Rounds in intensive care unit: perceptions of a multidisciplinary team
DOI:
https://doi.org/10.4025/ciencuidsaude.v23i0.68050Keywords:
Patient Care Team, Teaching Rounds, Intensive Care Units, Patient safetyAbstract
Objective: Apprehending the perceptions of a multidisciplinary team regarding the practice of bedside rounds in an Intensive Care Unit. Method: A qualitative study conducted in 2021 in an Intensive Care Unit of a philanthropic hospital in Parana. Seven professionals from the multidisciplinary team, active in the field of study, participated. The data were collected through a semi-structured interview, recorded, anchored in the guiding question: Tell me about the practice of bedside rounds in this Intensive Care Unit. The transcriptions were analyzed using the technique of content analysis, thematic modality, Bardin. Results: From the discourses, two categories emerged: applicability of the round to the bedside: autonomy, interaction and interdisciplinary knowledge and contributions of the multidisciplinary round to comprehensive care. Final thoughts: The participants perceive the multidisciplinary rounds in the Intensive Care Unit as an important strategy for the safety of the critical patient, as well as the autonomy and effective performance of the multiprofessional team.
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References
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16. Renk H, Sarmisak E, Spott C, Kumpf M, Hofbeck M, Hölzl F. Antibiotic stewardship in the PICU: impact of ward rounds led by paediatric infectious diseases specialists on antibiotic consumption. Sci Rep. 2020;10:8826. DOI: 10.1038/s41598-020-65671-0
17. Silva SM, Baptista PCP, Silva FJ, Almeida MCS, Soares RAQ. Resilience factors in nursing workers in the hospital context. RevEscEnferm USP. 2020;54:e03550. DOI: 10.1590/S1980-220X2018041003550
18. Cvikl M, SinkoviÄ A. Interventions of a clinical pharmacist in a medical intensive care unit - A retrospective analysis. Bosn J Basic Med Sci. 2020;20(4):495-501. DOI: 10.17305/bjbms.2020.4612
19. Rosa GBO, Santos MR, Dellaroza MSG, Nogueira E, Rodrigues MKG, Trelha CS. Prevention of pneumonia in hospitalized elderly patients. CiencCuid Saude. 2020;19:e42795. DOI: 10.4025/cienccuidsaude.v19i0.42795
20. Maran E, Spigolon DN, Melo WA, Barreto MS, Tostes MFP, Teston EF. Prevention of pneumonia associated with mechanical ventilation under the optics of nursing academics. RevPesqui: Cuid Fundam. 2019;11(1):118-23. DOI: 10.9789/2175-5361.2019.v11i1.118-123.
2. Maran E, Matsuda LM, Cavalcanti AB, Magalhaes AMM, Marcon SS, Haddad MCFL, et al. Effects of multidisciplinar rounds and checklist in an Intensive Care Unit: a mixed methods study. Rev Bras Enferm. 2022;75(3):e20210934. DOI: 10.1590/0034-7167-2021-0934pt
3. Minuzzi AP, Salum NC, Locks MOH, Amante LN, Matos E. Contribuições da equipe de saúde visando à promoção da segurança do paciente no cuidado intensivo. Esc Anna Nery. 2016; 20(1):121–9. DOI: 10.5935/1414-8145.20160017
4. Barbosa RV, Lopes MACP, Pacheco GM, Pinto JIS, Monteiro YFB, Pinto SC, et al. Benefícios do round multidisciplinar na unidade de terapia intensiva. Braz J Health Rev. 2020;3(6):17989-18001. DOI: 10.34119/bjhrv3n6-203
5. Guzinski C, Lopes ANM, Flor J, Migliavaca J, Tortato C, Pai DD. Boas práticas para comunicação efetiva: a experiência do round interdisciplinar em cirurgia ortopédica. Rev Gaúcha Enferm. 2019;40(spe):e20180353. DOI: 10.1590/1983-1447.2019.20180353C
6. HeipT, Van HA, Malfait S, Van BW, Eeckloo K. The Effects of Interdisciplinary Bedside Rounds on Patient Centeredness, Quality of Care, and Team Collaboration: A Systematic Review. J PatientSaf. 2022; 18(1): e40-e44. DOI:10.1097/PTS.0000000000000695.
7. Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016. 49p.
8. Boydston J. Use of a standardized care communication checklist during multidisciplinary rounds in pediatric cardiac intensive care: a best practice implementation project. JBI Database System RevImplement Rep. 2018;16(2):548- 64. DOI: 10.11124/JBISRIR-2017-003350
9. Jafelice GT, Silva DA, Marcolan JF. Potentialities and challenges of multiprofissional work in Psychosocial Care Centers. SMAD, Rev Eletrônica Saúde Mental Ãlcool Drog. 2022;18(1):17-25. DOI: 10.11606/issn.1806-6976.smad.2022.172106
10. Barbosa RV, Lopes MACP, Pacheco GM, Pinto JIS, Monteiro YFB, Pinto SC, et al. Benefícios do round multidisciplinar na unidade de terapia intensiva. Braz J Health Rev. 2020;3(6):17989-18001. DOI: 10.34119/bjhrv3n6-203
11. Artis KA, Bordley J, Mohan V, Gold JA. Data omission by physician trainees on ICU rounds. Crit Care Med. 2019;47(3):403-9. DOI: 10.1097/CCM.0000000000003557
12. Silva BC, Martins GSM, Silva MRL, Chaves RGR, Silva ARA, Ferreira RKA. A importância da equipe multiprofissional na unidade de terapia intensiva. Facit Business And Technology Journal. 2021;31(1)27-37. Available from: http://revistas.faculdadefacit.edu.br/index.php/JNT
13. Figueredo MAF, Picanço CM, Assis YI, Assis MPH. Fatores associados ao desenvolvimento de sepse em pacientes internados em terapia cirúrgica intensiva: estudo retrospectivo. Cienc. Cuid. e Saude. 2021;20:e56643. DOI:10.4025/ciencuidsaude.v20i0.56643
14. Barcellos RA, Chatkin JM. Impact of a multidisciplinary checklist on the duration of invasive mechanical ventilation and length of ICU stay. J Bras Pneumol. 2020;46(3):e20180261. DOI: 10.36416/1806-3756/e20180261
15. Kashyap R, Murthy S, Arteaga GM, Dong Y, Cooper L, Kovacevic T, et al. Effectiveness of a daily rounding checklist on processes of care and outcomes in diverse pediatric Intensive Care Units across the world. J Trop Pediatr. 2021;67(3):fmaa058. DOI: 10.1093/tropej/fmaa058
16. Renk H, Sarmisak E, Spott C, Kumpf M, Hofbeck M, Hölzl F. Antibiotic stewardship in the PICU: impact of ward rounds led by paediatric infectious diseases specialists on antibiotic consumption. Sci Rep. 2020;10:8826. DOI: 10.1038/s41598-020-65671-0
17. Silva SM, Baptista PCP, Silva FJ, Almeida MCS, Soares RAQ. Resilience factors in nursing workers in the hospital context. RevEscEnferm USP. 2020;54:e03550. DOI: 10.1590/S1980-220X2018041003550
18. Cvikl M, SinkoviÄ A. Interventions of a clinical pharmacist in a medical intensive care unit - A retrospective analysis. Bosn J Basic Med Sci. 2020;20(4):495-501. DOI: 10.17305/bjbms.2020.4612
19. Rosa GBO, Santos MR, Dellaroza MSG, Nogueira E, Rodrigues MKG, Trelha CS. Prevention of pneumonia in hospitalized elderly patients. CiencCuid Saude. 2020;19:e42795. DOI: 10.4025/cienccuidsaude.v19i0.42795
20. Maran E, Spigolon DN, Melo WA, Barreto MS, Tostes MFP, Teston EF. Prevention of pneumonia associated with mechanical ventilation under the optics of nursing academics. RevPesqui: Cuid Fundam. 2019;11(1):118-23. DOI: 10.9789/2175-5361.2019.v11i1.118-123.
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Published
2024-03-22
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Rounds in intensive care unit: perceptions of a multidisciplinary team. (2024). Ciência, Cuidado E Saúde, 23. https://doi.org/10.4025/ciencuidsaude.v23i0.68050
