Improving Palliative Care Interdisciplinary Team Rounding

Abstract

University of Washington Abstract Improving Palliative Care Interdisciplinary Team Rounding Mikka Marun Uehara, BSN, RN, DNP-AGNP-PC Student Chair of the Supervisory Committee:Elizabeth Bridges, PhD, RN, CCNS, FCCM, FAAN Biobehavioral Nursing and Health Informatics Eeeseung Byun, PhD, RN Biobehavioral Nursing and Health Informatics Interdisciplinary team (IDT) rounding is integral in providing patient-centered, high quality, safe, and efficient care. The University of Washington Medical Center – Montlake campus (UWMC-ML) palliative care team meets daily during rounds to discuss patient cases, address issues and concerns, assign work, remember the lives of those who passed, and attend to the well-being of each other. While all these tasks are valuable, the UWMC-ML palliative care team has had challenges with the current team rounding process due to structure variability, time constraints, and different priorities and expectations across team members. There have been changes to address these problems; however, palliative care team satisfaction continues to be less than ideal. This Doctor of Nursing Practice (DNP) project aimed to improve the IDT rounding process of the UWMC-ML palliative care team by implementing strategies based on the analysis of the current rounding process and review of current best evidence-based practices IDT rounding. This project also assessed the success of implemented changes through a reassessment survey of palliative care team members’ satisfaction levels.