Building Skills for Unit-Based, Patient-Centered Interprofessional Bedside Rounds
Aligning Interprofessional Education (IPE) and Interprofessional Practice (IPP): The implementation support and training programs provided by 1Unit to hospitals and health systems adopting the Accountable Care Unit (ACU) model and Structured Interdisciplinary Bedside Rounds (SIBR) support the seamless transition from student experiences with IPE to practice in a fully integrated IPP environment.
The ACU has four pillars: (a) joint physician and nurse leadership at the unit level, with both partners equally accountable for clinical and system outcomes; (b) SIBR, which is one of several patient- and unit-centered workflow processes; (c) unit-based physicians to team with unit-based staff; and (d) use of unit-level data to inform continuous process and quality improvement.
The focus of this workshop is the training and support provided for unit-level staff as they implement SIBR.
With 1Unit’s SIBRs, care teams come together working collaboratively with patients and their families at the bedside to review the care plan and progress toward goals. Team members update data points, cross-check information accuracy, identify deviations from the expected course, and make adjustments in real-time to best meet the patient’s needs.
With input from different members of the care team, 1Unit has developed a highly structured and scripted six-step communication protocol that a) puts the patient and family at the center of rounds; b) gives each professional the opportunity to hear other professionals’ assessments and care plans; and c) gives the entire team – including the patient and family – the opportunity to clarify, correct, and ask questions regarding shared information. This is all done in between 5-7 minutes per patient, making it a highly efficient use of everyone’s time. SIBR is based on key concepts and competencies advocated by TeamSTEPPS and Quality and Safety Education in Nursing (QSEN), i.e., patient-centered care, teamwork and collaboration, safety, and quality improvement.
At the end of this workshop, learners will be able to:
- Describe four essential components of SIBR. Learner strategies presented by Dr. Stein using and interactive pedagogy, and including presentations, videos, and role-playing.
- Describe their professions' best practices related to ACU and SIBR communications patterns and work flow. Learner strategies: Other instructors will present their roles using interactive pedagogy, and including presentations, videos, role-playing.
- Design a SIBR diagram and scripts for a sample medical unit and a team consisting of a physician, nurse, social worker, pharmacist, physical therapist, and nursing assistant.
Learner strategies: Attendees will be divided into small groups to work with an instructor to meet this objective; all groups will present their diagrams and scripts as part of the workshop. Time permitting, teams will be asked to simulate SIBR as part of the workshop.