Improving resident physician interprofessional collaborative practice during bedside interdisciplinary rounds

Katarzyna A. Mastalerz, Sarah R. Jordan, Dylan Foley, Charles H. Davis, Thomas J. Andreas, Kirsten Broadfoot, Mark Earnest

Overview

In a study conducted at Yale New Haven Hospital, the implementation of Structured Interdisciplinary Bedside Rounds (SIBR) significantly improved interprofessional communication (IPC) and workplace efficiency among residents and nurses on an inpatient internal medicine unit.

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increase in perceived quality of interprofessional communication among nurses

Objectives

To assess the impact of Structured Interdisciplinary Bedside Rounds (SIBR) on interprofessional communication (IPC) and workplace efficiency among residents and nurses.

Methods

The study was a quasi-experimental design involving 88 residents and 44 nurses on a 32-bed inpatient internal medicine unit. Over 24 weeks, 1,308 SIBR encounters were observed. Surveys measured perceptions of IPC and workplace efficiency before and after SIBR implementation.

Results

IPC Perception Among Residents: Improved from 67.9% to 93.3% (P=0.024).

IPC Perception Among Nurses: Improved from 36.0% to 73.7% (P=0.008).

Paging Frequency: Reduced from 49.1% to 20.0% of residents reporting more frequent paging compared to other units (P=0.01).

SIBR Fidelity: Bedside nurse present for 96.7% of encounters, physician for 97.6%, and care manager for 94.7%.

Conclusion

The implementation of Structured Interdisciplinary Bedside Rounds (SIBR) significantly improved perceptions of interprofessional communication and workplace efficiency among residents and nurses. These findings support the value of structured interprofessional rounds in enhancing communication and operational efficiency in inpatient settings.

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Liam Chadwick, PhD