Journal of Clinical Nursing and Practice

Nurse-physician Teamwork

Teamwork between medicos and nurses has a positive sodality with patient contentment and outcomes, but perceptions of medico-nurse teamwork are often suboptimal. To amend nurse-medico teamwork in a general medicine inpatient edifying unit by incrementing face-to-face communication through interprofessional bedside rounds. From July 2013 through October 2013, medicos (attendings and denizens) and nurses from four general medicine teams in a single nursing unit participated in bedside rounding, which involved the inclusion of nurses in morning rounds with the medicine teams at the patient; bedside. Predicated on stakeholder analysis and feedback, a checklist for key patient care issues was engendered and utilized during bedside rounds. Assessment: To assess the effect of bedside rounding on nurse-medico teamwork, a survey of culled items from the Safety Postures Questionnaire (SAQ) was administered to participants afore and after the implementation of bedside rounds. The number of pages to the general medicine teams was withal quantified as a marker of medico-nurse communication. Participation rate in bedside rounds across the four medicine teams was 58%. SAQ replication rates for attendings, denizens, and nurses were 36/36 (100%), 73/73 (100%), and 32/73 (44%) prior to implementation of bedside rounding and 36 attendings (100%), 72 denizens (100%), and 14 (19%) nurses after the implementation of bedside rounding, respectively. Prior to bedside rounding, nurses provided lower teamwork ratings (percent accede) than denizens and attendings on all SAQ items; but after the intervention, the difference remained consequential only on SAQ item 2 (In this clinical area, it is not arduous to verbalize up if I perceive a quandary with patient care, 64% for nurses vs 79% for denizens vs 94% for attendings, P=0.02). Additionally, denizen replications ameliorated on SAQ item 1 (Nurse input is well received in this area, 62% vs 82%, P=0.01). Incrementing face-to-face communication through interprofessional bedside rounding can amend the perceptions of nurse-medico teamwork, categorically among denizens and nurses. The top online publishing journals publish articles which are cited as references by many authors in their work. Citations are paramount for a journal to get impact factor. Impact factor is a quantification reflecting the average number of citations to recent articles published in the journal. The impact of the journal is influenced by impact factor, the journals with high impact factor are considered more consequential than those with lower ones. Indexing provides facile access of the article online. The international journals are among the best open access journals in the world, set out to publish the most comprehensive, germane and reliable information predicated on the current research and development on a variety of subjects. This information can be published in our peer reviewed journal with impact factors and are calculated utilizing citations not only from research articles but withal review articles (which incline to receive more citations), editorials, letters, meeting abstracts, short communications, and case reports. The inclusion of these publications provides the opportunity for editors and publishers to manipulate the ratio used to calculate the impact factor and endeavor to increment their number expeditiously. Impact factor plays a major role for the particular journal.

Relevant Topics in Medical Sciences