Purposeful Hourly Rounding and Improved Patient Outcomes

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Book Rating : 4.:/5 (135 download)

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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.

Preventing Falls and Increasing Patient Satisfaction Using Purposeful Hourly Rounding

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ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.:/5 (15 download)

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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.

Hourly Rounding

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Book Synopsis Hourly Rounding by : Sarah Nakawaki

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.

Timed Purposeful Rounding to Improve Patient Outcomes

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Timed Purposeful Rounding to Improve Patient Outcomes by : Lisa M. Williamson

Download or read book Timed Purposeful Rounding to Improve Patient Outcomes written by Lisa M. Williamson and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Falls amongst the patients and residents in a Long-Term Care/Skilled Nursing Facility need to decrease and knowledge amongst the staff on fall prevention needs to increase. A literature search revealed that the Evidence-Based Practice intervention of Timed Purposeful Rounding, either at one-hour or two-hour intervals, is effective at reducing falls and call light activations. Intervention can range from zero to low cost and be effective. Knowledge and use of the 4P's, pain, possessions, potty, and position, decrease falls and call light activations. Additionally, open communication between leadership and staff is necessary. An Evidence-Based Practice project was implemented in a Long-Term Care/Skilled Nursing Facility for six weeks utilizing Timed Purposeful Rounding to assess the impact the intervention had on falls and call light activations. Participants in the project were Certified Nursing Assistants and Licensed Nurses. Evidence supports that educational in-services increase knowledge on Timed Purposeful Rounding. The use of Lewin's Change Theory and the Johns Hopkins Evidence-Based Practice Model facilitates positive results. As a result of this project, falls at the project facility decreased 20.05%-25%, call light activation by 5.85%, and knowledge regarding Timed Purposeful Rounding increased by 7.76%. Key words: Timed Purposeful Rounding, falls, Skilled Nursing Facility, Long Term Care, Evidence-Based Practice, Johns Hopkins Evidence-Based Practice Model, Lewin's Change Theory, the 4P's, open communications, low cost interventions " -- Abstract

The Effect of Purposeful Hourly Rounding on the Incidence of Patient Falls

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ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.:/5 (954 download)

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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.

Impact of Hourly Rounding

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Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Impact of Hourly Rounding by : Kelli DiPietro

Download or read book Impact of Hourly Rounding written by Kelli DiPietro and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals face increasingly high pressure to maintain quality care as evidenced by patient satisfaction as well as patient safety scores. The rigorous gravity of satisfaction and safety are factors that affect the return of satisfied patients and payment by the Centers for Medicare and Medicaid (CMS) (Hagland, 2011). Because nurses are seen as key providers and are the ones that are typically perceived as providers of timely pain management, ones who develop healthy, trusting relationships and communicators of much of the information that is provided in a hospital setting, many satisfaction scores are based on the quality of nurse care delivered. Due to the importance of nursing and their overall impact on patient's as well as hospital's bottom line, it imperative that the nurse excel at meeting and exceeding patient expectations. When nursing staff is overwhelmed and understaffed, the patient suffers. The suffering can cause longer stays and increased financial burden on the patient as well as the hospital. One way to improve outcomes is to design and implement an hourly or intentional rounding program to ensure that the patient's needs are being met and that patients feel well taken care of. There are different situations in a variety of facilities that can benefit from hourly rounding. The need to develop an program that is tailored to the necessities of a specific floor or unit is crucial in the success of the program. Based on research, hourly rounding can make a positive impact on patient and nurse satisfaction.

Impact of Hourly Rounding on Patient Falls

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Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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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.

Capstone

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Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Capstone by : Nichole A. Hunt

Download or read book Capstone written by Nichole A. Hunt and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rate of falls among patients in the acute care hospital setting continues to be an important issue in nursing. Many falls can be prevented with the implementation of proper interventions. Intentional hourly rounding is one such intervention that has been proven through research to be an effective measure in reducing the rate of patient falls. Intentional hourly rounding requires staff to round on patients on an hourly basis addressing basic care needs. Those needs include pain, potty, position, and placement of frequently used objects. This project focuses on the implementation of an hourly rounding initiative on an acute care unit. Outcomes are evaluated through the use of rounding log reviews, fall rate comparisons, and staff surveys. Fall rate data will be gathered for the six month period before implementation of the rounding process and for the six month trial period. Rounding logs are kept in each patient room and staff are expected to initial the log each time they round on the patient. Staff will be expected to complete a survey regarding the usefulness and adaptability of the hourly rounding process. By evaluating the completeness of the rounding logs and surveying staff attitudes toward the process, the researcher will have the ability to determine if the hourly rounding process is being fully applied. Results of the initiative will be disseminated to nursing staff, management, and the nursing community as a whole through a process of meetings and conferences. Information will be made available regarding fall rates and patient satisfaction.

Nurse Hourly Rounding Can Increase Patient Safety

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Book Synopsis Nurse Hourly Rounding Can Increase Patient Safety by : Norma Martinez

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.

Significance of Hourly Rounding on Patient Safety and Satisfaction

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Book Rating : 4.:/5 (135 download)

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Book Synopsis Significance of Hourly Rounding on Patient Safety and Satisfaction by : Dana M. DeHart

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.

Evaluation of Hourly Patient Comfort Rounding as a Patient Falls Reduction Strategy

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ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.:/5 (228 download)

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Book Synopsis Evaluation of Hourly Patient Comfort Rounding as a Patient Falls Reduction Strategy by : Rebecca S. Pettit

Download or read book Evaluation of Hourly Patient Comfort Rounding as a Patient Falls Reduction Strategy written by Rebecca S. Pettit and published by . This book was released on 2007 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this project was to implement a process of hourly patient rounding by nurses and to evaluate the effectiveness of those rounds to reduce or prevent patient falls on two medical-surgical nursing units in an acute care hospital. The project was prompted by rising fall rates within the hospital and was planned by a team of hospital leaders after a review of available literature and consultation with a rounding expert. Training was provided for staff members using discussion, videos with workbooks, and mentoring. In order to evaluate the effectiveness of hourly rounding to prevent patient falls, pre- and post-rounding fall rates were compared. Three falls occurred in the four weeks before implementation, and an equal number in the four weeks following rounding implementation. In the three-month pre-rounding period, the total number of falls was eight, while in the three-month post-rounding period, the total number of falls was eleven. This was an increase of three falls over the three-month period, or an average increase from 2.67 to 3.67 falls per month after implementation. Project coordinators were committed to hourly rounding. Leaders from the facility feel strongly that patient comfort rounding (as the hourly rounding was renamed), if used consistently, will lead to reduced falls and other positive outcomes for patients.

Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding

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Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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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.

Hourly Rounding

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Book Rating : 4.:/5 (135 download)

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Book Synopsis Hourly Rounding by : Kelsey Lynne Johnson

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.

Significance of Hourly Rounding

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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.

Relationship-Based Care

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Publisher : Creative Health Care Management
ISBN 13 : 1886624658
Total Pages : 313 pages
Book Rating : 4.8/5 (866 download)

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Book Synopsis Relationship-Based Care by : Mary Koloroutis, RN, MS

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.

Impacting Patient Care Experiences: Hourly Rounding

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Book Rating : 4.:/5 (924 download)

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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.

Purposeful Hourly Rounding on the Medical Unit

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ISBN 13 :
Total Pages : 92 pages
Book Rating : 4.:/5 (812 download)

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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.