原创力文档a quality improvement project to increase nurse attendance on pediatric family centered rounds：提高儿科家庭中心发护士的质量改进方案.pdfVIP
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a quality improvement project to increase nurse attendance on pediatric family centered rounds：提高儿科家庭中心发护士的质量改进方案
Journal of Pediatric Nursing (2015) xx, xxx–xxx
A Quality Improvement Project to Increase Nurse
Attendance on Pediatric Family Centered Rounds1
Elena Aragona MDa,⁎, Jose Ponce-Rios MD b, Priya Garg MD a, Julia Aquino MD a,
Jeffrey C. Winer MD, MA, MSHS c, Elisabeth Schainker MD, MSc a
aPediatric Hospital Medicine, Tufts Floating Hospital for Children, Boston, MA
bPediatric Emergency Medicine, Phoenix Childrens Hospital, Phoenix, AZ
cSection of Hospital Medicine, Wolfson Childrens Hospital, Jacksonville, FL
Received 1 May 2015; revised 27 July 2015; accepted 19 August 2015
Key words:
Background: Family centered rounds (FCR) occur at the bedside and include the patient and their family
Family centered rounds;
when creating a daily medical care plan. Despite recommendations that family centered rounds (FCR)
Multidisciplinary rounds
with nursing staff be standard practice, nurses were frequently absent from FCR at our institution.
Objective: To increase nurse attendance on hospitalist FCR to 80% in three months. Secondary
outcomes were to investigate the relationship between nurse-to-patient ratio and nurse attendance, and to
assess for change in perception toward FCR.
Methods: This resident driven interrupted time series study included a focus group to identify barriers to nurse
attendance on FCR, four plan-do-study-act cycles, and surveys to assess for changes in perceptions toward
FCR. Control charts, SHEWHART rules, linear regression and chi squared analysis were used for data analysis.
Results: Nurse attendance on FCR improved
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