• Meena Kalyanaraman, Derrick McQueen, Joseph A Sykes, Sushmita Mikkilineni, Cheryle Aizley, Mary Jean Kelly, and Maryellen Wiggins.
• Children's Hospital of New Jersey at Newark Beth Israel Medical Center, Newark, NJ, USA mkalyanaraman@barnabashealth.org.
• J Intensive Care Med. 2014 Sep 1; 29 (5): 285-91.

ObjectivesTo evaluate the impact of nurse integrated rounds (NIRs) on self-reported comprehension, attitudes, and practices of nurses and resident physicians (RPs) in a pediatric intensive care unit (PICU).Materials And MethodsA self-reported comprehension, attitude, and practice survey of RPs and nurses was done prior to (T0), 3 months (T3), and 15 months (T15) after initiation of NIRs in our PICU. Responses were graded on Likert-type scale from 1 to 5. The RPs, attending physicians, and nurses also ranked their overall perception of NIRs during these 3 survey time periods.ResultsAll 3 components of the surveys showed statistically significant improvement (P < .05) from the T0 to T3 and T15 in RPs and nurses. A complete or almost complete reversal of attitude was noted for most questions in the attitude section in both RPs and nurses when T15 was compared to T0. The overall perception that NIRs was good for patient care also showed significant improvement in the survey of nurses and physicians.ConclusionsThe NIRs are well accepted by nurses and physicians and are accompanied by self-reported improvements in comprehension, attitudes, and practices of nurses and RPs in the PICU.© The Author(s) 2013.

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