Abstract
Background: Open lines of communication are essential amongst multidisciplinary team members to ensure that patients are receiving quality care. Lack of communication can lead to poor patient outcomes, low morale, and create mistrusting relationships. A review of evidence has shown that when nursing staff and physician staff communication is seamless there is an increase in patient outcomes. Patient satisfaction, outcomes, and length of stay are expectations in our Comprehensive Stroke Center. The quality of care that patients receive can be determined by the relationship between physicians and nursing staff. Purpose: The purpose of this study is to improve nurse-physician communication during a 6 month period and to identify areas of need with goals to increase patient satisfaction scores and decrease the length of stay of Stroke patients. Action: Daily physician and nursing staff rounds with patients were reconstructed in order to classify responses for patients discharged from Comprehensive Stroke Center from January 2018 to June 2018 based off scores from our Hospital Consumer Assessment of Healthcare Providers (HCAHP) Survey. The questions posed concerning physicians and nursing staff are parallel, and it is imperative that they are both on the same page. Stroke unit nurses were trained and given an in -service by the unit educator in Plan Do Act Check format and rounding tool was implemented. A Stroke Capacity Notification System was continued and fortified to communicate with physician staff and nursing leadership pertaining information on census, transfer, and discharge status of patients via text message every four hours. Results: Communication between physician and nursing staff revealed that engagement scores increased by 11% based on Press Ganey engagement survey. HCAHP Scores increased by 85%. There was a 12% overall decrease in length of stay of stroke population due to collaborative initiative. Practice Implication: Implementation of the daily interactive team rounds and texting will decrease the length of stay, improve physician- nursing communication, and improve patient satisfaction as well as quality of care.
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