Bourgault, A., King, M., Hart, P., Campbell, M., Swartz, S., & Lou, M. (2008). Circle of Excellence. Nursing Management, 18-24.
The article investigates whether regular rounding by nursing associates promotes patient satisfaction in Saint Joseph Regional Medical Center. The rounding procedure for this study involved four components: introducing the patient to the associate, an evaluation of the three P’s, an environmental assessment, and a conclusion. This was followed by a Patient Satisfaction survey. The results indicated an improvement in patient satisfaction with regard to an hourly rounding procedure. The patient falls, injuries, and call light usage declined. In this regard, the authors recommend an hourly rounding for nursing associates.
Culley, T. (2008). Reduce call light frequency with hourly rounds. Nursing Management, 39(3), 50-52.
The study explores the benefits of initiating hourly rounds as a strategy to minimize call-lights and noise. The study involved three healthcare units and in all the three, the frequency of call-lights declined following the implementation of the rounding strategy. The study aims at enabling nursing staff manage their workload effectively and increase the patient satisfaction outcomes. In particular, the hourly rounding was identified as essential in meeting patient nursing needs.
Ford, B. (2010). Hourly Rounding: A strategy to improve Patient Satisfaction Scores. MEDSURG Nursing, 19 (3), 188-191.
The article highlights the effectiveness of hourly rounding strategy in achieving positive patient and nursing staff outcomes using a case study. The aim of the case study involving Baltimore Washington Medical Center (BMC) was to evaluate patient satisfaction outcomes following the implementation of the intervention. It outlines how the hourly rounding strategy is undertaken at the hospital with specified actions to address pain, personal needs, patient positioning and placement at each hourly rounding. Using a sample of 57%female and 43%male patients at BMC, the researcher established a 52% decline in call light use and a significant improvement in patient safety. The researcher concludes that consistent hourly rounding is essential in promoting the patient’s safety, patient satisfaction and quality care.
Weisgram, B., & Raymond, S. (2008). Using Evidence-Based Nursing Rounds to Improved Patient Outcomes. MEDSURG Nursing, 17(6), 429-430.
This review entails a systematic approach towards improving healthcare in critical facilities such as Army hospitals and promoting evidence-based healthcare to reduce the risk medical errors. It involved a pilot project of various medical interventions at Madigan Army Medical Center (MAMC). Hourly nurse rounding, as a protective strategy of reducing falls, was implemented on telemetry ward of the facility. Subsequently, patient calls data was collected within a 24-hour cycle. During the pilot study, patient outcomes such as patient falls, patient satisfaction, and observance of the rounding chart and frequency of call light use were monitored. The results indicated a significant decline in patient falls and call lights, high patient satisfaction, and an excellent observance of the rounding cycle.
Gardner, G., Woollett, K., Daly, N., Richardson, B. (2009). Measuring the effect of Patient comfort Rounds on Practice environment and Patient satisfaction: A pilot Study. International Journal of Nursing Practice, 15, 287-293.
The article evaluates the hourly rounding intervention in a hospital setting as a way of increasing the level of patient satisfaction and improving the nursing environment. The research employed quasi-experimental non-randomized parallel group trial design to test for the effectiveness of the hourly patient rounding. The research involved two procedures; a Practice Environment Scale of the Nursing Work Index to evaluate the improvement of the nursing environment from the nurses’ perspective and a Patient Satisfaction Survey instrument to assess patient satisfaction with regard to the intervention. With regard to patient satisfaction, no significant changes were observed; however, the practice environment index showed changes in three out of the five subscales tested. The pilot study concluded that the patient rounding intervention produces a positive effect on the practice environment and potentially, on patient satisfaction.
Leighty, J. (2006). Hourly Rounding Dim call Lights. Nursing Spectrum. 1-2.
The article explores the reasons why patients often use call lights, and compares the views of different practitioners over the benefits of the hourly rounding intervention on patient and staff outcomes. It emphasizes the importance of this intervention in improving patient satisfaction and nursing efficiency. In particular, reduction in patient call-light use, patient falls, and skin breakdowns, as well as an increase in patient satisfaction, are identified as some of the benefits of the rounding strategy. Citing nursing practitioners and researchers on hourly rounding, the article supports the intervention because it motivates the nursing staff, and by extension, increases their satisfaction.
Meade, C. (2007). One-hour Rounding Positively influences Patient and Nursing Staff members. MHS Spring, 23-27.
The article examines the patient perceptions over the quality of a healthcare system occasioned by disconnect between healthcare marketing and the actual service offered. Using a total of 22 hospitals and 27 units, the researcher compared the one-hour and two hour rounding with a baseline measurement for a period of two weeks. In this study, the patient call lights declined significantly and patient falls decreased by half. In addition, the patient satisfaction increased following the implementation of the intervention. Overall, the one-hour rounding produced the best results. Furthermore, the one-hour rounding practice reported overall satisfaction with their work. From these results, the article recommends a one-hour rounding because of its positive patient and nursing staff outcomes.
Meade, C., Bursell, A., & Ketelsen, L. (2006). Effects of Nursing Rounds on Patient Call Light Use, Satisfaction, and Safety. American Journal of Nursing, 106(9), 58-70.
The article entails a study to determine the reasons and the rate of patient call- light usage, the impacts of a two-hour versus a one-hour rounding system on patient satisfaction and safety. In this study, the patient safety was determined by the frequency of patient falls. The study employed a quasi-experimental research design to collect data from 14 hospitals and 27 nursing units with the staff performing either an hourly or a two-hour rounding intervention. The results indicated that there was a reduction in the patient falls and a concomitant rise in patient satisfaction. The authors conclude that, an hourly or a two-hour rounding significantly reduces patient call-light usage and increases their overall satisfaction, as reflected in the reduction in the number of patient falls.
Orr, N., & Tratum, K. (2006). Hourly Rounding for Positive Patient and Staff Outcomes: Fairy Tale or Success Story? The Oklahoma Nurse, 11-22.
The article highlights the importance of hourly patient rounding in achieving positive patient and staff outcomes, reducing medical errors, and promoting staff job dissatisfaction. It outlines the implementation of the nursing intervention by Neil and Kristi at Medical Surgical Unit at Hillcrest Medical Center. The procedure for this intervention involved dividing the Unit into two sides with nurses making rounds at odd hours and techs on even hours. The positive patient outcomes achieved included a reduction in client complaints and less patient call lights as well as high patient satisfaction. The secretaries, professional staff nurses and the techs facilitated this intervention at the Unit. The challenges experienced during the implementation of this program included; educating the staff about the program, staffing fluctuation and lack of consistency in performing the checks.
Sobaski, T., Abraham, M., Fillmore, R., McFall, D., & Davidhizar, R. (2008). The Effect of Routine Rounding by Nursing Staff on Patient Satisfaction on a Cardiac Telemetry Unit. The Health Care Manager, 24 (7), 332-337.
The article involves a study of how the patient’s perception of care influences the nursing care given. In this regard, rounding is an appropriate instrument of assessing the patient’s perception of the care they receive. A regular rounding allows the patients to interact with the nurses, which shapes their perception over the quality of care given. In the study, the nursing care categories from a cardiac telemetry unit, after analyzing the results, showed a significant improvement of up to 90% in patient satisfaction of nursing care after one month of implementation of the rounding strategy.
Tea, C., Ellison, M., Feghali, F. (2008). Proactive Patient Rounding to Increase Customer Service and Satisfaction on an Orthopedic Unit. Orthopedic Nursing, 27(4), 233-240.
The article uses a data of 40000 observations collected from four hospitals to evaluate patient satisfaction. The results identified nursing responsiveness in time as an important strategy of achieving a high level of patient satisfaction in healthcare facilities. The study used a quality methodology dubbed the Plan-Do- Check-Act to improve staff responsiveness on orthopedic patients. By improving staff responsiveness to patient needs, the study results indicated an increase in patient satisfaction. The authors conclude that by meeting the patient needs through rounding enhances patient satisfaction.
Woodard, J. (2009). Effects of Rounding on Patient Satisfaction and Patient safety on a Medical-Surgical Unit. Clinical Nurse Specialist, 200-206.
The article covers a project that examines the effectiveness of the rounding intervention as a strategy of reducing patient uncertainty over a nurse’s availability to attend to his/her needs. The rounding intervention has been noted as necessary in increasing patient certainty over quality nursing care. The project used Mishel’s Uncertainty of Illness model to test the patient uncertainty during a two-hour rounding. The outcomes indicated a decline in patient call lights and an increase in patient satisfaction. The article concludes that routine presence of a nurse during a two-hour rounding considerably enhances patient certainty and trust in the care given.
Reference List
Bourgault, A., King, M., Hart, P., Campbell, M., Swartz, S., & Lou, M. (2008). Circle of Excellence. Nursing Management, 18-24
Culley, T. (2008). Reduce call light frequency with hourly rounds. Nursing Management, 39(3), 50-52
Ford, B. (2010). Hourly Rounding: A strategy to improve Patient Satisfaction Scores. MEDSURG Nursing, 19 (3), 188-191
Gardner, G., Woollett, K., Daly, N., Richardson, B. (2009). Measuring the effect of Patient comfort Rounds on Practice environment and Patient satisfaction: A Pilot Study. International Journal of Nursing Practice, 15, 287-293
Leighty, J. (2006). Hourly Rounding Dim call Lights. Nursing Spectrum. 1-2
Meade, C., Bursell, A., & Ketelsen, L. (2006). Effects of Nursing Rounds on Patient Call Light Use, Satisfaction, and Safety. American Journal of Nursing, 106(9), 58-70
Meade, C. (2007). One-hour Rounding Positively influences Patient and Nursing Staff members. MHS Spring, 23-27
Orr, N., & Tratum, K. (2006). Hourly Rounding for Positive Patient and Staff Outcomes: Fairy Tale or Success Story? The Oklahoma Nurse, 11
Sobaski, T., Abraham, M., Fillmore, R., McFall, D., & Davidhizar, R. (2008). The Effect of Routine Rounding by Nursing Staff on Patient Satisfaction on a Cardiac Telemetry Unit. The Health Care Manager, 24 (7), 332-337
Tea, C., Ellison, M., Feghali, F. (20080. Proactive Patient Rounding to Increase Customer Service and Satisfaction on an Orthopedic Unit. Orthopedic Nursing, 27(4), 233-240
Weisgram, B. & Raymond, S. (2008). Using Evidence-Based Nursing Rounds to improve Patient Outcomes. MEDSURG Nursing, 17(6), 429-430
Woodard, J. (2009). Effects of Rounding on Patient Satisfaction and Patient safety on a Medical-Surgical Unit. Clinical Nurse Specialist, 200-206