Practice Transformation

Practice Transformation

CHSIE has been increasingly involved in practice transformation since 2014 with a focus on team-based practice transformation in inpatient clinical care settings. Specifically, we have developed an academic practice partnership with the University of Washington Medical Center to develop and implement a team-based model of rounds known as Structured Interprofessional Bedside Rounds (SIBR).  This collaboration received the National NEXUS Award in 2017 and has been disseminating findings and best practices for SIBR implementation through presentations and publications.  The collaborative has also developed a SIBR toolkit to assist those who are interested in learning more about SIBR implementation. 

SIBR Toolkit

Structured Interprofessional Bedside Rounds (SIBR) is a model of inpatient care organization in which different professions (e.g. nursing, medicine, and pharmacy) come together at the patient’s bedside and utilize a consistent format (structure) to collaboratively arrive at a plan of care for each patient. The linked SIBR toolkit document includes an executive summary that provides an overview of SIBR as well as step-by-step guidance based on our recent experience of adapting and implementing SIBR at our institution. 

The SIBR Toolkit has been developed as a resource for those interested in learning more about SIBR including those considering implementing SIBR. The toolkit contains information about SIBR basics, implementing SIBR, and sustaining SIBR.  The toolkit can be accessed here (please note this is a living document and will continue to be updated).

UW Publications

Abu-Rish Blakeney, E.L., Lavallee, D.C., Baik, D., Pambianco, S., O’Brien, K.D., Zierler, B. K., (2018). Purposeful Interprofessional Team Intervention Improves Relational Coordination Among Advanced Heart Failure Care Teams. Journal of Interprofessional Care. 1–9. DOI: 10.1080/13561820.2018.1560248

Baik, D., Abu-Rish Blakeney, E., Willgerodt, M., Woodard, N., Vogel, M. & Zierler, B. (2018). Examining interprofessional team interventions designed to improve nursing and team outcomes in practice: a descriptive and methodological review. Journal of Interprofessional Care. 1-9. DOI: 10.1080/13561820.2018.1505714

Baik, D. & Zierler, B. (2018). Clinical nurses’ experiences and perceptions after the implementation of an interprofessional team intervention: a qualitative study. Journal of Clinical Nursing. DOI: 10.1111/jocn.14605

Baik, D. & Zierler, B. (2018). RN Job Satisfaction and Retention After an Interprofessional Team Intervention. Western Journal of Nursing Research. Online. DOI: 10.1177/0193945918770815

Abu-Rish Blakeney, E., Wolpin, S., Lavallee, D.C., Dardas, T., Cheng, R. & Zierler, B. (2018). Developing and implementing a heart failure data mart for research and quality improvement. Informatics for Health and Social Care. Online publication. DOI: 10.1080/17538157.2018.1455202

Zierler, B. K., Blakeney, E.A., O’Brien, K. D., & IPCP Heart Failure Teams. (2018). An interprofessional collaborative practice approach to transform heart failure care: An overview. Journal of Interprofessional Care, 1-4. Online publication. DOI: 10.1080/13561820.2018.1426560


World Health Organization. Framework for Action on Interprofessional Education and Collaborative Practice. Geneva: World Health Organization; 2010.

Interprofessional Education Collaborative Vision & Mission. (2019). Retrieved from—mission.html

Want to know more about our practice transformation efforts?
Please contact any of the individuals below.

Thinking about starting SIBR at the University of Washington Medical Center (UWMC)?
Please contact Sherri Del Bene (

Want to know more about SIBR but can’t access the UWMC website?
Please contact Brenda Zierler ( at the UW Center for Health Sciences Interprofessional Education, Research, and Practice.