A Survey of Rounding Practices in Canadian Adult Intensive Care Units
| العنوان: | A Survey of Rounding Practices in Canadian Adult Intensive Care Units |
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| المؤلفون: | Romain Rigal, Jessalyn K. Holodinsky, David A. Zygun, Simon Berthelot, Marilynne Hebert, Henry T. Stelfox, Deborah J. Cook |
| المصدر: | PLoS ONE, Vol 10, Iss 12, p e0145408 (2015) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Canada, Family involvement, Cross-sectional study, lcsh:Medicine, 03 medical and health sciences, 0302 clinical medicine, Qualitative analysis, Nursing, Intensive care, medicine, Humans, 030212 general & internal medicine, Teaching Rounds, lcsh:Science, Patient Care Team, Multidisciplinary, Patient care team, business.industry, Rounding, lcsh:R, 030208 emergency & critical care medicine, Intensive Care Units, Cross-Sectional Studies, Family medicine, lcsh:Q, business, Research Article |
| الوصف: | Objective To describe rounding practices in Canadian adult Intensive Care Units (ICU) and identify opportunities for improvement. Design Mixed methods design. Cross sectional survey of Canadian Adult ICUs (n = 180) with purposefully sampled follow-up interviews (n = 7). Measurements and Main Results Medical directors representing 111 ICUs (62%) participated in the survey. Rounding practices varied across ICUs with the majority reporting the use of interprofessional rounds (81%) that employed an open (94%) and collaborative (86%) approach, occurred at the patient’s bedside (82%), and started at a standard time (79%) and standard location (56%). Most participants reported that patients (83%) and family members (67%) were welcome to attend rounds. Approximately half of ICUs (48%) used tools to facilitate rounds. Interruptions during rounds were reported to be common (i.e., ≥1 interruption for ≥50% of patients) in 46% of ICUs. Four themes were identified from qualitative analysis of participant responses to open-ended survey questions and interviews: multidisciplinarity, patient and family involvement, factors influencing productivity, and teaching and learning. Conclusions There is considerable variation in current rounding practices in Canadian medical/surgical ICUs. Opportunities exist to improve ICU rounds including ensuring the engagement of essential participants, clearly defining participant roles, establishing a standardized approach to the rounding process, minimizing interruptions, modifying the role of teaching, utilizing a structured rounding tool, and developing a metric for measuring rounding quality. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dc6feecbbb395b5c6889a4dcbd05078bTest http://europepmc.org/articles/PMC4689549?pdf=renderTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....dc6feecbbb395b5c6889a4dcbd05078b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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