Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Barbara Gross

Abstract

Multidisciplinary rounds are the gathering of various health care providers who have a shared interest in a patient’s well-being to discuss the plan of care and the patient’s progress through their hospital stay. This multidisciplinary group of staff can be the providers, the nurse, charge nurse, social worker, pharmacist, dietician, respiratory, chaplaincy, and occupational and physical therapists. On night shift at the project site, this rounding process did not occur, leaving the staff feeling they were not involved in the plan of care. The purpose of this quality improvement evidenced-based project was to create a process change, introduced to the staff and to evaluate the effectiveness of staff education on night shift rounding in reducing intubation. Lewin’s theory of planned change was the model used to introduce this new concept. The practice-focused question was “Will the implementation of night shift rounding focusing on nursing communication impact days of intubation in the intensive care setting?” The intubated intensive care population was sampled before and after project implementation. Data were extracted through EPIC the hospital’s health care software. Ventilator days were averaged in July and August and then in October and November and in December. The data were skewed because of the increased population being admitted related to a COVID-19 diagnosis’ the numbers of ventilator days increased with the spikes in COVID admissions. In December, the ventilator days average was at its lowest. The data is in alignment with the practice focused question, indicating both staff and patients benefit from nightshift rounding. As this process is introduced to other units, the hospital will also benefit, and patient outcomes will improve.

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