Abstract Body: Background: For optimal care and outcomes, patients must receive treatment from a multidisciplinary team approach at a comprehensive-stroke certified facility with stroke specialist units. The multidisciplinary approach increases bedside RNs engagement. The stroke team frequently performed their rounds on 4N without the bedside RN present. This does not foster trust and communication between RNs and MDs. We sought to improve the bedside RNs engagement by having multidisciplinary rounds including the bedside RN and stroke team during rounds.
Smart Aim: Improve the bedside RNs team engagement with an increase of at least 1 point on the Likert scale.
Implementation: We began using a simple Likert 5-point questionnaire completed by the nurses on 4N to evaluate their daily experience with stroke team rounds and their engagement with the team. The Likert questions were graded 1-5 from strongly disagree (1) to strongly agree (5). Then from April 2024 to July 2024 the nurses on 4N, joined in collaborative rounds with the stroke team daily. The RN was requested to join collaborative rounding whenever the stroke team was present on the unit. Rounding with the bedside RN included plan of care, overnight events and any issues the bedside RN wanted to inform the stroke team about. After a few months of multidisciplinary/collaborative rounding, the RNS were then asked to complete the same Likert 5-point questionnaire.
Results: Looking at the Likert pretest versus the posttest the question “ I feel engaged with the stroke team during their rounds” had a pretest score of 2.7 and a post score of 4.0. Thus demonstrating, the bedside RNs felt more engagement since the implementation of rounding with the stroke team daily.
Conclusion: Creating a standardized plan of care with a multidisciplinary team rounding approach for the stroke patients on 4N, increased the nurse’s engagement by at least 1 point on the Likert 5-point questionnaire. The RN felt more engaged and empowered to express patient’s needs, concerns, and felt greater collaboration with stroke team. Demonstrating that multidisciplinary rounding engages the bedside RN. Additionally, we will track & trend this data to include improved patient outcomes for stroke patients.