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Perceptions of Teamwork in the Interprofessional Bedside Rounding Process

Beaird, Genevieve; Dent, John M.; Keim-Malpass, Jessica; Muller, Abigail Guo Jian; Nelson, Nicole; Brashers, Valentina

doi: 10.1097/JHQ.0000000000000068
Original Article
Continuing Education

Abstract: Patient perceptions of teamwork have been a relatively undiscovered domain. Our study investigated the use of the Patients' Insights and Views of Teamwork (PIVOT) survey on an acute cardiology unit in an academic teaching hospital with patients receiving Rounding with Heart, an interprofessional bedside rounding initiative, and others receiving traditional rounding processes. Sixty-three subjects were surveyed during their hospital stay. We found a significant difference (p = .006) in PIVOT scores between those receiving interprofessional rounding and those not receiving this rounding structure. In an item-by-item analysis, four specific items were found to be significant which were supported by analysis of qualitative data. Observations of the structured interprofessional rounding process by our research team reveal themes that emerged from observations: (1) openness/inclusivity, (2) patient-centeredness, (3) attending role/shared leadership, (4) nonconfrontational learning, (5) efficacy, and (6) team at bedside. Our results indicate that patients may be able to recognize the teamwork in the structured bedside rounding process and that interfacing with the team may be an important component to patients. We conclude that patient perceptions of teamwork are a valuable informant to modeling collaborative practices, and there are key observable components to the structured rounding model that may foster collaboration among different disciplines.

For more information on this article, contact Genevieve Beaird at

Beverly Henry, PhD, one of the original developers of the PIVOT survey tool, has approved conducting additional tests of usability by our research team.

The authors declare no conflicts of interest.

Funding: This work was supported by the Katharine M. Donohoe Clinical Research Award through the School of Nursing at the University of Virginia.

© 2017 National Association for Healthcare Quality
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