Nobl Insights

The Case for Stronger Nurse Collaboration

In the fast-paced hospital settings that make up modern healthcare, coming together as a team can make or break clinical staff’s ability to effectively care for patients on their unit. On hospital units, collaboration is the most important aspect of team care (Bags, Ryan, 1990). Though nursing is a field that is filled with autonomy, there's still a need for collaboration between nurses and all other interdisciplinary functions.

In a recent study of 1228 units in 200 acute care hospitals in 41 states, nurses reported lower intent to leave, higher job satisfaction, and better quality of care in units with better collaboration and stronger nursing leadership (Chenjuan, Jingjing, Bott, 2015). Creating a care environment with strong collaboration among care providers and nursing leadership help hospitals maintain a competitive nursing workforce—with high quality of care. Each second of a patient’s care must be accounted for and monitored across all lines and peoples within each healthcare organization.

Often times, nurses are faced with increasing patient ratios and acuity levels, which can limit the amount of collaboration between nurses within each unit, which renders the motto “every patient is my patient” all but impossible. It’s important that nurses don’t just see their assigned patients as their only autonomous responsibility, but as an opportunity to lead the care of these patients through the collaborative effort of each nurse on their unit. Effective collaboration involves mutual attempts to find integrative solutions that meet the needs of both self and others.

The New Standard of Nurse Collaboration

Nobl Vigilance™ impacts nurse collaboration by continuously alerting every clinical member on the unit of how long it’s been since each patient was visited. Vigilance™ rounding maps are displayed in nursing stations and reflect a blueprint of each unit. Via color, rounding maps relay information on patients who are due to be rounded on. This enables each clinical member to round on patients, when nurses are busy caring in other areas.

This use of teamwork has proven to decrease adverse events within hospitals while increasing the collaboration between staff (Baggs, Ryan, 1990). Each nurse can rest assured that when their patient needs attention; their clinical team has their back.

Mary Follet, a pioneer in management theory, summarized it best:

“Collaboration is both a process and an outcome ... a collaborative outcome is the development of integrative solutions that go beyond an individual vision to a productive resolution that could not be accomplished by any single person or organization.”


Baggs, J.G., & Ryan, S.A. (1990). Intensive care unit nurse-physician collaboration and nurse
satisfaction. Nursing Economics 8, 386-392.

Chenjuan, M., Jingjing, S., & Bott, M.J. (2015). Linking Unit Collaboration and Nursing

3 Reasons Why Nurses Love Vigilance™

During the past few weeks, our client service and marketing departments teamed up to interview those who interact with Vigilance™ on a daily basis. Despite managing a high census, these nurses and nurse assistants stepped away from their units and into the spotlight to talk candidly about what they love about Vigilance™, Nobl’s industry leading hourly rounding platform.

During the interviews, we sat down with nurses of all experience levels from fresh out of nursing school to seasoned nurses that have been providing patient care for many decades. Their interviews told the story of how Vigilance™ changed how they cared for patients — for the better. Not to mention, their stories just plain inspired us!

Here’s the Top 3 Reasons why Nurses Love Vigilance™

1. Increased Teamwork

Vigilance™ enables those with a moment of free time to step in and help others who need it.

Throughout our interviews, the nurses consistently remarked about how Vigilance™ created a renewed sense of teamwork on their units. Nurses mentioned that when they’re stuck in a patient’s room for an extended period of time, they can rest assured that someone else will round on their patients. And when they did have a spare moment, all they had to do was look up at the rounding maps and instantly discover where they could help other nurses out. Vigilance™ empowered all floor staff to work as a team to care for patients, creating a culture of trust and comradery.

Vigilance™ Nurses talking about increased efficiency

“For me, it’s when I get busy is when I love it the most. When I have a patient that is not doing well, I use to have to let other people know that I was stuck in a room and needed help with my other patients. Now, if I’ve been stuck in a room and my other patients haven’t been rounded on, another nurse or nurse assistant will know when to go check on my patients. This brings peace of mind to me that someone else is checking on them.”
-Stacey Sven, RN

2. More Efficient Workflow

Vigilance™ changed the culture of how and when nurses care for patients.

During the interviews, we were thrilled to hear about the various ways Vigilance™ has made them more efficient as a nurse. After all, that’s the reason why hourly rounding was created. We discovered that when nurses were documenting on paper it was at the bottom of their to-do list and was just another thing to do. Vigilance™ turned that notion upside down by making it the task to end all other tasks. The nurses felt that because Vigilance™ made hourly rounding a priority, it allowed them to proactively care for their patients—decreasing call lights and allowing them to ‘not run with their heads cut off’ as one nurse put it.

Vigilance Nurses talking about increased teamwork

“Vigilance™ really guides your day. Rounding is not the extra task, it’s the reason to go in their room and accomplish everything you need to do for that patient at the time.”
- Becca Burner, RN

3. Greater Awareness

Vigilance™ gives all care providers insight into when patients need to be checked on and if they’re a fall risk.

Nurses love Vigilance™ because it gives them greater awareness. One nurse mentioned how the rounding maps show your census at-a-glance and show which patients are out of their rooms. Another told us how it’s common to not know the patient’s fall risk status if their not your own and Vigilance™ gives you that data during the round — even reminding you to turn on their bed alarm after you reposition them. Lastly, we were excited to hear how the rounding maps served as a communication board, alerting staff as to which nurses were busy in other rooms and which patients’ could use an hourly round.

Vigilance Nurses talking about increased awareness

“Just the other day, I was helping another nurse out by rounding on their patient because they were busy in another room. I walked in and that patient was just getting out of bed on their own. After I helped the patient to the restroom, Vigilance™ showed me they were a high fall risk and helped me to remember to place the bed alarm on this high risk patient. If I hadn’t been rounding and seen the rounding map, I wouldn’t of found this high fall risk patient out their bed about to fall.”
- Amber Mason, RN

Although it was hard to just pick the top three reasons why nurse love Vigilance™, we have even more reasons coming your way. Stay tuned on our blog and social media channels in the coming weeks for the release of the video interviews featured in this post.


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