Physician-Nurse Dyad Rounding: A Collaborative Approach to Improve Unit-Level Metrics

The project will be implemented on one unit at a time until the co-rounding process has been implemented on each Medical-Surgical unit. This study will involve the geo-localized hospitalist on the designated unit and the nursing staff involved in clinical patient care

Study Overview

• Status: Completed
• Conditions: Wellness, Psychological
• Intervention / Treatment: Behavioral: Physician-Nurse Dyad Rounding

Detailed Description

Patient experience top box scores as well as doctor and nurse domains will be evaluated retrospectively prior to project implementation and this evaluation will continue to be evaluated six months after IRB approval and project initiation. Baseline patient experience scores are routinely captured as a part of routine data collection practices via Press Ganey survey administration.

LOS and discharge times are also routinely collected as a part of routine data collection practices. LOS and average discharge times will be reviewed on an ongoing basis after project implementation to monitor for improvements.

• Study Type: Observational
• Enrollment (Actual): 300

Contacts and Locations

Study Locations

• United States
  • Texas
    • Dallas, Texas, United States, 75203
      • Methodist Dallas Medical Center
    • Dallas, Texas, United States, 75203
      • Clinical Research Institute at Methodist Health System

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Private hospitalist patients at MDMC

Patients with a LOS ≤20 days

Description

Inclusion Criteria:

• Patient Experience, LOS, and Discharge Times: Private hospitalist patients at MDMC
• LOS: Patients with a LOS ≤20 days

Exclusion Criteria:

• Patient Experience: Patients other than private hospitalist patients excluded from this measure.
• LOS: Patients with LOS >20 days are considered an outlier and will be excluded from the study

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation	Difference in percentage of discharged patients before 1400 (Mon-Fri) after project implementation compared to before implementation	"up to 100 weeks"

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Difference in Top Box Patient Satisfaction Scores and Doctor Domain	Difference in top box patient satisfaction scores and doctor domain for private hospitalist patients after project implementation compared to before implementation	"up to 100 weeks"
Difference in LOS of private hospitalist patients after project implementation compared to before implementation	Difference in LOS of private hospitalist patients after project implementation compared to before implementation	"up to 100 weeks"
Difference in collaboration and build positive relationships scores after project implementation compared to before implementation	Difference in collaboration and build positive relationships scores after project implementation compared to before implementation	"up to 100 weeks"

Collaborators and Investigators

• Sponsor: Methodist Health System

Publications and helpful links

General Publications

• Pritts KE, Hiller LG. Implementation of Physician and Nurse Patient Rounding on a 42-Bed Medical Unit. Medsurg Nurs. 2014 Nov-Dec;23(6):408-13.
• Shortell, S. (1989). ICU Nurse Questionnaire. Excerpted from The Organization and Management of Intensive Care Units. Copyright 1989, Shortell and Rousseau.
• Rigel, N., Delp, S., Ward, C. (2018). Effects of Nurse-Physician Collaborative Rounding, MEDSURG Nursing, 27(3) 149-152.
• Sturdivant, T., Herrin, K., Reynolds, M., Mestas, L. (2020). Improving Patient Satisfaction through a Nurse Leader-Physician Bedside Rounding Protocol: A Pilot Project, Nursing Econonmic$, 38(3).

Study record dates

Study Major Dates

• Study Start (Actual): January 3, 2023
• Primary Completion (Actual): July 22, 2025
• Study Completion (Actual): July 22, 2025

Study Registration Dates

• First Submitted: March 30, 2023
• First Submitted That Met QC Criteria: March 26, 2024
• First Posted (Actual): March 29, 2024

Study Record Updates

• Last Update Posted (Actual): July 28, 2025
• Last Update Submitted That Met QC Criteria: July 23, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Other Study ID Numbers: 121.NUR.2022.D

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Study data or any protected health information will not be shared with anyone that is not delegated to the study. The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual
• IPD Sharing Time Frame: All study-related documents will be retained by the CRI until at least three years after study completion or according to local laws, whichever is longer
• IPD Sharing Access Criteria: Records will also be accessible to MHS staff upon request unless constituting a violation of patient confidentiality
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No