Abstract:

Objective Through developing the model of multi-specialty nursing collaborative rounds for critical illness patients led by specialty nurses，to solve nursing problems through teamwork and enhancing the levels of clinical thinking and cooperation ability of specialty nurses. Methods By revising the management system of multi-specialty nursing collaboration，a three-level management structure comprising the nursing department，specialty groups，and nursing units was established to ensure the smooth execution of multi-specialty collaborative nursing. Besides，through combining multi-disciplinary treatment（MDT） and the EDIPT framework（empathize，define，ideate，prototype，test），a collaborative nursing rounds procedure of “multi-specialty integration and interdisciplinary collaboration” was developed. In the year 2023，a total of 12 multi-specialty nursing collaborative rounds were conducted using an integrated approach of online and offline methods. Pre and post the rounds，a questionnaire was administered to collect feedback from the 36 specialty nurses participated. Another satisfaction survey was conducted using a questionnaire among 212 specialty nurses who learned in the rounds，focusing on the benefits of such rounds for clinical thinking practice. Results In 2023，the study successfully addressed challenges related to critical organ transplantation care，complex wound care，and vascular access establishment through the implementation of collaborative rounds. Moreover，these efforts led to the publication of nine high-level academic papers on relevant cases. After implementation，the interprofessional teamwork scores of the 36 participating specialty nurses were significantly higher compared to their scores prior to such rounds（103.86±7.15 vs 98.06±13.32，t=2.481，P=0.018）. In the end，over 2 000 participants engaged in the rounds，either online or offline. Among them，212 specialty nurses who learned in the rounds reported an average satisfaction score of 4.68. Conclusion The multi-specialty nursing collaborative rounds model facilitate the sharing of high-quality specialty nursing resources within the hospital，and address nursing problems faced by critical illness patients effectively. This study provides valuable insights into the enhancement of teamwork ability and clinical thinking among specialty nurses.

Key words: Specialty nurses, Critical illness, Team collaboration, Clinical thinking, Nursing practice patterns