Document Type

Final Project

Graduation Date

Spring 5-6-2023

Degree Name

Doctor of Nursing Practice

First Advisor

Myra Schmaderer

Second Advisor

Paula Shultz

Third Advisor

Leeza Struwe

Abstract

Introduction: Ineffective communication between interdisciplinary team members in a pediatric inpatient setting results in poor documentation compliance and decreased staff satisfaction of daily goals. The use of a standardized patient daily goal sheet improves effective communication among interdisciplinary team members. The primary aims of this study were to improve RN satisfaction and knowledge regarding interdisciplinary communication, improve verbalization of patient daily goals in daily rounds, increase the number of daily goals verbally discussed and improve the quality of documentation in the electronic medical record (EMR). Methods: Data were collected on a pediatric academic 30-bed cardiac care unit involving 100 nurses. Pre and post data was collected for charting compliance, nurse satisfaction surveys, and rounding observation. Staff education was administered to bedside nurses on the use of patient daily goals as the intervention. Results: Bedside Registered Nurse (RN) satisfaction demonstrated a small effect size (effect size statistic = 0.294). A total of 122 pre-intervention and 97 post-intervention patient rounding presentations were observed over the course of the study. The average number of daily goals discussed during interdisciplinary rounds increased from an average of 0.84 (pre-intervention) to 2.32 (post-intervention). There was a decrease from 54.4% (N=90) incomplete specific, measurable, attainable, realistic and timely (SMART) goals (pre-intervention) to 27.8% (N=90) incomplete SMART goals (post-intervention) documented. Conclusion: Redesigning patient daily goals in the cardiac care unit provided a structured format, enhanced interdisciplinary communication, and improved quality and more complete documentation of SMART goals.

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