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Sustaining Nursing Grand Rounds Through Interdisciplinary Teamwork and Interorganizational Partnership

Salinas, Dagoberto MSN, ACCNS-AG, CNOR; Johnson, Stephen Christopher DO; Conrardy, Julie Anne MSN, CNS-BC, CNS-CP, CNOR; Adams, Tuesday Lynn MSN, RN-BC; Brown, James Denning MSN, RN

AJN The American Journal of Nursing: April 2019 - Volume 119 - Issue 4 - p 41–48
doi: 10.1097/01.NAJ.0000554547.03020.a2
Feature Articles

In 2017, Navy Nurse Corps executives launched a new nursing professional practice model that promotes operational readiness, professional development, and transformational leadership. This directive prompted nursing leadership at Naval Hospital Jacksonville (NH JAX) to conduct a needs assessment survey to determine what kind of educational initiative nursing staff members would most welcome in support of the goals of the new practice model. Survey respondents favored case studies presented in a nursing grand rounds format. Our change implementation team designed and executed the grand rounds program, offering lunchtime presentations every other month. Topics included a wide range of “high-risk/low-volume” procedures—those infrequently performed at participants’ clinical sites. Ten months after the initiation of grand rounds, surveys were distributed to NH JAX participants to assess their perceptions of the value of the sessions in terms of professional development, interdisciplinary teamwork, and strengthened institutional partnerships.

Of the 161 nursing grand rounds participants, 41 (25%) responded to the postimplementation survey. Responses indicated that participants valued nursing grand rounds in enhancing clinical knowledge (83% agreed), discussing research and evidence-based practices (71% agreed), supporting professional development (88% agreed), improving interdisciplinary teamwork (83% agreed), and solidifying interorganizational partnerships (73% agreed). This article presents the implementation of the NH JAX grand rounds program and demonstrates how nursing grand rounds can serve as an excellent forum in which to develop knowledge, showcase research and evidence-based practices, support professional growth, improve collaboration, and strengthen partnerships.

The authors present the implementation of a grand rounds program at their naval hospital, and demonstrate how nursing grand rounds can support professional growth and strengthen partnerships.

Lieutenant Commander Dagoberto Salinas is an adult-gerontology clinical nurse specialist at U.S. Naval Hospital Jacksonville (NH JAX) in Jacksonville, FL, where Lieutenant Stephen Christopher Johnson (deceased) was a first-year medical resident. At the time of the grand rounds initiative, Commander Julie Anne Conrardy was program director for perioperative nurse training at NH JAX (she is currently quality manager for the operating room at Naval Medical Center San Diego) and Lieutenant Commander Tuesday Lynn Adams was an adult-gerontology clinical nurse specialist at U.S. Naval Medical Center Camp Lejeune in Jacksonville, NC (she is currently associate chief nurse of inpatient services at Captain James A. Lovell Federal Health Care Center, Great Lakes, IL). James Denning Brown is system director of clinical education at St. Vincent's Ascension in Jacksonville, FL. Contact author: Dagoberto Salinas, The authors have disclosed no potential conflicts of interest, financial or otherwise.

The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government. LCDR Dagoberto Salinas, RN, LT Stephen C. Johnson, DO, CDR Julie A. Conrardy, RN, and LCDR Tuesday L. Adams, RN, are military service members. This work was prepared as part of their official duties. Title 17 U.S.C. 105 provides that “copyright protection under this title is not available for any work of the United States Government.” Title 17 U.S.C. 101 defines United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person's official duties.

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