Mapping Current Adult Intensive Care Unit Patient Care Rounding Practices

Effective communication is essential for high quality patient care; within the ICU the majority of health care provider communication occurs during patient care rounds. While several best practices for rounds have been proposed it is unclear if they are being used in Canadian adult Intensive Care Units (ICU). The objective of this thesis was to describe current rounding practices in a sample of Canadian adult ICUs. A prospective observational study consisting of a national survey and follow up interviews was undertaken. ICU rounding practices were found to be heterogeneous across the country and overall self-rated rounding quality was high, but several opportunities for improvement were highlighted. This thesis proposes five recommendations for rounding practices: defining participants and roles, managing interruptions, further study on patient and family involvement, streamlining teaching during rounds, and creating an objective metric to assess rounding quality. A structured tool for use during ICU rounds is also proposed.

Name thesis:degree_name

Master of Science (MSc)

Discipline thesis:degree_discipline

Community Health Sciences

Grantor dc:publisher.institution

Graduate Studies

Year dc:date.issued

2015

Author dc:creator

• Holodinsky, Jessalyn

Advisor dc:contributor.advisor

• Stelfox, Henry Thomas

• Medicine and Surgery

Statement dc:rights

• University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.

Language dc:language.iso

eng

DOI

http://dx.doi.org/10.11575/PRISM/26828

OAI identifier oai:identifier

oai:ucalgary.scholaris.ca:11023/2162