388 - Implementation of Daily Collaborative Bedside Team Rounding Increased Parent’s Satisfaction in the Neonatal Intensive Care Unit (NICU)

Poster Number: 388
Publication Number: 388.435

Ranga Prasanth Thiruvenkataramani, Michigan State University College of Human Medicine, Lansing, MI, United States; Said Omar, Michigan State University College of Human Medicine and Medical Director of RNICU of Sparrow Hospital, East Lansing, MI, United States; Amanda DAlessandro, Sparrow Hospital, Lansing, MI, United States; Sarah E. Collins, Sparrow Hospital, Lansing, MI, United States; Kathleen marble, sparrow hospital, Okemos, MI, United States; Cheryl Abernathy, Sparrow Medical Center, Davison, MI, United States

Background: Parents are critical to the family-centered care model. Parents' experience and satisfaction are fundamental to assessing the clinical practice and improving the quality of care. In the NICU, effective communication of the daily plan of care among health care team members is a mainstay of patient safety because small errors can have serious and life-threatening consequences. Ineffective communication with parents of hospitalized infants can lead to decreased satisfaction and trust in the health care team. Empowering all team members in the NICU to participate in the care of infants may improve parent’s satisfaction

Objective: To assess the effect of implementing a daily collaborative bedside rounding tool and effective communication by the NICU team in parent’s satisfaction

Design/Methods: After extensive training of all NICU staff members, we implemented a bedside collaborative team rounding tool during the daily rounds at a 47-bed regional NICU at Sparrow hospital, Lansing, Michigan. The tool included the participation of nurses, parents, dieticians, respiratory therapists, residents, fellows, nurse practitioners, and the attending physicians. Parents were updated daily by the attending physician personally at the bedside or via phone after rounds. The results of the parents 72 hours after admission and the discharge survey were compared for 1 year prior to and 1 year after implementing the tool

Results: The results of the parents' 72 hours survey showed that implementing the tool was associated with statistically significant improvement of the doctors and nurse communication with the parents to understand the clinical care of their infant (Table-1). In the parents' discharge survey, the doctors’ communication, explanation of laboratory results and instructions, and overall teamwork showed a statistically significant improvement (Table 2). The evaluation of nursing communication, quality of care, and team communication which has been high above 90% showed further improvement.Conclusion(s): Implementation of daily collaborative bedside team rounding tool, daily communication with parents after rounding, strict adherence to the tool, and monthly communicating the survey results to the NICU team has improved the parent’s satisfaction regarding the clinical care of their infants during their hospitalization in the NICU
Table-1: Parents 72 hours admission survey results
Table-2: Parents Discharge survey results