Abstract

Background:
As a dynamic platform to advance nursing science and evidence-based practice within the clinical setting, Nursing Grand Rounds provide nurses with opportunities to expand their knowledge, refine clinical skills, and enhance critical thinking. At this level one tertiary hospital, Nursing Grand Rounds have become a sustained initiative on the day shift. Hence to foster inclusivity and equity among staff, in 2024 Nursing Grand Rounds was implemented on the off-tour.

Purpose:
The objective of providing Nursing Grand Rounds on the off-tour is to provide nurses with evidence-based knowledge that informs their daily clinical decision-making. These sessions align with healthcare’s quintuple aim of enhancing patient experience, improving population health, reducing costs, supporting team well-being, and promoting health equity.

Methodology:
Nursing Grand Rounds are conducted monthly as interprofessional sessions both in-person and via a virtual platform. Topic selection is based on data collected quarterly from direct care nurses. Nurse planners collaborate with unit-based nurse educators, frontline staff, and nurse leaders to develop evidence-based presentations. After each session an evaluation is completed by the attendees to ascertain if their learning needs were met and to garner their suggestions for future topics of interest.

Findings:

In 2024, eight Nursing Grand Rounds were conducted, engaging 79 participants. Direct care nurses and content experts played active roles in presenting evidence-based projects. The inclusion of off-tour staff marked a significant milestone for the organization. Participant feedback consistently affirmed the achievement of learning objectives with many nurses expressing confidence in applying newly acquired knowledge to their clinical practice. 

Implications for Practice:
Nursing Grand Rounds serve as an effective mechanism for promoting evidence-based practice, professional development, and optimal patient outcomes. The hybrid in-person and virtual format ensures accessibility and inclusion. Nursing Grand Rounds on the off-tour is an effective method to ensure inclusion and standardization of evidence-based care.