Dissertation/Thesis Abstract

Multidisciplinary Rounds: A Catalyst for Reducing Length of Stay
by Lee, Ulondia Denise, D.N.P., Grand Canyon University, 2020, 128; 28148353
Abstract (Summary)

Multidisciplinary involvement and communication may affect health outcomes and the length of stay (LOS) for patients. Lack of coordination among caregivers could present barriers and delay the discharge process. The purpose of this quantitative quasi experimental project was to determine if the implementation of an SBAR (Situation, Background, Assessment, Recommendation) tool during multidisciplinary team rounds (MTRs) impacted the geometric mean length of stay (GMLOS) for adult patients with a primary diagnosis of chest pain in a cardiac telemetry unit located in central Texas over 30 days. Dempsey’s compassionate connected care model™ (CCCM) was utilized to guide the project. Data were collected from the facility’s TeleTracking™ system. The total sample size was 27, n = 9 for the comparative group and n = 18 for the implementation group. An independent t-test showed there was not a statistically significant difference in GMLOS (t (25) = −0.228, p = 0.821) between the comparative and implementation groups. Although statistical significance was not found, clinically, there was more communication and collaboration during rounding which may lead to reduced GMLOS. It is therefore recommended that the project is sustained and data analyzed in six months to correlate the literature evidentiary findings against statistical and clinically significant finding of the organization.

Indexing (document details)
Advisor: Johnston, Joyce
Commitee: Walker, Christine
School: Grand Canyon University
Department: College of Nursing and Health Care Professions
School Location: United States -- Arizona
Source: DAI-B 82/3(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Compassionate connected care model., Dempsey, Discharge readiness, Length of stay, Multidisciplinary rounds, SBAR
Publication Number: 28148353
ISBN: 9798672191126
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