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Asian Journal of Biomedical and Pharmaceutical Sciences | Volume 8
March 26-27, 2018 | Orlando, USA
World Summit on
Healthcare & Hospital Management
&
International Conference & Exhibition on
Biologics and Biosimilars
H
istorically, medicine and nursing has had a hierarchical and
patriarchal relationship, with physicians holding monopoly
over knowledge-based practice of medical care, thus impeding
inter professional collaboration. Power gradient prevents nurses
from demanding cooperative patient rounding. We surveyed
attitudes of nursing staff at our tertiary care community
hospital, before and after implementation of a patient-centered
interprofessional (hospitalist-nurse) rounding process for
patients. We obtained a baseline Nursing Staff survey of about
90 nurses working at Mayo Clinic Health System, Franciscan
Healthcare in La Crosse, Wisconsin. Survey questions were used
to assess baseline attitudes and satisfaction with current model
of in-patient rounding. Starting March 19
th
2012, the “patient-
centered in-patient rounding plan” was implemented by every
hospitalist staff for next 3 months. After the implementation
period, attitudes and satisfaction of nursing staff towards
Hospitalist rounding and communication were reassessed using
the same surveys. There was a substantial improvement in
nursingstaffsatisfactionrelatedtotheimprovedcommunication
(7%-54%, p<0.001) and rounding (3%-49%, p<0.001) by
hospitalist providers. Patient-centered rounding also positively
impacted nursing workflow (5%-56%, p<0.001), nurses’
perceptions of value as a team member (26%-56%, p=0.0018)
and their job satisfaction (43%-59%, p=0.103). Patient-centered
rounding positively contributed to transforming the hospitalist–
nurse hierarchical model to a team-based collaborative model,
thus enhancing inter professional relationships.
Speaker Biography
Umesh Sharma, MD, MBA, FACP, FHM is currently serving as Consultant at Department
of Hospital Medicine, Mayo Clinic Health System; Assistant Professor of Medicine at
Mayo Clinic College of Medicine; Chair of Division of Community Hospital Medicine,
Mayo Clinic Health System (Jan 2014 to date) and; Regional Chair of Department of
Hospital Medicine, Mayo Clinic Health System, South-East Minnesota practice (Aug.
2016 to date). He also served as Chair of Department of Hospital Medicine, Mayo Clinic
Health System, Franciscan Health Care, La Crosse, WI (Jan 2012 to July 2016). His roles
include: Leading clinical integration of Hospital Medicine departments across various
sites in Mayo Clinic Health System in WI, MN; dissemination of Mayo Clinic’s corporate
strategies and rearrange community division of hospital medicine’s priorities and
resources to ensure sustainable competitive advantage; strategic consulting, including
identifying and solving current state challenges, planning and implementation of
projects to achieve an integrated future state model for Community Division of Hospital
Medicine and; work-force planning: physician recruitment, contracting, on-boarding,
etc. He has completed his Master of Business Administration from University of
Massachusetts, Amherst, Isenberg School of Business in May 2015; Residency: Internal
Medicine, Weill Medical College of Cornell University at St. Barnabas Hospital, Bronx,
NY July 20, 2003 to July 20, 2006; MBBS (Bachelor of Medicine & Surgery), Byramjee
Jeejeebhoy Medical College, University of Pune, Pune, India July 1993 to Jan. 1999.
e:
Sharma.umesh@mayo.eduUmesh Sharma
Mayo Clinic Health System, USA
Attitudes and behaviour of nursing staff toward in-patient rounding by hospitalists