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Patient Centered Care and Interdisciplinary Rounding
NAMES
Grand Canyon University: NRS-504
November 22, 2017
Patient Centered Care and Interdisciplinary Rounding
We all know that all patients are not the same, so it only makes sense to care for them in
a way that is specific to their needs. Patient centered care focuses on caring for patients and their
family members in a unique way. Each patient has a care plan tailored for them and their specific
needs. Patient centered care has been found to be beneficial to the outcomes of many different
types of patients and has helped improve the views that patients have of the healthcare system.
Patient centered care not only begins with nursing but must be upheld by everyone who comes in
contact with the patient. This includes physicians, physical therapists, dieticians, and any other
healthcare professional involved in the patients care. In this paper, we will discuss how
interdisciplinary rounding in each patients’ room will improve patient outcomes and improve the
views of patients of healthcare on a pediatric floor.
Foreground Question
Do patients who receive patient centered care have better outcomes and positive views
about the healthcare system compared to those who do not receive patient centered care?
Problem Statement
A huge problem in the healthcare field is that those that are cared for can be forgotten
when it is time to plan for their care. Patient centered care can be overlooked but have a great
impact on the patient’s outcomes and views of their treatment. The concept of patientcenteredness as an important characteristic of high-quality health care got national fame with the
IOM report Crossing the Quality Chasm: A New Health System for the 21st Century. The
Institute of Medicine (IOM) defines patient-centeredness as “providing care that is respectful of
and responsive to individual patient preferences, needs, and values and ensuring that patient
values guide all clinical decisions.” Patient-centered care consists of developing good
communication between patients and their care team, developing treatment options and
practicing shared decision making (Levit, Balogh, Nass, et al., 2013).
When a hospital is ready to implement patient centered care there needs to be a
methodical process in place. One key component is to get everyone involved in the process.
The nurse researchers need to present the evidence based practice for patient/family centered
care to the executive directors as well as the CNO. Once the team has been assembled, including
patient family advisors, education for nurses, providers, dieticians, therapists, and all other team
members who communicate with patients can begin. The four principles of patient-family
centered care will be included. “These four principles are respect and dignity, information
sharing participation and collaboration” (Institute for Family and Family-centered care, 2010). In
listening to patient experiences, both positive and negative, hospital personnel see the benefit for
patient/family centered care (Fagan, Wong, Carnie, Ashley, & Somerville, 2015). When patients
and family are part of the medical team, the team is complete.
The proposal for this pediatric floor will be to gather all interdisciplinary teams that will
be involved in patient care and assign them certain rooms on the floor. This will help maintain
continuity of care so that the children will have to experience the least number of strangers as
possible. These interdisciplinary teams will meet in their own areas and discuss patients
individually. After their own meetings, all groups will meet and discuss patients plans with one
another.
After all plan of cares are understood and agreed upon, the patient and his or her guardian
will be involved. Nurses, since they will be most familiar with the patient at this time, will lead
the rounding. Patient’s family members will have been informed of the process before it
happens. Not only will the nurse, dietician, physical therapist, occupational therapist, respiratory
therapists, case manager, and physicians be involved but so will the patient’s technician. This
person is a primary source of information and will provided a lot of the care that is required. The
plan of care will be reviewed with the patient and the family. Many questions will be asked by
the staff to get to know the child that is receiving the care. Some of these questions will concern
the patients diet, favorite toy, signs and symptoms of pain and discomfort, and many other
questions that the child may not be able to express to staff. Getting to know the child on a
personal level will help increase cooperation and patient outcome. After receiving all this
information, changes will be made, if necessary, and care will begin as planned.
After 6 months of performing interdisciplinary rounds, HCAHPS scores will be reviewed
and compared to those prior to the beginning of interdisciplinary rounds to determine patient
satisfaction. Patient readmission rates and follow up appointments will be reviewed to determine
how patient outcomes may have improved from improved patient centered care. If these scores
and outcomes improve, interdisciplinary rounding will continue to be implemented on the floor.
“SBAR, IDR, and re-admission risk assessment can significantly improve patient
outcomes, even if they do not impact patient satisfaction. With new Center for Medicare
and Medicaid Services rules, the improved re-admission rates also have a positive
financial impact. In addition, the interventions are consistent with TJC recommendations
to improve communication and safety” (Townsend-Gervis, Cornell, & Vardaman, 2011).
Not only has interdisciplinary rounding used as patient centered care improve patient
outcomes and decrease readmissions but it has improved communication between
interdisciplinary team members. This helps improve job satisfaction and increases knowledge of
patients.
Interdisciplinary rounding is a great way to improve patient/family centered care on this
pediatric unit and will require a lot of hard work and dedication. The primary focus is to improve
the health of our young patients and in providing this type of care, we will be a step closer to
eliminate many obstacles.
References
Fagan, M.B., Wong, C., Carnie, M.B., Ashley, S.W., & Somerville, J.G. (2015) Implementing
patient family-centered care grand rounds using patient/family narratives. Journal of
Patient Experience, Vol 2, Iss 2. doi:10.1177/2374373515618315
Institute for Patient-and Family-Centered Care [Internet]. Bethesda (MD): Institute for Patientand Family-Centered Care Core Concepts; December 2010. Retrieved from:
http://www.ipfcc.org/resources/getting_started.pdf
Levit, L. Balogh, E. Nass, S. (2013). Delivering High-Quality Cancer Care: Charting a New
Course for a System Crisis, 3 Patient-Centered Communication and Shared Decision
Making. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK202146/
Townsend-Gervis, M., Cornell, P., & Vardaman, J. M. (2014). Interdisciplinary rounds and
structured communication reduce re-admissions and improve some patient outcomes.
Western Journal of Nursing Research, 36(7), 917-928. Retrieved from: HYPERLINK
“http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/detail/detail?vid=1&sid=b74c3edeb91c-4cb9-af767137a32c63ea%40sessionmgr4008&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l
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PATIENT CENTERED CARE
Running head: PATIENT CENTERED CARE
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