Interprofessional rounding design features and associations with collaboration and team effectiveness

ABSTRACT

Multiple models of interprofessional rounding (IPR) exist. However, researchers find mixed effects for the impact of IPR, pointing to the possibility that variations in design may influence the effectiveness of the practice. We explored whether IPR design variations (location, use of script, and role of the leader) are associated with team collaboration (partnership and cooperation) and team effectiveness as perceived by practitioners and patients (i.e., patient inclusion). A cross-sectional, survey-based method design was used targeting practitioners on 15 different hospital units at two academic health centers. Routinely collected Hospital Consumer Assessment of Healthcare Practitioners and Systems scores were used to capture patients’ perceptions. Statistical methods included multilevel modeling with moderation analysis. There were several significant relationships among design, team collaboration, and team effectiveness. For the design, role of the leader and use of a script had a significant positive association with cooperation. Practitioners’ perceptions of team effectiveness were associated with use of script, and cooperation moderated the relationships between practitioners’ perceptions of team effectiveness and location, as well as the role of the leader. There was a significant inverse relationship between cooperation and patient inclusion. Results can inform organizations that are exploring, implementing, or improving IPR as well as considering alternative ways to evaluate their practices.

KEYWORDS:

• Quantitative method
• interprofessional collaboration
• interprofessional outcomes
• interdisciplinary

Acknowledgments

The authors would like to thank Dr. Kieran O’Connor and Dr. John Dent of the University of Virginia for their contributions to this work.

Declarations of Interest

The authors report no conflicts of interest.

Additional information

Notes on contributors

Genevieve Beaird

Genevieve Beaird is a Clinical Assistant Professor at Virginia Commonwealth University School of Nursing.

Marianne Baernholdt

Marianne Baernholdt is a Professor and Associate Dean for Global Initiatives at the University of North Carolina School of Nursing.

Ha Do Byon

Ha Do Byon is an Assistant Professor of Nursing at the University of Virginia School of Nursing.

Kenneth R. White

Kenneth R. White is a Professor and Associate Dean for Strategic Partnerships and Innovation at the University of Virginia School of Nursing.