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Author : Veronica Carmack Gasper
Publisher :
ISBN 13 :
Total Pages : 58 pages
Book Rating : 4.:/5 (748 download)
Download or read book Implementation of Hourly Rounding to Improve Patient Satisfaction Scores written by Veronica Carmack Gasper and published by . This book was released on 2011 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Jennifer Calingay
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Hourly Rounds Improve Patient Satisfaction and Safety written by Jennifer Calingay and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient satisfaction and Patient safety are two very important issues in health care. Patient satisfaction is important because of how the patient feels may play a part in their healing process. Also, patient satisfaction scores affect the reimbursement from Medicare. Hospitals are not just a place for sick people go to get better. It is also a business so patient satisfaction scores are important for hospitals. Patient safety is an issue at hospitals at all hospitals across the nation. Patient falls are the largest adverse events in a hospital. There have been various methods to prevent falls from happening. Bed alarms and sitters are common methods used to prevent falls. One way to increase safety in hospitals is to implement hourly rounds. Hourly rounds allow the nurse to address patient needs before something can happen such as a fall. Hourly rounds also give the patient and nurse to discuss any concerns they may have about the plan of care. The process of hourly rounds would require educating the nursing staff about the process. Education materials such as pamphlets and in services would be needed to inform everyone of the new process. Step by step instructions on how to do hourly rounds will be presented. To evaluate the effectiveness of the hourly rounding process patients will fill out questionnaires about the hourly rounds. That information can be used to determine if hourly rounds increase patient satisfaction and safety. Nurses will also be interviewed about the hourly rounding process. The process will be reviewed and determined the method is effective I increasing patient satisfaction and safety.
Author : Colleen Reynolds
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)
Download or read book Improving Patient Satisfaction Scores by Implementing an Hourly Rounding Protocol written by Colleen Reynolds and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Patient satisfaction has become an important indicator to measure the quality of care and the financial success of healthcare organizations. The measurement of patient satisfaction has led to an increased appreciation of the significance of patient expectations and the perceptions of care that they receive (Dingman, Williams, Fosbinder & Warnick, 1999). The review of evidence reveals that healthcare organizations providing higher levels of quality care and patient satisfaction hold a competitive advantage in the current health care market. Satisfaction consists of both a cognitive evaluation and emotional reaction to the components of care delivery and service. Patient Satisfaction is an individual subjective perception and is closely tied to an individual's expectations regarding the care and services (Urden, 2002). Satisfaction is lower when expectations are not met. Although most patients are generally satisfied with their healthcare experience, they are not uniformly satisfied with all aspects of care." −́£ -- from Introduction and Overview.
Author : Regina L. Salyer
Publisher :
ISBN 13 :
Total Pages : 67 pages
Book Rating : 4.:/5 (961 download)
Download or read book Proactive Patient Rounding and Effect on Patient Satisfaction written by Regina L. Salyer and published by . This book was released on 2016 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective implementation of nursing staff proactive rounding, a structured method of consistent proactive inquiry and responsiveness to patient needs, has been linked to improved patient satisfaction. Barriers and challenges to proactive rounding processes must be overcome for successful and effective implementation and sustainment to take place. The purpose of this evidence-based quality improvement practice project was to pilot implementation of structured proactive nursing staff hourly rounding and effectively integrate it into current practice to improve patient satisfaction. The project utilized a quasi-experimental nonequivalent group design on a 39-bed medical surgical/telemetry unit to compare top box Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction scores before and after implementation of a structured proactive rounding process. A total of 59 nursing staff participants took part in the educational sessions. This included clinical care supervisors, RNs, and patient care assistants. Two-sample t-tests performed on HCAHPS top box composites performed on August 2015-August 2016 data (including project month), revealed that the t-statistics were not significant at the .00625 Bonferroni corrected critical alpha level. The differences in top box scores were not significant. A clinically significant increase was noted in the domain “Response of Hospital Staff” from July to August 2016, increasing from 51.7 to 58.9 percent although less than the score reported from August 2015 (61.5 percent). Clinically significant increases in HCAHPS composite top box scores during the three-week timespan of returned surveys were noted in all but three top box scores: Care Transitions reduced from 35.6 to 16.7 percent, Responsiveness of Hospital Staff scores fluctuated between 50 to 100 percent, and Hospital Environment fluctuated between 50 percent and 75 percent. Leader rounding patient satisfaction data revealed clinically significant percentage changes. One-sample t-tests between proportions were performed for each of the leader rounding questions results. The difference between yes responses and no or na/no response answers for each question both before and after the start of the project were significant at the Bonferroni corrected critical alpha level of .007. Two-sample t-tests between proportions were performed on each leader-rounding question to determine whether there was a significant difference between the yes responses for each question both before and after project implementation. The t-statistic was not significant at the Bonferroni corrected critical alpha level of .007. The difference between yes responses were not significant. Clinical significance could be observed through increased positive responses from before project implementation to after in the areas of pain control, staff rounding every hour, staff assisting timely, and whether patients perceived they were getting rest at night. Reductions in responses were noted in the areas of whether caregivers are explaining what they are doing and why, and an increase was noted in the number who had questions regarding their discharge. Communication, understanding, accountability, and engagement are core essentials that can be utilized in the development of processes that contribute to patient satisfaction, including proactive rounding. Process development, implementation, and evaluation are shared actions involving both nursing staff and leaders. Further research should assess sustainability of proactive rounding and competency of the practice through a long-term study utilizing multiple units or multiple sites.
Author : Virginia Ragonese-Green
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.:/5 (15 download)
Download or read book Preventing Falls and Increasing Patient Satisfaction Using Purposeful Hourly Rounding written by Virginia Ragonese-Green and published by . This book was released on 2017 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this practice improvement project was to determine if a relationship exists between purposeful hourly rounding and incidence of patient falls and patient satisfaction with information received from nurses for male and female patients over 18 years in one 60-bed acute rehabilitation setting. The first question that guided this project was: Are patient falls in an acute rehabilitation setting reduced when purposeful hourly rounding occurs? The second question was: Do patient satisfaction scores improve when purposeful hourly rounding was implemented in acute rehabilitation setting? This project implemented purposeful hourly rounding by nursing staff over a three-week intervention period in one rehabilitation hospital with an average daily census of 40 male and female patients. Employee education occurred in February, 2017. Fall rates were gathered from the hospital's internal incident reporting system. Patient satisfaction scores were obtained from Press Ganey surveys. The patient satisfaction results and the fall rates of 39 patients who did not experience purposeful hourly rounding were compared to the patient satisfaction and fall rates of 68 patients who experienced the purposeful hourly rounding. This project used a quasi-experimental correlational design. An independent t-test analysis did not demonstrate a difference between the patient satisfaction scores on 10 surveys received from the first group of patients and the 5 surveys received from the patients who experienced rounding. A chi-square analysis of the fall rates did not demonstrate a statistical difference between the groups. Although the results were not statistically significant, the project provided a baseline for future projects such as identifying barriers for staff to perform purposeful hourly rounding and improving the preparation for staff to perform hourly rounding.
Author : Josily Koithara
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Improving Patient Care and Safety Through Hourly Rounding written by Josily Koithara and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient care, safety and satisfaction are top priority for the health care team when providing in-patient care. Patients must be monitored and cared well to improve their health conditions and to avoid further complications during hospital stay. Risk of hospitalized patients fall is the most concern for nurses. Hospital acquired new incidents like patient fall and pressure ulcers has a negative impact on patient recovery, causes lengthy hospital stay, financial burden for hospitals and increases nursing burnouts. Patients with stroke are at high risk for fall. In earlier studies it is found that 14% of the stroke patients fell at least once during their hospital admission (Tutuarima, Meulen, and Limburg, 2012). Frequent monitoring of the patients by nurses can prevent never events. But nurses attempt to be proactive on avoiding these issues are impaired by factors like high patient ratios, lack of time , frequent call lights and stress from meeting the patients demands. Planned hourly rounding is a proactive approach to patient care. Hourly rounding reduces patient fall, skin break downs, call light use, noise level and also improve patient satisfaction. Studies on hourly rounding to increase the patient safety and patient satisfaction showed a 52% decline in call light use after implementing hourly rounding and unit was quiet and nurses could spend more time for patient care and logs (Ford, 2010). Intentional rounding researches showed significant reduction in fall rate with one hour rounding. With the implementation of hourly rounding on the stroke and cardiac inpatient unit of the Texas Health Resources Hospital, the purpose is to prevent unwanted events and to improve patient satisfaction and safety.
Author : Michelle R Johnson Hernandez
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (924 download)
Download or read book Impacting Patient Care Experiences: Hourly Rounding written by Michelle R Johnson Hernandez and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Impacting Patient Care Experiences with Hourly Rounding My global aim consists of cultivating communication and staff responsiveness within a busy, nursing unit in an urban setting within a San Francisco hospital; thereby improving the patient's perception of staff responsiveness by reducing call lights and patient falls by 25% within three months. The patient population consists of cardiovascular and thoracic post-operative surgical patients of all ages primarily adults. The implementation of the evidence based practice of hourly rounding has been proven to increase overall patient satisfaction by improving staff responsiveness and increasing patient safety within many hospitals. The measurement of effectiveness and success will be evidenced by seeing an increase in patient care scores and a reduction of falls within the unit; when these metrics are met, there is data that proves that this evidence based practice will drive the results we are looking for. In this microsystem, there are many indicators that a more efficient workflow is necessary to be established. There is the constant sound of call lights ringing about an estimated 12-15 in an eight hour shift for non-urgent needs. Upon interviewing many staff, I found there was an inconsistent way and lack of education on how hourly rounds should be performed. Basic patient needs were not addressed within each visit from a staff member. By using a process map, timeline, PDSA, Lewin's Change Theory, SWOT analysis and graphs, I can show you my process of improving staff responsiveness within the nursing unit. In conclusion, as a Clinical Nurse Leader and patient advocate, I have utilized the information gained from the microsystem data and implementation of hourly rounding, thereby proving how to improve quality, safety and patient care experiences within the busy, medical surgical nursing unit with the evidence based practice of hourly rounding.
Author : Elsa Jacobs
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Nursing Hourly Rounding written by Elsa Jacobs and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an effort to meet patient needs, improve patient satisfaction scores, decrease call light usage, prevent nursing burn out, and maintain patients safe, many hospitals across the country have started implementing hourly nurse rounds. Rounding with the purpose of checking on patients every our around the clock. Studies have proven that by doing hourly rounds patient falls decrease, because their needs are being addressed and met in a timely manner. Research also has shown that rounding will allow for the nursing staff to set expectations and goals the patients' and family members as well as planning for their care. When nurses check on patients, their focus is to address the 4 Ps, positioning, potty (elimination needs), pain, and possessions (proximity of personal belongings). (Halm, 2009) At the time of admission, patients and their family members will be informed of the hourly rounding process in order to set realistic expectations of the plan of care. Research performed in 14 hospitals has found that by setting these goals, the use of call lights have decreased by 37%, patient falls decreased by 52%, and patient satisfaction scores increased by 12%. (Stanford Medicine, 2015).
Author : Kelsey Lynne Johnson
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Hourly Rounding written by Kelsey Lynne Johnson and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly Rounding, also known as intentional rounding, is a fairly new concept in many medical facilities. Hourly rounding consists of asking patients important questions each hour to help keep patients more comfortable while also maintaining safety during the hospital stay. In order to assist hourly rounding in becoming an even bigger part of the health care routine, data needs to be collected from studies to see how well it really works. By doing a study and tracking the results over a six-month time frame, it will not only help hourly rounding become implemented on that particular floor, but it could also lead to the implementation of hourly rounding in many other places. Evidence based practice runs the health care profession. Once a theory is proven to work or proven to be the safer method, it will be implemented in a larger setting. Hourly rounding is hypothesized to decrease patient falls, patient call lights, and increase patient safety and satisfaction. Before the study begins, the staff and supervisors will be educated on the topic as well as what is expected from hourly rounding. There will be a staff meeting with pamphlets, power point presentations, and additional time to ask any questions that may arise. Once the information from the study has been collected and interpreted, we should see that patient satisfaction rises because patients feel a bigger sense of responsibility in their own care. Some patients have commented that hourly rounding made them feel more important. Patients need to feel like the center of their care and feel like their opinions truly matter. Hourly rounding is going to help hospitals achieve that goal.
Author : Dana M. DeHart
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Significance of Hourly Rounding on Patient Safety and Satisfaction written by Dana M. DeHart and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety and satisfaction has been at the for-front of health care criticism for some time. The problem of patient safety is important to all health care workers and is often the reason why people study nursing in the first place, to keep the patients safe. The problem exists because patients continue to fall and often times are seriously injured. There are also concerns of patients not being turned and ending up with pressure sores. These problems result in poor patient satisfaction. Studies have shown that hospitals and rehabilitation facilities that have taken part in trials of hourly rounding by nurses and nursing personnel, have shown a decrease in the number of patient falls and an increase in patient satisfaction numbers. Implementing a plan for hourly rounding is necessary to improve patient safety, involving nurses checking on patients and observing patient's rooms and surroundings. After the plan is implemented, an evaluation of the process is required to determine if the process or plan has been effective. Evaluation is often skipped over in EBP research, however it is necessary to determine the effectiveness of the plan and to let others know the results of the trial. Shortly after the plan is evaluated, it should be disseminated to other nurses, stakeholders and the public in order for the information to be useful. Dissemination is also important because it allows nurses to see results of studies in a quick, efficient way without having to spend hours looking up the research themselves.
Author : Mary Koloroutis, RN, MS
Publisher : Creative Health Care Management
ISBN 13 : 1886624658
Total Pages : 313 pages
Book Rating : 4.8/5 (866 download)
Download or read book Relationship-Based Care written by Mary Koloroutis, RN, MS and published by Creative Health Care Management. This book was released on 2004-06-15 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: The result of Creative Health Care Management's 25 years experience in health care, this book provides health care leaders with basic concepts for transforming their care delivery system into one that is patient and family centered and built on the power of relationships. Relationship-Based Care provides a practical framework for addressing current challenges and is intended to benefit health care organizations in which commitment to care and service to patients is strong and focused. It will also prove useful in organizations searching for solutions to complex struggles with patient, staff and physician dissatisfaction; difficulty recruiting and retaining and developing talented staff members; conflicted work relationships and related quality issues. Now in it's 16th printing, Relationship-Based Care has sold over 65,000 copies world-wide. It is the winner of the American Journal of Nursing Book of the Year Award.
Author : Didier Fobi Melone
Publisher :
ISBN 13 :
Total Pages : 122 pages
Book Rating : 4.:/5 (14 download)
Download or read book Implementation of Intentional Rounding and Bedside Shift Reporting on Patients' Call Light Usage and Patient Satisfaction written by Didier Fobi Melone and published by . This book was released on 2017 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores at an inpatient health care facility in Southern California, and specifically for this acute care medical-surgical unit, have been consistently lower than state and national levels. The top box scores associated with patient experience (satisfaction) are unsatisfactory for this unit. To improve the patient satisfaction scores at the unit level with the long-term goal of bringing improvement to all units, the unit implemented two evidence-based practice strategies: intentional rounding and bedside shift reporting. The overall aim was to improve HCAHPS survey scores. This direct practice improvement (DPI) project evaluated the effectiveness of intentional rounding and bedside shift reporting on call light or bell usage and patient satisfaction. We carried out this project was carried out using quantitative methodology and pretest-posttest design with nonrandomization and nonequivalent groups design, along with participatory action research (PAR) methodology. The results indicated that at Îł = .05 and a power analysis of 1.000, the mean patients' call light data were 59.93 and 43.89 counts for pre-implementation and post-implementation, respectively (p
Author : Sarah Nakawaki
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Hourly Rounding written by Sarah Nakawaki and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of hourly rounding in nursing care has been supported by research and evidence-based practice to improve patient outcomes. Research has indicated that by regularly rounding on patients in a purposeful manner, such as addressing pain, toileting, positioning needs and placing important and personal items within reach of the patient decreases the incidences of patient falls and increases patient satisfaction (Meade, Bursell, and Ketelsen, 2006). An hourly rounding protocol already is in place at Hoag Hospital, but patient falls and hospital-acquired pressure ulcers still continue to happen. Hoag Hospital can greatly benefit by re-educating nursing staff and nursing assistants on proper hourly rounding protocol, including rationale for hourly rounding and important factors to address with patients. A chime will also be introduced to ring when hourly rounding is performed, every one hour for day shift and every two hours for night shift, to gently remind staff to round on their patients. The staff can also benefit by reinforcing the importance of hourly rounding through the yearly house side mandatory review session accessed through the hospital's intranet website. This proposal will include an implementation plan that shows the positive benefits implementing hourly rounding re-education given to nurses and nursing assistants has improved patient outcomes, specifically improved patient safety as seen by a decrease in falls, and improved patient satisfaction. In addition, evaluation of the findings as well as disseminating them to all unit department directors and the nursing community will be discussed.
Author : Norma Martinez
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Nurse Hourly Rounding Can Increase Patient Safety written by Norma Martinez and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The implementation of nurse hourly rounding can have a significant impact on decreasing the incidence of patient's falls and it heightens for their safety. It is not uncommon for hospitals to report incidence of accidental falls in which these types of incidents is costly to hospitals revenue but more importantly their patients suffer the undue strain on their physical and mental health. The main goal for all institutions is to incorporate for measures and or intervention to help decrease this incidence of falls and increase for their safety. Hospital's administrators, broad members and all stakeholders must pull together to find a solution to help increase the safety for all of their patients. Research studies have indicated the main reason patients fall where due trying to meet their needs. Evidence base research studies highly recommended the usage of nurse hourly rounding. This practice has shown a significant decrease in patients falls in which enhances for their safety at all times. The process calls for all healthcare providers to work together as a team to reach the goal for patient safety around the clock. The practice of nurse hourly rounding helps nurses to assess their patients plus it methodically addressees on meeting the patient's individual needs. This system empowers for patients and nurses to build on a trusting relationship in which it increase patients satisfaction for they can rely on their assign nurse to deliver good quality care for they are reassured that they will return hourly to assist them with their needs. In order for this proven intervention to be successful it is vital for hospital's to educate the healthcare team on the practice of nurse hourly rounding and its main objective is increasing the safety of all patients. This implementation can be conducted in a time frame from three to six months and nurse managers along with charge nurse can evaluate their staff on the usage of this measure in order to stay in compliance for its outcome to be effective in delivering safe quality care. Nurse hourly rounding is a proven evidence base practice that can deliver for patient's safety during their hospital stay.
Author : Karen E Sondeno
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (1 download)
Download or read book Improving Communication and Satisfaction Through Hourly Rounds written by Karen E Sondeno and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The focus of this CNL project is quality improvement using high quality hourly rounds to achieve improved patient satisfaction and communication with nurses. It was determined by reviewing survey results that patient satisfaction and nurse communication is below National levels. Data shows that rounds are not being done well on a medical unit before the improvement project. It is proven that patients receive and perceive higher quality care and communication with increased nurse presence at the bedside. The population of the medical unit has high numbers of confused/dementia, and dual-diagnosis patients. It was determined that the unit would benefit from improved rounding and proof of the actual rounding with education on patient-centered rounds and a bedside checklist to document practice. At the time of implementation, the hospital had a crisis which monopolized all teaching, changes, and focus in order to continue operations. The CNL project was permitted to continue with a limited number of patients and only when the CNL intern was present on the unit. The bedside rounding tool was used with positive results aligned to the evidence used to support the project. Patients were able to indicate that rounds were being done regularly. The nursing relevance of patient-centered rounding is that it supports the significance of caring that takes place at the bedside by fostering trust and accountability. It can be assumed that use of this tool in similar microsystems would achieve positive outcomes similar to these outcomes.
Author : Patricia Doyle
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Impact of Hourly Rounding on Patient Falls written by Patricia Doyle and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Agency for Health care Research and Quality, approximately 700,000 to 1 million patients fall in hospitals annually (Ferenc, 2014). Patient safety and fall prevention are a top priority for nursing. Hourly or purposeful rounding has been suggested as an intervention to combat patient falls. Research shows that hourly rounding reduces patient falls, decreases call light use and helps to improve patient satisfaction scores. A systematic review of literature was conducted to determine the effectiveness of hourly rounding in preventing patient falls as oppose to no rounding or current clinical practices. Fifteen peer-reviewed research articles on the subject were examined, including 13 quantitative or qualitative studies and two literature review studies. Overall, based on the research, hourly rounding helped to reduce patient falls. Therefore, hourly rounding should be incorporated into nursing work flow as an evidence-based best practice.
Author : Deborah Dang
Publisher : SIGMA Theta Tau International
ISBN 13 : 9781940446974
Total Pages : 0 pages
Book Rating : 4.4/5 (469 download)
Download or read book Johns Hopkins Nursing Evidence-based Practice written by Deborah Dang and published by SIGMA Theta Tau International. This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Appendix F_Nonresearch Evidence Appraisal Tool"--"Appendix G_Individual Evidence Summary Tool"--"Appendix H_Synthesis Process and Recommendations Tool" -- "Appendix I_Action Planning Tool" -- "Appendix J_Dissemination Tool
