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Purposeful Hourly Rounding On The Medical Unit
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Book Synopsis Purposeful Hourly Rounding on the Medical Unit by : Katie Charlson
Download or read book Purposeful Hourly Rounding on the Medical Unit written by Katie Charlson and published by . This book was released on 2012 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The purpose of this study was to show that the implementation of purposeful hourly rounding in a clinical setting will effectively decrease call light usage thereby improving patient satisfaction." -- from the abstract.
Book Synopsis Purposeful Hourly Rounding and Improved Patient Outcomes by : Angela C. Radonski
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.
Book Synopsis Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding by : Rachel Abril
Download or read book Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding written by Rachel Abril and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, it is estimated that 700,000 to 2,000,000 individuals have a fall in the acute hospital setting with one in three individuals aged 65 years and older. Yearly, 20-30 percent of hospitalized patients suffer an injury that could have been prevented (Ganz, Saliba, Huang and Shier, 2013). Based on documented studies, implementing purposeful rounding or intentional rounding decreases call lights, alarms, falls, increases patient and employee satisfaction, supports a more productive shift for nursing staff, and most importantly increases patient safety (Olrich, Kalman, and Nigolian, 2012). Several documented studies have reported a decrease in fall rates post implementation of intentional rounding, one hospital reported a decrease in falls by 23 percent post implementation (Olrich, Kalman, and Nigolian, 2012). Falls in the acute hospital setting are a serious complex problem, addressing and implementing purposeful or intentional hourly rounding while better serving patients will decrease the fall rate in the acute hospital setting. Based on several journal readings successful implementation of intentional rounding or purposeful rounding that included the nursing staff in the implementation process yielded the most rewarding results. Identifying the problem or issue, developing an implementation plan and evaluation plan, along with finding the best avenues to disseminate the evidence are key to successful implementation of any project.
Book Synopsis Impacting Patient Care Experiences: Hourly Rounding by : Michelle R Johnson Hernandez
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.
Book Synopsis Improving Nurses Knowledge of Purposeful Rounding by Implementing Evidence Into the Practice Setting in the Emergency Department by : Beena Mathew
Download or read book Improving Nurses Knowledge of Purposeful Rounding by Implementing Evidence Into the Practice Setting in the Emergency Department written by Beena Mathew and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Keywords: Purposeful hourly rounding, emergency department (ED), Nurses' Perception of Patient Rounding Scale (NPPRS)
Book Synopsis Preventing Falls and Increasing Patient Satisfaction Using Purposeful Hourly Rounding by : Virginia Ragonese-Green
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.
Book Synopsis Impact of Hourly Rounding on Patient Falls by : Patricia Doyle
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.
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.
Book Synopsis Purposeful Hourly Rounding by : Richard Smith
Download or read book Purposeful Hourly Rounding written by Richard Smith and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Keywords: communication, rounding protocols, patient satisfaction, pain management, and patient safety
Book Synopsis Transforming Health Care by : Charles Kenney
Download or read book Transforming Health Care written by Charles Kenney and published by CRC Press. This book was released on 2010-11-08 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: For decades, the manufacturing industry has employed the Toyota Production System the most powerful production method in the world to reduce waste, improve quality, reduce defects and increase worker productivity. In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compe
Book Synopsis Using the Fifth "P" in Purposeful Hourly Rounding to Decrease Falls and Improve Patient Experience by : Brenda Hopkins Woodcock
Download or read book Using the Fifth "P" in Purposeful Hourly Rounding to Decrease Falls and Improve Patient Experience written by Brenda Hopkins Woodcock and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls are on the rise at a facility in the Southern part of Virginia. Reducing falls and falls with injury is a goal for this facility. The falls metric is an important nurse-sensitive quality indicator that impacts mortality, the patient experience, and hospital length-of-stay. A pilot study conducted over two months included an interdisciplinary approach to purposeful hourly rounding and the incorporation of a purposeful pause to consider fall-prevention measures before leaving a patient's room. The intervention demonstrated an improvement in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) overall patient experience of care score as well as an improvement in questions in the responsiveness domain. Falls on the unit slightly increased during the timeframe of the pilot, likely due to other contributing factors, as the hospital was struggling with a high registered nurse vacancy rate of 23% compared to the national average of 9.9% (NSI.com). The Coronavirus-19 (COVID-19) pandemic surge negatively impacted purposeful hourly rounding on inpatient units.
Book Synopsis The Effect of Purposeful Hourly Rounding on the Incidence of Patient Falls by : Crista H. Brown
Download or read book The Effect of Purposeful Hourly Rounding on the Incidence of Patient Falls written by Crista H. Brown and published by . This book was released on 2016 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study was to evaluate the effectiveness of purposeful hourly rounding on the incidence of patient falls. Purposeful hourly rounding is a vital component of the nursing care delivery model that is impacting the fall rates. Providing structure and emphasis to the hourly rounding process assist in the evaluation of the desired outcomes as it relates to patients falls. As healthcare organizations experience the concept of public reporting, patient safety has become an increasingly important concern. Purposeful hourly rounding can improve quality, safety, and the patient’s perception of their care. The results of this study found there was not a statistical significant difference in the incidence of patient falls with the implementation of hourly rounding.
Book Synopsis Resident Duty Hours by : Institute of Medicine
Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.
Book Synopsis Evaluating Research for Evidence-Based Nursing Practice by : Jacqueline Fawcett
Download or read book Evaluating Research for Evidence-Based Nursing Practice written by Jacqueline Fawcett and published by F.A. Davis. This book was released on 2008-08-22 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Where is the evidence in a nursing research study? What is the evidence? How good is the evidence? And, how is it relevant to providing evidence-based nursing care? Ensure that students can meet the AACN’s (American Association of Colleges of Nursing) goal of identifying valid research findings and using them to determine if they are providing care that is supported by evidence.
Author :Kathleen M. White, PhD, RN, NEA-BC, FAAN Publisher :Springer Publishing Company ISBN 13 :0826147372 Total Pages :509 pages Book Rating :4.8/5 (261 download)
Book Synopsis Translation of Evidence Into Nursing and Healthcare by : Kathleen M. White, PhD, RN, NEA-BC, FAAN
Download or read book Translation of Evidence Into Nursing and Healthcare written by Kathleen M. White, PhD, RN, NEA-BC, FAAN and published by Springer Publishing Company. This book was released on 2019-12-19 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: NAMED A DOODY’S CORE TITLE! Designed as both a text for the DNP curriculum and a practical resource for seasoned health professionals, this acclaimed book demonstrates the importance of using an interprofessional approach to translating evidence into nursing and healthcare practice in both clinical and nonclinical environments. This third edition reflects the continuing evolution of translation frameworks by expanding the Methods and Process for Translation section and providing updated exemplars illustrating actual translation work in population health, specialty practice, and the healthcare delivery system. It incorporates important new information about legal and ethical issues, the institutional review process for quality improvement and research, and teamwork and building teams for translation. In addition, an unfolding case study on translation is threaded throughout the text. Reorganized for greater ease of use, the third edition continues to deliver applicable theory and practical strategies to lead translation efforts and meet DNP core competency requirements. It features a variety of relevant change-management theories and presents strategies for improving healthcare outcomes and quality and safety. It also addresses the use of evidence to improve nursing education, discusses how to reduce the divide between researchers and policy makers, and describes the interprofessional collaboration imperative for our complex healthcare environment. Consistently woven throughout are themes of integration and application of knowledge into practice. NEW TO THE THIRD EDITION: Expands the Methods and Process for Translation section Provides updated exemplars illustrating translation work in population health, specialty practice, and the healthcare delivery system Offers a new, more user-friendly format Includes an entire new section, Enablers of Translation Delivers expanded information on legal and ethical issues Presents new chapter, Ethical Responsibilities of Translation of Evidence and Evaluation of Outcomes Weaves an unfolding case study on translation throughout the text KEY FEATURES: Delivers applicable theories and strategies that meet DNP core requirements Presents a variety of relevant change-management theories Offers strategies for improving outcomes and quality and safety Addresses the use of evidence to improve nursing education Discusses how to reduce the divide between researchers and policy makers Supplies extensive lists of references, web links, and other resources to enhance learning Purchase includes digital access for use on most mobile devices or computers
Author :Great Britain: Department of Health Publisher :The Stationery Office ISBN 13 :9780101857628 Total Pages :84 pages Book Rating :4.8/5 (576 download)
Book Synopsis Patients First and Foremost by : Great Britain: Department of Health
Download or read book Patients First and Foremost written by Great Britain: Department of Health and published by The Stationery Office. This book was released on 2013-03-26 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a Government response to (HCP 898, (ISBN 9780102981469)), the inquiry into the Mid Staffordshire NHS Foundation Trust on the failure of care. It sets out a collective commitment and a plan of action to eradicate harm and aspire to excellence and to ensure that patients are "the first and foremost consideration of the system and everyone who works in it" and so restore the NHS to its core humanitarian values. This response sets out a five point plan, under the following headings: (A) Preventing problems; (B) Detecting problems quickly; (C) Taking action promptly; (D) Ensuring robust accountablity; (E) Ensuring staff are trained and motivated.
Book Synopsis Significance of Hourly Rounding by : Rugiatu Mansaray
Download or read book Significance of Hourly Rounding written by Rugiatu Mansaray and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient falls remain a common detrimental incident in an acute care setting. Studies have shown that inpatient falls are the second largest category of reported adverse events, and are estimated to cost more than $20 billion a year. It is predicted that the cost of fall injuries will reach $43.8billion dollars by 2020.Research had shown that implementing hourly rounding in an acute care setting will reduce harm to patients, and increase patient's satisfaction. Hourly rounding is a planned method by which nurses and other health care workers performed checks on patients at a given time to assess, and care their basic needs. The purpose of hourly rounding is to decrease harm to patients such as, falls, pressure ulcers, urinary tract infections, as well as increase patient's satisfaction. The aim is to explore the implementation and use of hourly rounding, and its effectiveness in improving patient care, decreasing hospital cost, and length of stay.
