Nurses’ perceived benefits of trauma nursing rounds (TNR) on clinical practice in an Australian emergency department: A mixed methods study

Dalmaso, Kym; Weber, Sarah; Eley, Robert; Spencer, Lyndall; Cabilan, C.J.

doi:10.1016/j.aenj.2014.10.001

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…Additionally, we found others like families and medical device representatives were present at Nursing Rounds. This finding was supported in the NGRs literature, as NGRS have been shown to enhance patient and family engagement (Armola et al, 18 18 2010, Dalmaso et al, 2015. Given the paucity of research on family involvement in Nursing Rounds, future studies should investigate family members' perceptions of involvement in this activity.…”

Section: Discussionmentioning

confidence: 71%

“…The focus of Nursing Rounds tended to be on empirical facts about medically related care, which may have overshadowed other types of learning. Like our study, the focus of Nursing Rounds tends to be discussing patient condition, treatment and associated monitoring (Dalmaso et al, 2015), which tended to have a medical focus.…”

Section: Discussionmentioning

confidence: 94%

“…Nursing Rounds is a practice pedagogy that has been used to promote workplace learning for nurses. Nursing Rounds have been explored in surgical (Gardner et al, 2010) and emergency (Dalmaso et al, 2015) settings. Participants in Nursing Rounds reported the potential to improve clinical practice, enhance collaboration and 'refresh' forgotten information (Dalmaso et al, 2015).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Nursing Rounds have been explored in surgical (Gardner et al, 2010) and emergency (Dalmaso et al, 2015) settings. Participants in Nursing Rounds reported the potential to improve clinical practice, enhance collaboration and 'refresh' forgotten information (Dalmaso et al, 2015). Given the reduced opportunities for peer observation and learning associated with the single room environment, Nursing Rounds was implemented in one ICU as a way to augment nurses' learning from their work.…”

Section: Literature Reviewmentioning

confidence: 99%

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Effectiveness of nursing rounds in the Intensive Care Unit on workplace learning

Tobiano

Murphy

Hervey

et al. 2019

Intensive and Critical Care Nursing

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Objectives: To evaluate the implementation of a regular Nursing Round as an educational strategy for workplace learning in an intensive care unit with a single room environment. Research Design: A multiple methods design was used. Fifty-four Nursing Rounds were observed, and nurses (n=40) completed bespoke evaluative surveys. Structured observational data and open-ended survey responses were submitted to content analysis and descriptive statistics were used to analyse survey findings. Results: Nursing Rounds involved a diverse range of participants, most frequently nurses. The content most frequently discussed was empirical clinical issues, and nurses decided on nursing care actions to address these issues. The most frequently observed outcome of Nursing Rounds was knowledge translation. Nursing Rounds were perceived to positively influence application of evidence in practice, identification of areas for practice improvement and ability to communicate clinical information. Two categories emerged from analysis of open-ended survey questions; (1) 'Positive learning environment', where nurses described Nursing Rounds as a social learning experience; and (2) 'Impediments to Nursing Rounds', including difficulty attending Nursing Rounds due to competing priorities. Conclusion: Nursing Rounds enabled evidence-based learning that enhanced inter-disciplinary collaboration. Further investigation may be required to understand how to enable nurses to attend more frequently, and generate a more holistic, evidence-based discussion.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 94%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of nursing rounds in the Intensive Care Unit on workplace learning

Tobiano

Murphy

Hervey

et al. 2019

Intensive and Critical Care Nursing

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Intensive care nurses’ perceptions of Inter Specialty Trauma Nursing Rounds to improve trauma patient care—A quality improvement project

Jennings

Mitchell

2017

Intensive and Critical Care Nursing

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Cohorting Trauma Patients in a Medical/Surgical Unit at a Level I Pediatric Trauma Center to Enhance Interdisciplinary Collaboration and Documentation

Meyer

Nanassy

Lavella³

et al. 2019

Journal of Trauma Nursing

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Medical errors are a significant issue in health care that may be avoided through enhanced communication and documentation. This study examines interdisciplinary communication and compliance with trauma standards of care demonstrated through following the implementation of cohorting trauma patients to one medical/surgical unit and instituting daily interdisciplinary trauma patient rounds. Potential benefits include enhanced communication, improved nursing satisfaction, and increased compliance with trauma standards of care demonstrated through documentation, which the literature suggests improves quality of care. Pre- and postcohorting surveys related to safety attitudes, comfort with caring for trauma patients, and the efficacy of cohorting were administered to the nursing staff. As a marker for increased compliance with trauma standards of care, medical records were reviewed for completion of substance abuse screening upon admission and Functional Independence Measure screening at discharge. The results were compared after the cohorting initiative with 2 years prior. The rate of compliance with substance abuse screening increased from an average of 62.5% in 2015 and 2016 to 84% in 2017. Functional Independence Measure compliance increased from an average of 72.5% in 2015 and 2016 to 94% in 2017 following the cohorting intervention. Nursing perceptions of teamwork, safety climate, and staff support significantly improved (p < .05) from pre- to postcohorting surveys. Improvements were noted in comfort with performing tasks associated with caring for trauma patients but were not statistically significant. Cohorting trauma patients to one medical/surgical unit resulted in positive perceptions of professional relationships, improved communication, and compliance with trauma standards of care for documentation.

show abstract

Nurses’ perceived benefits of trauma nursing rounds (TNR) on clinical practice in an Australian emergency department: A mixed methods study

Cited by 7 publications

References 22 publications

Effectiveness of nursing rounds in the Intensive Care Unit on workplace learning

Effectiveness of nursing rounds in the Intensive Care Unit on workplace learning

Intensive care nurses’ perceptions of Inter Specialty Trauma Nursing Rounds to improve trauma patient care—A quality improvement project

Cohorting Trauma Patients in a Medical/Surgical Unit at a Level I Pediatric Trauma Center to Enhance Interdisciplinary Collaboration and Documentation

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