TY - JOUR

T1 - Proactive rounding

T2 - Perspectives and experiences of nurses and midwives working in a large metropolitan hospital

AU - Blackburn, Gary

AU - Rasmussen, Bodil

AU - Wynter, Karen

AU - Holton, Sara

N1 - Publisher Copyright: © 2021

PY - 2022

Y1 - 2022

N2 - Background: Rounding by the Rapid Response team (RRT) is an integral part of safety and quality care of the deteriorating patient. Rounding enables Intensive Care Units (ICU) liaison nurses to proactively identify deteriorating patients in the general wards and minimize the time spent by general nursing staff to call for assistance. Objective: The study examined nurses’ and midwives’ experiences of proactive rounding by a RRT/ICU Liaison service, including the impact on workflow and patient care as well as enablers and barriers to utilization of the service. Method: A mixed method approach was used: an online survey and semi-structured interviews with nurses and midwives in an acute care setting. Results: 52 respondents completed the online survey and 6 participated in a semi-structured interviews. The majority of survey respondents found the service useful and indicated that rounding by the ICU Liaison service improves patient care. Participants also believed that pro-active rounding increases staff confidence and builds rapport when utilizing the ICU Liaison service. Barriers to use of the service included the lack of out of normal business hours support and obtaining prompt support. Conclusion: Proactive rounding was perceived by nurses and midwives to be beneficial for both themselves and patients, and ensured that deteriorating patients were identified.

AB - Background: Rounding by the Rapid Response team (RRT) is an integral part of safety and quality care of the deteriorating patient. Rounding enables Intensive Care Units (ICU) liaison nurses to proactively identify deteriorating patients in the general wards and minimize the time spent by general nursing staff to call for assistance. Objective: The study examined nurses’ and midwives’ experiences of proactive rounding by a RRT/ICU Liaison service, including the impact on workflow and patient care as well as enablers and barriers to utilization of the service. Method: A mixed method approach was used: an online survey and semi-structured interviews with nurses and midwives in an acute care setting. Results: 52 respondents completed the online survey and 6 participated in a semi-structured interviews. The majority of survey respondents found the service useful and indicated that rounding by the ICU Liaison service improves patient care. Participants also believed that pro-active rounding increases staff confidence and builds rapport when utilizing the ICU Liaison service. Barriers to use of the service included the lack of out of normal business hours support and obtaining prompt support. Conclusion: Proactive rounding was perceived by nurses and midwives to be beneficial for both themselves and patients, and ensured that deteriorating patients were identified.

KW - ICU liaison service

KW - Nursing/midwifery

KW - Rapid response teams

KW - Rounding

U2 - 10.1016/j.aucc.2021.09.006

DO - 10.1016/j.aucc.2021.09.006

M3 - Journal article

C2 - 34895984

AN - SCOPUS:85121141719

VL - 35

SP - 684

EP - 687

JO - Australian Critical Care

JF - Australian Critical Care

SN - 1036-7314

IS - 6

ER -