Implementation of e-rounding in the neonatal ICU during COVID-19: Provider perception

ABSTRACT

INTRODUCTION: Multi-disciplinary rounds in the neonatal intensive care unit (NICU) promote collaboration and communication between members of the health care team and has been shown to improve patient outcomes. We implemented an E (remote) rounding platform in March 2020 to maintain the multidisciplinary approach while facilitating social distancing. Objective: To evaluate perceptions of healthcare providers in the NICU regarding the implementation of multidisciplinary E-rounding during COVID-19. METHODS: An E-rounding platform was designed to allow only minimal members required at the bedside with the rest of the members of the multidisciplinary team rounding remotely using a video platform. An IRB approved web-based survey was distributed to the NICU providers. The survey included demographic questions and themes related to rounding efficiency, promotion of provider and patient safety, communication, and role utilization. RESULTS: A total of 61 (16 physicians, 16 advanced practitioners, 22 nurses, 2 respiratory therapists, and 4 ancillary staff) providers participated in the study. 46.62% had more than 7 year, 26.23% with 4-6 years, and 31.1% had less than 3 years' experience. Age groups included 32.79% between 20-30 years, 36.07% between 31-40 years, 31.21% more than >40 years. The majority (88%) had no previous experience with E-rounding. A Likert scale of 1-5 (1 being much worse, 3 being the same and 5 much better) was utilized to evaluate themes related to provider role utilization, effectiveness, communication, and provider safety. A majority reported (scale 3 and more)that E-rounding promoted patient safety (68.8%) and provider safety (90.1%), appropriate role utilization (72%), rounding efficiency (62%), and providing a foundation of trust with families (60%) compared to traditional rounds. Only 50% reported that the ability to understand and communicate the patient plan was similar to or better than traditional rounding and 37.2% reported that they would not consider E-rounding if social distancing is not necessary. CONCLUSIONS: E-rounding can be an effective tool to promote and continue the multidisciplinary rounding approach in the NICU during and after COVID-19, but adjustments need to be made to improve provider communication.