Hourly Rounding Implementation Essay

Hourly Rounding Essay

2433 WordsMar 30th, 201210 Pages

The Effect of Hourly Rounding on Nurse Satisfaction and Productivity
Kerri Austin
Originally Submitted November 23, 2008
Revised and Resubmitted January 10, 2009

Hourly rounding is a strategy involving nurses and other health care staff to regularly “check in” on patients every hour. Because nursing staff is not reacting to call lights, patients are more content and happy; therefore nurses feel they are doing a better job helping their patients (Studer, 2007). Research has shown that rounding every hour lowers patient’s use of call lights and resultantly decreases the workload of the nurse (Leighty, 2007; Meade, Bursell, & Ketelsen, 2006; & Tipton, 2008). Performing hourly rounds has contributed to 20% less walking per shift…show more content…

When the project is a proven success, the hospital should consider implementing hourly rounds instead of odd-hour rounds. Employee satisfaction contributes to satisfied customers. Hourly rounding promotes high-quality patient care to improve patient outcomes; this is vital in healthcare delivery today (Studer, 2007).
According to Studer (2004), Rounding allows nurses to gather information in a structured way. It’s proactive, not reactive like call light responses. It’s a great way to get a handle on patient problems before they occur. It’s all about providing the best patient-driven health care… The great thing about hourly rounding is that it doesn’t benefit only the patients. (¶ 4).
Hourly rounding permits the nurse give quality care to their patients and the nurse has more time to focus on other tasks, especially patient education. This greatly improves employee satisfaction and morale.
Formative Evaluation
Formative Evaluation is the method I will use to determine if hourly rounding does indeed increase productivity (and job satisfaction) of senior nursing students. According to Gallagher (2006), “[Formative evaluation’s] goals are to find out whether the program is being effective in order to change procedures to increase efficiency” (p. 122). Formative Evaluation will consider the level of which the nurses are

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Falls are a common occurrence among medical, surgical and elderly patients in hospitals. One of the largest categories of reported adverse events in hospitals are patient falls, which are estimated to cost more than $20 billion a year. (2010 Lippincott Williams &Wilkins, Inc.) Prevention is the best method to decrease the number of falls and reduce hospital cost and increase patient satisfaction. One of the best ways to prevent falls is patient hourly rounding. Hourly rounding means intentionally checking on patients at regular intervals continuously to ensure patients’ needs has been met. Attending to patients’ comfort, safety, and environmental needs may prevent adverse events like falls and contribute to patients’ satisfaction. There is study which evaluates the effectiveness of hourly rounding to reduce the rate of falls. Purpose: The purpose of this study was to determine the effect of hourly rounding on fall rates and patient satisfaction in patients. Methods:

MEDLINE and CINAHL were the search engines. Key search words were hourly/patient rounding, falls, call lights, and patient satisfaction ( Margo A 2009). Evaluations were conducted in all hospital units, telemetry, medical/surgical and orthopedic. Reports were retrieved .In 5 of 6 studies (83%) that examined use of call lights, the use was reduced. (Meade C 2006) reported that nurses were summoned 12 to 15 times daily to respond to non-urgent needs such as toileting, positioning, or pain relief. By nurses’ anticipating these needs through making rounds, patient care may be interrupted less with non-urgent calls. Fall rates were reduced in 7 of 9 studies (77%) in which falls were evaluated. In one study, (Kalman M 2008) making rounds did not affect the rate of falls, and in another study ((Bourgault A 2008) the rate of falls increased. Other studies uncovered less use of restraints (Assi M 2008) and attendants when making rounds was instituted. In 8 of 9 studies (88%), researchers discovered improvements in overall patient satisfaction (Medsurg Nurse. 2008) .They were more satisfied with anticipation and attention to personal needs, timeliness of nurses’ response, and management of pain. Patients who had frequent admission to the hospital noted the difference after implementation of hourly rounding. They perceived the nursing staff to be more attentive. Available evidence represent that making rounds is appropriate, safe, and useful for practice and has positive impact to decrease rate of falls and increase patient satisfaction. Conclusion:

Decreasing patients fall and increasing patient satisfaction are important goal in any organizations .In this study hourly rounding has improved patient satisfaction and decreased rate of falls in patients significantly, however higher quality study designs are needed to assess the effect of hourly rounds in a variety of settings, including units with a history of good outcomes, to determine what promise making rounds holds for further improvements (Meade C 2006). The study of hourly rounding is very significant to the nursing. Many studies reviled the importance of hourly rounding and it is an interdisciplinary practice in most of the institutes. Making hourly rounds can be viewed as a bundle of interventions that promote not only comfort but safety of both patients and nurses (Mosby,2008).Hourly rounding helps nurses to anticipate and evaluate the needs of patients ,addresses the 4ps (pain , position , potty , possessions) and additional comfort needs . Research about hourly rounding shows it is effective in increasing patient satisfaction, increasing nursing satisfaction and increasing quality by reducing fall rates.

Hourly Rounding & Fall Precaution Falls are a common occurrence among medical, surgical and elderly patients in hospitals. One of the largest categories of reported adverse events in hospitals are patient falls, which are estimated to cost more than $20 billion a year. (2010 Lippincott Williams &Wilkins, Inc.) Prevention is the best method to decrease the number of falls and reduce hospital cost and increase patient satisfaction. One of the best ways to prevent falls is patient hourly rounding. Hourly rounding means intentionally checking on patients at regular intervals continuously to ensure patients’ needs has been met. Attending to patients’ comfort, safety, and environmental needs may prevent adverse events like falls and contribute to patients’ satisfaction. There is study which evaluates the effectiveness of hourly rounding to reduce the rate of falls. Purpose: The purpose of this study was to determine the effect of hourly rounding on fall rates and
patient satisfaction in patients. Methods:

MEDLINE and CINAHL were the search engines. Key search words were hourly/patient rounding, falls, call lights, and patient satisfaction ( Margo A 2009). Evaluations were conducted in all hospital units, telemetry, medical/surgical and orthopedic. Reports were retrieved .In 5 of 6 studies (83%) that examined use of call lights, the use was reduced. (Meade C 2006) reported that nurses were summoned 12 to 15 times daily to respond to non-urgent needs such as toileting, positioning, or pain relief. By nurses’ anticipating these needs through making rounds, patient care may be interrupted less with non-urgent calls. Fall rates were reduced in 7 of 9 studies (77%) in which falls were evaluated. In one study, (Kalman M 2008) making rounds did not affect the rate of falls, and in another study ((Bourgault A 2008) the rate of falls increased . Other studies uncovered less use of restraints (Assi M 2008) and attendants when making rounds was instituted. In 8 of 9 studies (88%), researchers discovered improvements in overall patient satisfaction (Medsurg Nurse. 2008) .They were more satisfied with anticipation and attention to personal needs, timeliness of nurses’ response, and management of pain. Patients who had frequent admission to the hospital noted the difference after implementation of hourly rounding .They perceived the nursing staff to be more attentive. Available evidence represent that making rounds is appropriate, safe, and useful for practice and has positive impact to decrease rate of falls and increase patient satisfaction. Conclusion:

Decreasing patients fall and increasing patient satisfaction are important goal in any organizations .In this study hourly rounding has improved patient satisfaction and decreased rate of falls in patients significantly, however higher quality study designs are needed to assess the effect of hourly rounds in a variety of settings, including units with a history of good outcomes, to determine what promise making rounds holds for further improvements (Meade C 2006). The study of hourly rounding is very significant to the nursing. Many studies reviled the importance of hourly rounding and it is an interdisciplinary practice in most of the institutes. Making hourly rounds can be viewed as a bundle of interventions that promote not only comfort but safety of both patients and nurses (Mosby,2008).Hourly rounding helps nurses to anticipate and evaluate the needs of patients ,addresses the 4ps (pain , position , potty , possessions) and additional comfort needs . Research about hourly rounding shows it is effective in increasing patient satisfaction, increasing nursing satisfaction and increasing quality by reducing fall rates.

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