A Guide to Developing Nursing Grand Rounds

Abstract

The debut article for this column describes the development of nursing grand rounds guided by a clinical nurse specialist.

Nursing Grand Rounds: A Strategy for Promoting Evidence-Based Learning Among Pediatric Nurses

“…They have been used in various disciplines to support the acquisition of cognitive, social, cultural and emotional knowledge, and motor skills through active learning (Winkelman et al, 2012). The case study format, as a presentation style, is regaining favor for use in medical and NGR (Armola et al, 2010). Although published literature on the use of case studies within the acute care setting for staff development have been limited, the use of case studies in undergraduate curricula to promote critical thinking and problem solving capabilities has been well-documented (Azzarello & Wood, 2006;Benner et al, 2010;Delpier, 2006;Niemer, Pfendt, & Gers, 2010;Sprang, 2010 (2010) asserted the integration of case studies in staff education can promote enhanced problem-solving, decisionmaking and critical thinking abilities in registered nurses, in addition to understanding of specific disease processes.…”

“…Since then, published literature on the use of NGR in the hospital setting have been scarce. More recently, with (a) the advent of the Magnet™ Program in the U. S., (b) the Institute of Medicine's (2010) report addressing continuing education for health professions, and (c) recommendations from the Carnegie Report (Benner, Sutphen, Leonard, & Day, 2010), (Armola et al, 2010;Furlong, D'Luna-O'Grady, Macari-Hinson, O'Connel, & Pierson, 2007;Hagle & Millenbruch, 2011;Iacono, 2008;Lannon, 2005;Wolak, Cairns, & Smith, 2008 …”

“…Billings and Halstead (2012) referred to NGR as a teaching strategy that uses the patients' condition for direct, purposeful experiences. Armola, Brandeburg, and Tucker (2010) defined NGR as a "presentation given by nurses who share nursing care and focus on a particular case or group of cases" (p. 55). Although definitions of NGR may vary slightly, the authors delineate NGR as a learning event that encapsulates a case study or a group of case studies related to content and is hosted by nurses for the purpose of familiarizing the audience with an EBP approach to learning.…”

Development of an instrument to measure deliberate practice in professional nurses

“…Nursing grand rounds are presentations given by nurses who share a particular nursing care focus (Armola et al, 2010). Sixty-nine percent (n=61/88) of nurses who responded did not attend any grand rounds in the last year.…”

Advanced Practice Registered Nurse (APRN) Led Unit Nursing Rounds and Bedside Nurses' Job Satisfaction

“…Fourteen of the articles focused on implementing non-unit-based rounds and were excluded (Martuscello, 1979;Batty et al, 1983;Matheny & Wolff, 1990;Evans, 1991;Haisfield, Leach, Montgomery, Singley, Weber, 1991;Kreichelt & Spann, 1991;McLean, Meyer, Shafer, Schoeder, 1994;Lannon, 2005;Furlong et al, 2007;Groenewold & Diano, 2007;Iacono, 2008;Wolak, Cairns & Smith, 2008;Armola, Brandeburg & Tucker, 2010;Odedra & Hitchcock, 2012). …”