Tag Archives: staff

What is the current evidence-based literature on “team nursing” in the acute care setting?

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Searching CINAHL and Joanna Briggs for the concept of team nursing and acute care settings located the following for review.

Fairbrother G, Jones A, Rivas K. Changing model of nursing care from individual patient allocation to team nursing in the acute inpatient environment. Contemporary Nurse: A Journal For The Australian Nursing Profession [serial online]. June 2010;35(2):202-220.

Measuring the impact of a team model of nursing practice using work sampling. Australian health review 2007 vol:31 iss:1 pg:98

Nursing practice models for acute and critical care: overview of care delivery models. Critical care nursing clinics of North America 2008 vol:20 iss:4 pg:365

Collegian Redesign of the model of nursing practice in an acute care ward: nurses’ experiences. 2006 vol:13 iss:1 pg:31

Cioffi J, Ferguson Am L. Team nursing in acute care settings: nurses’ experiences. Contemporary Nurse: A Journal For The Australian Nursing Profession [ser. August 2009;33(1):2-12.

Ferguson L, Cioffi J. Team nursing: experiences of nurse managers in acute care settings. Australian Journal Of Advanced Nursing. June 2011;28(4):5-11.

Dr Kylie Porritt BN MNSc PhD
Rapid Response Teams within acute hospitals 22/09/2011

What is the evidence-based research on the type and effectiveness of intentional rounding on inpatient psychiatry units?

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The Bottom Line: Intentional rounding can have a positive effect on call light use, patient falls, satisfaction and other criteria.

Searching PsychInfo, CINAHL and PubMed for the concepts of intentional (or hourly) rounding and patient satisfaction produced this sampling of results.

Gardner, Glenn, Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: A pilot study. International Journal of Nursing Practice, Vol 15(4), Aug, 2009. pp. 287-293.

The latest evidence on hourly rounding and rapid response teams in decreasing adverse events in hospitals. Worldviews on evidence-based nursing 2007 vol:4 iss:4 pg:220

Halm, Margo Hourly rounds: what does the evidence indicate? American journal of critical care 2009 vol:18 iss:6 pg:581 -584

Baker, Stephanie. Rounding for outcomes: an evidence-based tool to improve nurse retention, patient safety, and quality of care. Journal of emergency nursing 2010 vol:36 iss:2 pg:162 -164

CHRISTINE M. MEADE, PHD, AMY L. BURSELL, PHD, LYN KETELSEN, MBA, RN Effects of Nursing Rounds on Patients’ Call Light Use, Satisfaction, and Safety

What is the evidence on actively engaging nurses at bedside shift report?

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Joanna Briggs Institute’s JBI+COnNECT, an evidence summary source, has published this evidence summary on clinical handover.
Good overview of evidence, but nothing specifically on nurses’ attitudes or how to actively engage nurses in bedside shift report specifically.

PubMed
bedside shift AND (report OR round* OR handover) AND (attitudes OR (nurses AND psychology))
The articles below are from the PubMed search and describe implementation of or changes to shift reports and may be most helpful.

1: Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: a case study. Int
J Nurs Pract. 2010 Feb;16(1):27-34. PubMed PMID: 20158545.

2: Staggers N, Jennings BM. The content and context of change of shift report on
medical and surgical units. J Nurs Adm. 2009 Sep;39(9):393-8. PubMed PMID:
19745636.

3: Athwal P, Fields W, Wagnell E. Standardization of change-of-shift report. J
Nurs Care Qual. 2009 Apr-Jun;24(2):143-7. PubMed PMID: 19287253.

4: Caruso EM. The evolution of nurse-to-nurse bedside report on a
medical-surgical cardiology unit. Medsurg Nurs. 2007 Feb;16(1):17-22. PubMed
PMID: 17441625.

5: Anderson CD, Mangino RR. Nurse shift report: who says you can’t talk in front
of the patient? Nurs Adm Q. 2006 Apr-Jun;30(2):112-22. PubMed PMID: 16648723.

6: Philpin S. ‘Handing over’: transmission of information between nurses in an
intensive therapy unit. Nurs Crit Care. 2006 Mar-Apr;11(2):86-93. PubMed PMID:
16555756.

7: Manias E, Street A. The handover: uncovering the hidden practices of nurses.
Intensive Crit Care Nurs. 2000 Dec;16(6):373-83. PubMed PMID: 11091469.

CINAHL search:  bedside AND shift AND (report OR round* OR handover) AND (attitudes OR (nurses AND psychology))
Limited to English and Peer-reviewed,   Excluded records that are also in Medline (PubMed)
Retrieved one additional record that includes a survey of nurses’ attitudes.
Communication at the bedside to enhance patient care: A survey of nurses’ experience and perspective of handover.Detail Only Available (includes abstract); Street, Maryann; Eustace, Paula; Livingston, Patricia M; Craike, Melinda J; Kent, Bridie; Patterson, Denise; International Journal of Nursing Practice, 2011 Apr; 17 (2): 133-40.

The fulltext for this article is available through the JBI+  journals page.

What are nurses’ attitudes toward peer accountability?

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A search of CINAHL and PubMed for these concepts:
peer accountability or peer review or peer evaluation
nurses
attitudes OR psychology OR perspectives OR beliefs

Results

CINAHL – Including these studies
Peer evaluation in nurses’ professional development: a pilot study to investigate the issues.Full Text Available (includes abstract); Vuorinen R; Tarkka M; Meretoja R; Journal of Clinical Nursing, 2000 Mar; 9 (2): 273-81 (journal article – research, tables/charts) ISSN: 0962-1067 PMID: 11111619

Using Synergy in peer review: a staff nurse’s perspective.Detail Only Available (includes abstract); Packard S; Excellence in Nursing Knowledge, 2004 Aug-Sep. (2p)
 

In-patient handoffs

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Goldsmith D, Boomhower M, Lancaster DR, Antonelli M, Kenyon MA, Benoit A, Chang F, Dykes PC.Development of a nursing handoff tool: a web-based application to enhance patient safety.
AMIA Annu Symp Proc. 2010 Nov 13;2010:256-60. PMID: 21346980

Benham-Hutchins MM, Effken JA.Multi-professional patterns and methods of communication during patient handoffs. Int J Med Inform. 2010 Apr;79(4):252-67. Epub 2010 Jan 15.
PMID: 20079686

Apker J, Mallak LA, Applegate EB 3rd, Gibson SC, Ham JJ, Johnson NA, Street RL Jr.Exploring emergency physician-hospitalist handoff interactions: development of the Handoff Communication Assessment. Ann Emerg Med. 2010 Feb;55(2):161-70. Epub 2009 Nov 27. PMID: 19944486

Benham-Hutchins M, Effken JA.Multi-professional communication during a patient handoff. AMIA Annu Symp Proc. 2008 Nov 6:875.
PMID: 18998774

Andrews C, Millar S.Don’t fumble the handoff. Inpatient providers, specialists, and the primary care physician: a medical care delivery system with benefits and complex risks.
J Med Assoc Ga. 2007;96(3):23-4. No abstract available. PMID: 18203554

Apker J, Mallak LA, Gibson SC.Communicating in the “gray zone”: perceptions about emergency physician hospitalist handoffs and patient safety. Acad Emerg Med. 2007 Oct;14(10):884-94.
PMID: 17898250

From JBI+

Nursing: Clinical Handover

A systematic review of nurses’ inter-shift handoff reports in acute care hospitals

For inpatients, are skin assessments by two staff more accurate than skin assessments by one staff at detecting pressure ulcers and areas at risk for ulcers?

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Bottom line:  Practice guidelines recommend having a standard procedure for assessing and documenting skin and training staff who will be making these assessments, but there is no specific recommendation for the number of staff required for assessing skin.

DynaMed topic on Pressure Ulcers includes a section on prevention screening and section on guidelines.  Prevention/screening section summarizes data on utility of specific structured assessment tools.  There are numerous guidelines, which should document studies on which they base recommendations.  One guideline is Institute for Clinical Systems Improvement (ICSI) guideline on pressure ulcer treatment.

JBI+COnNECT – There are several evidence summaries, but the most relevant ones (ex: Pressure Ulcers: Prevention and Management, seem to  reference the guidelines included in DynaMed, such as that of the Royal College of Nursing.

No identifed recommendations or mention of using more than one person to assess a patient’s skin in the DynaMed or JBI+ information.

PubMed search:  pressure ulcers AND (rater* OR observer*) AND (accura* OR reliabl*)

Yielded studies such as these two that compare use of one nurse to two nurses in documenting skin and found no difference in the number of pressure ulcers documented.  These studies did not address assessment for risk.

Kottner J, Tannen A, Dassen T. Hospital pressure ulcer prevalence rates and number of raters. J Clin Nurs. 2009 Jun;18(11):1550-6.

Kottner J, Tannen A, Halfens R, Dassen T. Does the number of raters influence the pressure ulcer prevalence rate? Appl Nurs Res. 2009 Feb;22(1):68-72.