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Patient Hourly Rounding - Term Paper Example

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Patient Hourly Rounding Introduction Patient safety and patient satisfaction are at the heart of nursing practice, and vital to the sustenance of any health care institution. This importance of patient safety and patient satisfaction means that innovative approaches to deliver these patient oriented factors should be the objective of nursing care and the health care institutions, which deliver patient care services…
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Patient Hourly Rounding
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Download file to see previous pages This understanding only reinforces the need for changes in the delivery of nursing care and health care services, towards excellence in ensuring patient safety and patient satisfaction. To satisfy this objective, however, the best means to changes that provide it have to be uncovered (Grove, 2008). Patient Hourly Rounding The concept of patient hourly rounding originated in England, where it was termed patient comfort rounds. Patient hourly rounding is built on predetermined definite protocols. The norm for protocols in patient hourly rounding is founded on four P’s, which stand for pain, personal needs, positioning, and placement. Other issues that could be a part of the protocol for hourly rounding include changing of dressings, administration of medications, and patient education. The concept of hourly rounding is based on compassionate care, and the strengthening of interpersonal relationship between the patient and the nurse, with the essential ingredient of anticipation of the needs of patients and meeting these needs (Charmel, Frameton, & Plantree, 2009). Patient hourly rounding are, thus a systematic nursing function that consists of nurses undertaking bedside rounds of patients, with a specific set of actions, and conducted over specific intervals. Thought the ultimate goal in patient hourly rounding is patient safety and patient satisfaction, the immediate objective is prevention of potential patient problems or to inhibit exacerbation of actual problems (McCartney, 2009). Recommended Change Patient hourly rounding is the recommended change in nursing care practice. The specific actions included in the patient hourly rounding are: Greet the patient Inquire if the patient needs toileting, pain control, repositioning, and blanket Place call light, telephone, tissue box, bed table, and TV control within convenient reach of the patient Provide mouth care, if required Give oral fluid, if required Provide any clarifications sought by the patient Inquire if the patient requires any other assistance Inform the patient when the next round will be performed (Adapted from Gardner et al, 2009, & Olrich, Kalman & Nigolian, 2012). The specific time interval will be hourly rounding. Evidence suggests that hourly rounding is superior to bi-hourly rounding in delivering patient safety and patient satisfaction (Meade, Bursell & Ketelsen, 2006). Theoretical Framework Lewin’s Change Model is an early model for planned change. The concept in this model is that a static state of behaviors in an organization occurs when the forces pushing for change and the forces striving to maintain status quo are almost equal. In other words, change is possible only when the forces pushing for change is increased, and the forces striving to maintain status quo is decreased. Lewin’s change model recommends a three step process towards attaining this objective in planned change. The first step is unfreezing, which consists of reducing the forces striving to maintain status quo. In this case, the first step is reducing the support among nurses for opposition to patient hourly ro ...Download file to see next pagesRead More
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