Clinical trial NCT06336915: Physician-Nurse Dyad Rounding: A Collaborative Approach to Improve Unit-Level Metrics
Official title: Physician-Nurse Dyad Rounding: A Collaborative Approach to Improve Unit-Level Metrics
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Wellness, Psychological
Lead sponsor: Methodist Health System
Sponsor class: OTHER
First posted: 2024-03-29
Enrollment: 300
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Private hospitalist patients at MDMC

Patients with a LOS ≤20 days

Brief summary: The project will be implemented on one unit at a time until the co-rounding process has been implemented on each Medical-Surgical unit. This study will involve the geo-localized hospitalist on the designated unit and the nursing staff involved in clinical patient care

Detailed description: Patient experience top box scores as well as doctor and nurse domains will be evaluated retrospectively prior to project implementation and this evaluation will continue to be evaluated six months after IRB approval and project initiation. Baseline patient experience scores are routinely captured as a part of routine data collection practices via Press Ganey survey administration.

LOS and discharge times are also routinely collected as a part of routine data collection practices. LOS and average discharge times will be reviewed on an ongoing basis after project implementation to monitor for improvements.

Eligibility criteria: Inclusion Criteria:

* Patient Experience, LOS, and Discharge Times: Private hospitalist patients at MDMC
* LOS: Patients with a LOS ≤20 days

Exclusion Criteria:

* Patient Experience: Patients other than private hospitalist patients excluded from this measure.
* LOS: Patients with LOS \>20 days are considered an outlier and will be excluded from the study

Primary outcomes:
measure: Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation
timeFrame: "up to 100 weeks"
Secondary outcomes:
measure: Difference in Top Box Patient Satisfaction Scores and Doctor Domain
timeFrame: "up to 100 weeks"
measure: Difference in LOS of private hospitalist patients after project implementation compared to before implementation
timeFrame: "up to 100 weeks"
measure: Difference in collaboration and build positive relationships scores after project implementation compared to before implementation
timeFrame: "up to 100 weeks"
Other outcomes:
Locations:
city: Dallas
country: United States
facility: Clinical Research Institute at Methodist Health System
state: Texas
city: Dallas
country: United States
facility: Methodist Dallas Medical Center
state: Texas
Study officials:
References:
citation: Pritts KE, Hiller LG. Implementation of Physician and Nurse Patient Rounding on a 42-Bed Medical Unit. Medsurg Nurs. 2014 Nov-Dec;23(6):408-13.
citation: Shortell, S. (1989). ICU Nurse Questionnaire. Excerpted from The Organization and Management of Intensive Care Units. Copyright 1989, Shortell and Rousseau.
citation: Rigel, N., Delp, S., Ward, C. (2018). Effects of Nurse-Physician Collaborative Rounding, MEDSURG Nursing, 27(3) 149-152.
citation: Sturdivant, T., Herrin, K., Reynolds, M., Mestas, L. (2020). Improving Patient Satisfaction through a Nurse Leader-Physician Bedside Rounding Protocol: A Pilot Project, Nursing Econonmic$, 38(3).