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Report Benefits of Physician-Nurse

Case Study Instructions:

A case study of Physician-Nurse rounding report benefits in 36-bed capacity acute setting hospital. APA format.

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Physician-Nurse Rounding Report Benefits
Name
Institutional Affiliation
Physician-Nurse Rounding Report Benefits
Introduction
Scanty and uneven communication between nurses and physicians can result in unforeseen events for patients and clinicians. Miscommunication in this case often leads to missing orders, patient misidentification, falls, and medication errors. The number of recommended rounds varies depending on the number of patients and acuity. For example, based on local staffing, a bedside nurse may spend between thirty-three and a hundred percent of his or her time with each patient. In doing so, the nurse will better understand the patient's condition and thus be better positioned to give a good insight that would otherwise be absent in developing a daily care plan. In addition, making frequent rounds help nurses to have a valuable insight into the humanistic concerns of their patients and their loved ones. Notably, nurses act as bedside providers to their patients, performing physicals, developing differential diagnoses and care plans while at the same time prescribing medications. Whereas nurses frequently attend to other responsibilities and do not work full time, they nevertheless provide the required continuity to ensure patient safety and satisfaction.
Implementing structured rounding enhances communication between nurses, patients, and family members. In essence, open and timely communication with the patients has been identified as a key satisfaction indicator. More importantly, patients tend to measure the quality of care based on communication (Ryan, Jackson, Woods, & Usher, 2020). In this context, prompt recognition and delivery of high-quality care and good communication directly affect patients' satisfaction. In addition, nurse rounding helps increase responsiveness and better anticipate the patient's needs. Through nurse rounding, patients whose conditions are likely to deteriorate can be identified well in advance and treatment given in advance. This has the potential to improve the overall care outcomes and increase satisfaction for both the patient as well as the involved staff.
Arguably, the use of structured nurse rounding may be challenging for nurse leaders, especially when the future of reimbursement levels is uncertain. Nurse leaders must account for how nurses use their time and establish whether additional staffing is required and whether the benefits can outweigh the costs. Gormley and colleagues (2019) argue that nurse leaders are required to understand how such change will benefit the organization and convince fellow staff members and administrators of the importance of such change to make a persuasive case for altering how care is delivered. Therefore, understanding the importance of nurse rounding is a major step towards the implementation of the rounding program and ensuring there is an optimal allocation of nursing resources.
Successful implementation of structured rounding may have direct effects on the success of an organization. In this regard, nurse rounding can help the organization to meet quality indicators, particularly those aimed at ensuring that assessment, treatment, admission, or discharge is done within the shortest time possible. The recommended time starting from patient assessment to admission or discharge is usually four hours. Reducing the time required to treat a patient is essential in eliminating the need for more input when patients are being transferred towards, discharged, or transferred to another health facility. According to Ryan, Jackson, Woods, and Usher (2020), structured rounding could help prevent the process of assessing and treating patients from being stretched over time. Rounding can also help nurses to identify and address issues before transferring patients into the ward. This, in turn, helps in increasing the potential of offering efficient care services.
In the modern healthcare system, nurses are required to develop strategies aimed at increasing satisfaction and revenue streams for their care organizations. The effects of nurse rounding have been well documented in research studies and have increased the quality of care. Nurse rounding helps in the identification of issues or concerns that a patient may be experiencing. Furthermore, it offers a recovery approach necessary for remedying dissatisfaction. Nurse rounding is essential for determining three care requirements, also known as the three P's: positioning, pain, and potty (Gormley et al., 2019). Positioning can be in bed or chair while potty refers to the requisite for elimination while pain entails assessment of discomfort. During rounding, nurses gather valuable information while communicating with the patients. This type of communication is essential in developing trusting relationships and getting feedback from the patients concerning the level of care that is being provided. Nurse rounding helps care providers connect with their patients, fortify care, verify behaviors, and get a real-time response to the level of care quality. Moreover, nurse rounding is also essential in familiarizing with other staff members who are crucial in improving the quality of care.
Nurse rounding allows for more personalized patient care and offers a thorough understanding of patient's concerns. In addition, rounding helps collect feedback as nurses can get one-on-one interaction with the patients besides having a visual assessment of their perception of care. In turn, this helps improve the benefits of HCAHPS (Hospital Consumer Assessment Health care Providers and Systems). The ability of the nurse to bridge collected feedback into practical action using rounding as an organizational strategy improves the ability of the organization to move from reactivity to proactivity (Beaird, Baernholdt, & White 2020). Regardless of the size or nature of the organization, nurses promote two-way communication between patients and other healthcare providers, which in turn help to clarify treatment objectives and design the necessary action to achieve these. A nurse is also responsible for making sure that care is given efficiently and effectively.
Nurse rounding is itself a strategy that is linked to improved ratings from patients concerning inpatient care. Rounds entail direct observation, unit functioning, patient evaluation, and a global view of the patient. The effectiveness of rounding depends on the practitioner's ability to move staff and drive organizational goals and mission towards the desired destination to ensure quality and identify improvement opportunities. Daily rounds enable proactive assessment quality on units from the perspective of the patient. It also helps to provide the feedback necessary for coaching and training individual nurses (Ryan, Jackson, Woods, East, & Usher, 2021). During rounding, nurses can clarify questions that patients may have, assess gaps in knowledge, offer discharge instructions, and develop a personalized touch with the help of an individualized approach designed to meet the patient's needs. As a result, the country's healthcare emphasis no longer emphasizes how care is delivered but on the results. More specifically, emphasis is placed on reporting patient satisfaction scores.
Regular use of rounding as a caring tactic improves the quality of service provided and enhances operational and clinical results. Three rounding strategies have been identified, including rounding on staff, rounding on patients, and rounding in the waiting area. Notably, rounding does not only improve satisfaction scores for patients but also improves nurse satisfaction. Further, rounding on staff helps to increase loyalty and attract new skills. When used consistently, rounding enhances nurse-patient experience effects, including communication between nurses and patients, medication management, plan of care, and discharge planning (Beaird et al., 2020). Rounding helps nurses ask questions, acquire actionable information concerning what is working and what is not, and identify improvement areas. In the waiting area, rounding reduces the number of patients who have not been referred to the emergency department. Rounding in the waiting area can be an effective technique of identifying patients who might leave without treatment, which can improve the organization's revenue stream.
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