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Author : Brenda Olsen
Publisher :
ISBN 13 :
Total Pages : 56 pages
Book Rating : 4.:/5 (775 download)
Download or read book Patient Satisfaction and Implementation of Hourly Rounding written by Brenda Olsen and published by . This book was released on 2011 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Rebecca M. Hemker
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Significance of Hourly Rounding on Patient Satisfaction in the Emergency Department written by Rebecca M. Hemker and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient satisfaction is an important component of patient-centered care. It is also a key determinant of quality, performance and structure within healthcare organizations. As a result, healthcare organizations are continuously seeking new ways to improve patient satisfaction, preferably with minimal use of resources or expenditures. Research has demonstrated hourly rounding to be a cost-effective, nurse led intervention that positively influences patient satisfaction (Petras, Dudjak and Bedner, 2013; Sherrod, Brown, Vroom and Sullivan, 2012; Brosey and March, 2015). Hourly rounding is a proactive approach to patient care where basic patient needs are anticipated and fulfilled through regularly scheduled checks by healthcare professionals. This evidence based practice (EBP) project proposes implementation of hourly rounding to improve patient satisfaction at Canyon Vista Medical Center's (CVMC) emergency department (ED). A thorough description of the problem and proposed solution will be discussed. A detailed implementation plan including rationale, evidence, approval, implementation logistics and resources will be provided. An evaluation plan consisting of evaluation tools and data collection methods will be presented in addition to a strategy for dissemination of findings to key stakeholders and the greater nursing community. Finally, a literature review including analysis and appraisal of fifteen peer-reviewed research articles on the topic of hourly rounding and patient satisfaction will be presented.
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 : 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 : Angela C. Radonski
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Purposeful Hourly Rounding and Improved Patient Outcomes written by Angela C. Radonski and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety is at the core of healthcare as a fundamental of caring. Based on research studies, patient safety and outcomes is increased with the use of hourly rounding. This project is a review of literature regarding the impact of hourly rounding on call light use, patient satisfaction, and safety with a primary focus on falls in an acute care setting. It is proposed that use of purposeful hourly rounding will increase both patient safety and decrease use of call lights if implementation includes the use of theory of planned behavior, which would impact both patient and nursing staff behavior. The implementation plan set forth in this project is not one of new design. It is one of modified design which relies heavily on implementation research studies allowing for an understanding of what can be improved so that professional behaviors already in place will be more streamlined. The evaluation plan has reasoning as well as tools to be used in the process of piloting the program allowing for improvement before dissemination to other facilities for a larger scale impact.
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 : 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 : 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 : 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 : 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 : Barbara Sheriff
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book The Effect of Hourly Rounding on Reducing Call Light Usage Pressure Sores and Falls in Hospitalized Patients written by Barbara Sheriff and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly rounding has been trialed and implemented in hospitals across the country. Rounding hourly on patients benefits the patients, the patient's family and hospital staff. For patients hourly rounding gives them a feeling of security because they know their nurse will see them every hour. Patient's families feel reassured that it is safe to leave their loved one at the hospital because the nurse will see them every hour. For nurses hourly rounding affords them an opportunity to spend quality time with their patients which helps develop a sense of trust between the patient and the nurse. Hourly rounding has been shown to decrease call light usage, falls and pressure sores as well as increase patient satisfaction. 'Margo A. Halm, RN, PhD, CNS-BC, director of nursing research and quality at Salem Hospital in Oregon, reviewed 11 hourly rounding studies and reported in a 2009 American Journal of Critical Care article that 83 percent of studies examined showed a reduction in call lights, 77 percent a decrease in fall rates and 88 percent an improvement in patient satisfaction' (Wood, 2014, para. 8). 'Swanson's Nursing Care Theory supports the purposed use of hourly rounding as it centers on practices that promote patient satisfaction and safety by focusing on the connection between caring processes and patient well-being and outcomes' (Tongues, Ray, 2011, pages374). Hourly rounding was introduced previously at this facility but the implementation was poorly received by nurses. In an effort to reintroduce hourly rounding, a team will be formed to champion the process, a presentation to the stakeholders will be done outlining the plan as well as the costs involved, and ongoing education will be provided for nursing as well as tools to aid the nurse in incorporating hourly rounding into their daily routines. Weekly meetings with a specific agenda will be held encouraging staff feedback on how the hourly rounding trial is proceeding. At the end of the trial period an assessment will be given to each nurse seeking their ideas and any new problems that need to be addressed. The team will evaluate data from the meetings, patient's comments and any occurrence reports concerning falls and pressure sores and call light usage information obtained from the facilities call light system. This information will be shared with the stake holders as well as nursing staff. As the nursing shortage increases, hospitals as well as nursing leaders are searching for ways to provide quality care, enhance patient safety and satisfaction and to increase nurse's satisfaction. 'Hourly patient rounding proposes to be one answer to both patient and nurse satisfaction' (Wood, 2014, para.6).
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 : 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 : Ntumba Kabongo
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Hourly Rounding written by Ntumba Kabongo and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every year thousands of patients get hospitalized in the United States. Their satisfaction varies widely as their medical experience as in-patient is mainly shaped by their encounter with their primary care giver or nurse. As indicated by several previous qualitative and quantitative experiments, keeping bed falls, nurse calls, and nurse absence in patient to a minimum could enhance both patient's satisfaction as well as medical staff work gratification. Thus investigating the implementation of mentoring hourly rounding at a 35 beds oncological hospital unit could shade further light on the validity of previous claims on a totally different demographic: Patient experiencing excruciating pain.
Author : Susan Changala
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Continued Education written by Susan Changala and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use of hourly rounding has been implemented in most hospitals for many years, however, evidence has shown that it continues to not only be met with resistance but there is a need for Continued education due to a large number of the senior nurses retiring and new nurses with an Associate's Degree of Nursing who have not had education in the area of evidence-based practice. Initial studies showed that hourly rounding not only improved patient satisfaction rates and decreased patient falls but also increased the amount of reimbursement for the hospital. In the last year Yakima Valley Memorial Hospital has experienced an increase in patient falls. Although new nurses are oriented to the policy and procedure of hourly rounding, there is no education on the reasoning of why this practice has been implemented or how it is beneficial not only to the nurse but also to the facility. Implementing Continued education into the bi-annual skills fair would help to not only provide meaning of evidence-based practice but will also help nursing staff to have a clear understanding of why it is part of their daily routine. This proposal will include an implementation plan and give a clear picture of the resources and tools needed to make this plan a success. Once this plan has been implemented for the time of one year there will be a re-evaluation on the comfort levels of the staff with hourly rounding and data will be collected on the number of documented falls that have or have not occurred during this time. The goal of this presentation is to improve patient safety and improve overall staff satisfaction.
