The impact of Nursing Rounds on the practice environment and nurse satisfaction in intensive care: pre-test post-test comparative study

Aitken, Leanne M., Burmeister, Elizabeth, Clayton, Samantha, Dalais, Christine and Gardner, Glenn (2011) The impact of Nursing Rounds on the practice environment and nurse satisfaction in intensive care: pre-test post-test comparative study. International Journal of Nursing Studies, 48 8: 918-925. doi:10.1016/j.ijnurstu.2010.10.004


Author Aitken, Leanne M.
Burmeister, Elizabeth
Clayton, Samantha
Dalais, Christine
Gardner, Glenn
Title The impact of Nursing Rounds on the practice environment and nurse satisfaction in intensive care: pre-test post-test comparative study
Journal name International Journal of Nursing Studies   Check publisher's open access policy
ISSN 0020-7489
1873-491X
Publication date 2011-08-01
Sub-type Article (original research)
DOI 10.1016/j.ijnurstu.2010.10.004
Open Access Status Not Open Access
Volume 48
Issue 8
Start page 918
End page 925
Total pages 8
Place of publication Bromley, United Kingdom
Publisher Elsevier
Language eng
Formatted abstract
Background
Factors previously shown to influence patient care include effective decision making, team work, evidence based practice, staffing and job satisfaction. Clinical rounds have the potential to optimise these factors and impact on patient outcomes, but use of this strategy by intensive care nurses has not been reported.

Objectives
To determine the effect of implementing Nursing Rounds in the intensive care environment on patient care planning and nurses’ perceptions of the practice environment and work satisfaction.

Design
Pre-test post-test 2 group comparative design.

Settings
Two intensive care units in tertiary teaching hospitals in Australia.

Participants
A convenience sample of registered nurses (n = 244) working full time or part time in the participating intensive care units.

Methods
Nurses in participating intensive care units were asked to complete the Practice Environment Scale-Nursing Work Index (PES-NWI) and the Nursing Worklife Satisfaction Scale (NWSS) prior to and after a 12 month period during which regular Nursing Rounds were conducted in the intervention unit. Issues raised during Nursing Rounds were described and categorised. The characteristics of the sample and scale scores were summarised with differences between pre and post scores analysed using t-tests for continuous variables and chi-square tests for categorical variables. Independent predictors of the PES-NWI were determined using multivariate linear regression.

Results
Nursing Rounds resulted in 577 changes being initiated for 171 patients reviewed; these changes related to the physical, psychological – individual, psychological – family, or professional practice aspects of care. Total PES-NWI and NWSS scores were similar before and after the study period in both participating units. The NWSS sub-scale of interaction between nurses improved in the intervention unit during the study period (pre – 4.85 ± 0.93; post – 5.36 ± 0.89, p = 0.002) with no significant increase in the control group. Factors independently related to higher PES-NWI included intervention site and less years in critical care (p < 0.05).

Conclusions

Implementation of Nursing Rounds within the intensive care environment is feasible and is an effective strategy for initiating change to patient care. Application and testing of this strategy, including identification of the most appropriate methods of measuring impact, in other settings is needed to determine generalisability.
Keyword Evidence-based practice
Intensive care
Nursing
Teaching rounds
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: University of Queensland Library Staff Publications and Presentations
 
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