TEST INSTRUCTIONS Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at www.nursingcenter.com/CE/JNCQ. Tests can no longer be mailed or faxed. You'll need to create an account (it's free!) and log in to access My Planner before taking online tests. Your planner will keep track of all your Lippincott Professional Development online NCPD activities for you. There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost. For questions, contact Lippincott Professional Development: 1-800-787-8985. Registration Deadline: December 5, 2025. PROVIDER ACCREDITATION

Lippincott Professional Development will award 2.0 contact hours for this nursing continuing professional development activity.

Lippincott Professional Development is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, West Virginia, South Carolina, New Mexico, and Florida, CE Broker #50-1223. Your certificate is valid in all states.

Payment: The registration fee is $21.95 for CNLA members and $14.95 for nonmembers.

Disclosure: The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

NCPD TEST QUESTIONS

Learning Outcome: Seventy-five percent of participants will demonstrate knowledge of a pilot project aimed at improving nurse-physician communication during family-centered rounds (FCRs) and encouraging a shared mental model by achieving a minimum score of 70% on the outcomes-based posttest.

Learning Objectives: After completing this continuing professional development activity, the participant will apply knowledge gained to:

Identify the barriers to FCRs at the authors' facility. Recognize the methodology the authors used for their project aimed at improving nurse-physician communication during FCRs. Select the results of the authors' evaluation of their quality improvement (QI) pilot aimed at improving nurse-physician communication during FCRs. At the authors' facility, identification of the barriers to FCRs in the category of interprofessional dynamics included lack of process education. lack of psychological safety. inability to physically distance on rounds. Identification of the barriers to FCRs in the category of personal factors included cognitive burden. lack of closed-loop communication. inability to attend due to conflicting duties. Planning the QI project included the first of multiple Plan-Do-Study-Act (PDSA) cycles, which involved instruction for interns to summarize medical problems, escalation parameters, and care plans. a modified tool designed for encouraging shared mental models during patient handoffs. an in-person pre-FCR huddle among physicians to prioritize rounding order. The second PDSA cycle involved gathering information from nurses and families and triaging conflicting tasks. a standardized FCR summary at the end of each patient's FCR. validation of evolving physical distancing guidelines. The final PDSA cycle involved promotion of psychological safety by encouraging participation. coaching of senior team members to address knowledge gaps. standardized post-FCR texts for nurses unable to attend FCR. Results of the evaluation of the QI project indicated that the response rates for attending physician checklists were higher than those for nurse surveys. nurse surveys were higher than those for attending physician checklists. attending physician checklists and nurse surveys were about the same. After implementing text messages, the authors observed a centerline shift in mean nurse perceived awareness from 70% to 79%. 87%. 95%. Which of the following parameters showed a significant improvement? compliance with completing FCR summaries average time spent per FCR encounter mean nursing attendance on FCR The authors noted that which of the following was a primary driver of increased awareness? post-FCR text messages alerts via telephone calls pandemic culture changes Participating nurses reported that RoundAbout notifications and standardized language to solicit nursing input made nurses feel safe. valued. responsible.