{"id":221,"date":"2024-10-30T18:59:30","date_gmt":"2024-10-30T18:59:30","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=221"},"modified":"2024-11-07T15:47:30","modified_gmt":"2024-11-07T15:47:30","slug":"changing-nursing-culture-to-embrace-hourly-rounding-with-purpose-abstract","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/changing-nursing-culture-to-embrace-hourly-rounding-with-purpose-abstract\/","title":{"rendered":"Changing Nursing Culture to Embrace Hourly Rounding with Purpose"},"content":{"rendered":"

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Primary Author:<\/td>\nMaria Gonzales, RN, AND, PCCN<\/td>\n<\/tr>\n
Co-Principal Investigators\/Collaborators:<\/td>\nAndreann Broglia, RN, AND, Grace Nabas, RN, MSN, Jennifer Borrelli, RN, BSN, Kathryn Jaramillo, MS,RN, CNS-BC<\/td>\n<\/tr>\n
Organization<\/td>\nEl Camino Hospital<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Abstract<\/h2>\n

Purpose<\/h3>\n

To determine if implementation of a staff-developed process for tailoring hourly rounding to patients\u2019 needs improved nursing culture and acceptance of the practice.<\/p>\n

Background<\/h3>\n

Ample research supports the benefits of hourly rounding on patient safety and satisfaction, decreased falls, decreased incidence of hospital acquired pressure ulcers and fewer call light usage (Halm, 2009; Ford, 2010). But how do you get buy-in from staff to create a meaningful culture change?<\/p>\n

Materials & Methods<\/h3>\n

Bedside nurses and nursing assistants on a Stroke-Telemetry Unit reviewed evidence and collaboratively determined a strategy: leaders from each shift as trainers\/mentors, sharing the hourly rounding commitment, and adapting the rounds to meet the specific needs of each patient. Before and after implementation, staff were surveyed for perceptions on a) current communication with patients; b) attitudes toward hourly rounding; and c) how purposeful rounding should be done.<\/p>\n

Results<\/h3>\n

At baseline, staff were not completely satisfied with communication with their patients, but uniformly agreed that frequent interactions would improve safety. They conveyed the need to shape hourly rounding to be realistic and applicable, and had mixed opinions regarding a script vs. daily determination between nurse and patient on rounding purpose. After implementation of a program of hourly rounding that was tailored to the shift, nurse, and flexibility of patient needs, staff satisfaction with interactions with patients improved significantly (p=.036).<\/p>\n

Conclusion<\/h3>\n

Tailoring rounding to match the unique culture of each unit and allowing frontline staff to decide on best-fit rounding strategies have facilitated support for this patient-centered practice. A gradual implementation process has been embraced and champions have been made who are establishing ownership in this new environment. When stories of success are communicated by their peers, nurses are more likely to feel positively about the program. Improvement in nurse satisfaction with patient interactions may be a result of this empowerment of frontline staff in designing change.<\/p>\n

Bibliography<\/h3>\n

Davies, K. (2011). Hourly patient rounding: Effective programs decrease call bells and falls, and increase patient and staff satisfaction. Advance for Nurses. Retrieved from\u00a0http:\/\/nursing.advanceweb.com\/Continuing-Education\/CE-Articles\/Hourly-Pa…<\/a><\/p>\n

Federwisch, A. (2008, September). Collaboration helps hospitals fine-tune hourly rounding. Nurse.com. Retrieved from\u00a0http:\/\/news.nurse.com\/apps\/pbcs.dll\/article?AID=\/20080908\/CA01\/109080109<\/a><\/p>\n

Ford, B. (2010). Hourly rounding: A strategy to improve patient satisfaction scores. Medsurg Nursing, 19(3), 188-191.<\/p>\n

Halm, M. (2009). Hourly rounds: What does the evidence indicate? American Journal of Critical Care, 18(6), 581-584.<\/p>\n

Leighty, J. (2007, January). Hourly rounding strategy dims nurse call light volume. Nurse.com. Retrieved from\u00a0http:\/\/news.nurse.com\/apps\/pbcs.dll\/article?AID=200770111056<\/a><\/p>\n

Mazurek-Melnyk, B. (2007). The latest evidence on hourly rounding and rapid response teams in decreasing adverse events in hospitals. Worldviews on Evidence-Based Nursing, 4(4), 220-223.<\/p>\n

McCartney, P. (2009). Hourly rounds: An evidence-based practice. The American Journal of Maternal\/Child Nursing, 34(5), 327.<\/p>\n

Meade, C., Bursell, A., & Ketelsen, L. (2006). Effects of nursing rounds on patients\u2019 call light use, satisfaction and safety. American Journal of Nursing, 106(9), 58-70.
\n\u00a9 Improvement Science Research Network, 2012<\/p>\n

The ISRN\u00a0published this as received and with permission from the author(s).<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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