College of Nursing
Problem Statement: There is often a lack of streamlined communication on nightshift among the reduced care team in acute care settings. The absence of organized collaboration and shared decision-making contributes to strained professional relationships between the advanced practice provider (APP) and the nurse. Purpose: Nightly provider-nurse bedside rounds were implemented in a 21-bed cardiovascular intensive care unit (CVICU) using a goal sheet to improve communication among the APPs and nurses. Methods: A pretest-posttest design in which surveys were used in this quality improvement (QI) project to determine perceptions of communication between APPs and nurses. Inclusion Criteria: All APPs and rotating shift or nightshift nurses in the CVICU. Exclusion Criteria: Nurses who work dayshift and nurses on orientation were prohibited from participating. Analysis: The pre- and post-intervention subscales of the survey (perception of collaboration, perception of workflow, and perception of communication) were examined with Analysis of Variance (ANOVA) for nurses and APPs. Results: Improvement in the mean values of all subscales from both samples was noted. Significant improvements were identified in the collaboration subscale among APPs (P = 0.01) and nurses (P = 0.01). Significant improvement was found in the workflow subscale (P = 0.0004) among nurses, but not among APPs. There was no statistical significance in the communication subscale for either group. Conclusion: The implementation of provider-nurse bedside rounds utilizing a goal sheet on nightshift in the CVICU improved the perception of collaboration, workflow, and communication among both samples.
Massey, Chelsey Alise Durr, "Improving Communication and Workflow Among Advanced Practice Providers and Nurses on Nightshift in an Intensive Care Unit" (2023). Doctor of Nursing Practice Scholarly Projects. 40.
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