Date of Conferral

2015

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Patricia Schweickert

Abstract

There is a lack of quality communication among health care professionals and patients in the hospital setting, which can negatively impact patient satisfaction and increase hospital readmission rates. Interdisciplinary bedside rounding (IBR) is a method of rounding that uses direct communication and discussion of the patient at the bedside, and the use of IRB may improve the quality communication among health care professionals and patients. The purpose of this program outcomes evaluation project was to evaluate whether IBR increased patient satisfaction with nursing communication and if IBR decreased hospital readmission rates. The Iowa model of evidence-based practice provided a framework that was used for this project. This program outcomes evaluation used a retrospective pre-post design to collect data 3 months prior to and 3 months following IBR on 1 medical surgical hospital unit. A convenience sample of 42 IBR patient participants was used. HCAHPS scores were used to evaluate patient satisfaction with nursing communication, with a percent of change comparison evaluated. Thirty day readmission rates were evaluated using a hospital based data set and a direct comparison of data was performed. Findings revealed that IBR did not improve patient satisfaction with nursing communication overall. In regards to hospital readmissions, 1% of the hospital readmissions were from the IRB group versus 10% hospital wide. Those who experienced IBR were less likely to return within 30 days. The use of the IBR program and resultant reduced readmission rates show promise for positive social change by improved patient outcomes and decreased health care costs for all.

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