{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:13:36Z","timestamp":1759364016130,"version":"build-2065373602"},"reference-count":28,"publisher":"AACN Publishing","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Team communication is essential to delivering health care safely. Nurses in the adult intensive care unit at a large military treatment facility were not consistently present in daily patient rounds and stated that team communication could be improved. This clinical question was developed: among critical care staff members, how does a standardized daily rounding script, compared with current practice, impact interdisciplinary communication over a 36-week period?<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Review of Evidence<\/jats:title>\n                  <jats:p>Current literature includes 3 themes: rounds should be interdisciplinary; include the ABCDEF bundle (pain assessment, spontaneous awakening and breathing trials, analgesia and sedation choice, delirium assessment, early mobility, and family engagement); and use a standardized script. These elements can improve perceptions of collaboration in rounds.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Implementation<\/jats:title>\n                  <jats:p>An interdisciplinary rounding script was introduced across 2 adult intensive care units at a military hospital over 36 weeks. Before and after the intervention, the Collaboration and Satisfaction About Care Decisions survey was used to assess nurses\u2019 perceptions of collaboration; rounds were observed for key elements.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Evaluation<\/jats:title>\n                  <jats:p>After implementation, the mean survey score (both units combined) rose by 1.5 units, nurse presence at rounds increased by 21.6% (P = .01), nurse contributions to rounds increased by 31.1% (P = .001), all bundle elements were reviewed 18.9% more often (P = .07), a summary of care was given 53.6% more often (P &amp;lt; .001), and order read back was completed 69.8% more often (P &amp;lt; .001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Sustainability<\/jats:title>\n                  <jats:p>Continued use of the script in the military treatment facility will require adapting it to practice changes and training new staff members on its use.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ccn2025757","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:03:28Z","timestamp":1759277008000},"page":"16-26","source":"Crossref","is-referenced-by-count":0,"title":["Redesigning Intensive Care Unit Rounds to Improve Collaboration at a Military Hospital"],"prefix":"10.4037","volume":"45","author":[{"given":"Kiffin R.","family":"Smallegan","sequence":"first","affiliation":[{"name":"Capt Kiffin R. 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