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Innovation and Research

Family-Centered Rounding Improves Communication, Care

Patients and families who spend time on a Gillette inpatient unit might notice that traditional bedside rounding has a new look and feel. In August 2014, nurses began a concept called family-centered rounding. Piloted by the nursing collaborative governance clinical practice committee, family-centered rounding means that providers round with the patient’s nurse— and with the patient’s family present, whenever possible.

Inpatient Rehabilitation Unit nurse Sarah Anderson, a member of the committee in 2014 and 2015, says the initiative aimed to enhance the hospital’s culture of patient-centered care.
“The main purpose for family-centered rounding is to help improve communication between providers, nurses and families,” she explains. “More effective communication leads to
improved patient safety.”

A nurse-led initiative called family-centered rounding is improving communication between Gillette families and providers.

To prepare for the launch of family-centered rounding, team members researched different nurse-provider rounding methods, collaborated with provider groups, and communicated the concept to nursing units. After implementation, the team conducted regular audits on each inpatient unit. They also tracked patient satisfaction scores for five communication-specific survey questions to measure improvement.

Rave Reviews from Staff, Families
Anderson says the practice has already made a difference, with positive feedback from nurses and providers. “I appreciate hearing the provider’s plan of care and discussion with families firsthand,” she explains. “It’s also helpful to hear families’ questions and the providers’ answers, so I’m able to reiterate those answers if the same question comes up again.”Dalton and his mom, Crystal, at Gillette.

Patients and families appreciate the new process, as well. “Families love the ability to speak with their child’s nurse and physician simultaneously,” says Anderson. “Seeing such visible collaboration helps them feel even more confident that they’re receiving the absolute best care.”

Photo (top left): Marie Miller, a nurse on the Inpatient Rehabilitation Unit, and Gabrielle Meyer, a pediatric rehabilitation resident, participate in family-centered rounding with Dalton Youngblood and his mom, Crystal Ludwig. Dalton, 12, spent a month at Gillette recovering from Guillain-Barre Syndrome.

Photo (bottom right): Dalton and his mom.