Date of Graduation

Fall 12-14-2018

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Dr. Cathy Coleman



Problem: The current model of multidisciplinary rounds (MDR) in a 40-bed medical-surgical unit within a Northern California community hospital has demonstrated low participation rates from primary nursing. The primary nurse attendance in MDRs is consistently at 50% participation, below the target goal of 80%. This lack of engagement leads to ineffective communication and fragmented care coordination resulting in suboptimal quality care and cost outcomes.

Context: An intervention strategy to standardize the MDR model was implemented over three months. A literature review revealed that effective and consistent MDR practices can directly influence primary nurse participation. This change management project focus on integrating evidence-based MDR practices to optimize patient-centered care, team work, and cost savings.

Interventions: Three evidenced-based interventions were utilized for this project: 1. Standardized MDR time schedule, 2. Created a practical MDR communication tool, and 3. Deliver educational sessions to promote MDR best practices.

Measures: A set of metrics was developed to address outcome, process, and balancing measures. The most significant outcome measure was primary nurse participation in MDR.

Results: Over three months, organizational metrics related to avoidable inpatient days, patient care experience, and timeliness in discharge all improved. Primary nurse participation increased from 50% to 88% and was characterized by more genuine authenticity and enthusiasm.

Conclusion: MDR Matters! This improvement project demonstrates that authentic and enthusiastic participation in MDR can significantly impact both the quality of team communication and patient-centered care. Furthermore, the pivotal role of MDR can lead to substantial cost savings for the sponsoring organization.

Keywords: bedside rounds, MDR, patient-centered, standardize MDR, coordination

Included in

Nursing Commons