%
Student > Ph. D. Student 8 11%
Student > Doctoral Student 7 9%
Other 22 29%
Readers by discipline Count As %
Nursing and Health Professions 28 37%
Medicine and Dentistry 21 28%
Unspecified 15 20%
Agricultural and Biological Sciences 2 3%
Arts and Humanities 2 3%
Other 8 11%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 September 2019.
All research outputs
#7,892,195
of 13,693,516 outputs
Outputs from Journal of Multidisciplinary Healthcare
#182
of 331 outputs
Outputs of similar age
#135,265
of 273,911 outputs
Outputs of similar age from Journal of Multidisciplinary Healthcare
#6
of 8 outputs
Altmetric has tracked 13,693,516 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 331 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.6. This one is in the 40th percentile – i.e., 40% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 273,911 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.