Nursing Grand Rounds as a clinical teaching strategy

SoxfanRN · Mar 21, 2007

The main problem with nursing grand rounds is actually getting nurses off the floor so they can go. Most will not come in on a day off. The NGRs I have been to mostly have the managers and other non-nursing staff attending them. It kind of misses the point of having the education. If anyone has other ideas on how to get staff to actually go, I'd be interested to hear.

msnrn3 · Mar 21, 2007

Have you seen grand rounds used as a teaching strategy for students during clinicals. Like walking grand rounds, etc?

SoxfanRN · Mar 22, 2007

I have not seen walking rounds with RNs. I'd have to do a literature search for any validation of this. I suppose taking random patient charts, walking into the room, and presenting the patients asking "What are possible nursing interventions for this patient at this time?" could be effective.

I have found in the clinical setting that pointing out subtleties, variations, asking questions/thinking out loud, and thinking over alternative interventions really stimulate student thinking and problem solving. It also fits nursing much better since we tend to do things quickly and in the moment. Students can generally see their interventions at work promoting positive reinforcement.

In the classroom, many educators are using concept maps as an active learning activity that works much the same as those MD walking rounds only outside the clinical area. Some have suggested concept maps take the place of nsg care plans. I, myself, like concept maps as a group activity because they are labor intensive and tedious, but they do provide for comprehensive assessment, treatment, and objective setting.

oldiebutgoodie, RN · Apr 23, 2007

Hi,
I am looking for information on utilizing the concept of grand rounds as a clinical teaching strategy. I am not finding much info on this. Has anyone used this strategy in their clinicals?

Several years ago in my BSN program I had a clinical instructor in the PICU who had walking grand rounds with us (the students). Each student had to present her patient to the group, and the group + instructor would ask questions. Instructor would also provide teaching on the patient.

It worked well, partly because the clinical instructor (an APN) was FABULOUS, and also she worked in the PICU, so she was familiar with the patients.

I thought it was a good experience.

Oldiebutgoodie

cholli · Apr 24, 2007

There is always the isssue of confidentiality and need to know- we live in a community with only one hospital....Instead, at post-conference, I have the students present about their patients and we spend more time talking about the ones that are complex or the theory toic of the week.....

jjjoy, LPN · Apr 27, 2007

As a student, I had one clinical instructor who would have us "round" together and we'd present our patients. I thought it was great! We generally were responsible for just two patients during our clinicals and rounding gave us exposure to so many more patients and conditions. I'm a visual learner and actually SEEING patients made a much bigger impact on me than studying lists of symptoms and conditions in a book. I wish we'd been able to do that in more of our rotations.

jburto · Jun 6, 2010

I also am looking for anyone that has experienced Nursing Grand Rounds in your facility. we are researching strategies to implement NGR, but there is not alot of info. I am interested to know what forums have worked for others. Thanks,

:)