Effect of Hourly Rounding on Clients' Satisfaction in a Pediatric Facility - Research Paper Example

Effect of Emergency Department Staff Hourly Rounding on Satisfaction in a Pediatric Facility Nursing rounds has been an effective tool utilized by the nurse to efficiently give care to clients. This study will cover the effect of nurses’ hourly rounds specifically for clients in the emergency department of a pediatric facility. This study will go over the level of patients’ satisfaction with regards to the service given by the ER staff nurses with regards to patient care, the level of satisfaction of clients with the level of communication incurred within the hospital facility with regards to clients concern and the level of client satisfaction with regards to their overall stay within the emergency room.

This study will be helpful in both clients and nurses alike in terms of receiving and giving quality healthcare and improving in areas that needs more improvement. As well as to the management in assuring their clients of the best service they can provide and monitoring the competitiveness of their staff and policies and procedures that would address issues otherwise. Key words: staff hourly rounding, clients’ satisfaction Effect of Emergency Department Staff Hourly Rounding on Clients' Satisfaction in a Pediatric Facility A.

Statement of Purpose Pediatric patients are the one of the hardest patients to assess, since verbalization of precisely what they feel is a consideration and oftentimes results into crying schemes to let others know that something is wrong. In a pediatric facility it is important that the nurse establishes a good caring relationship with the family of a child since they are most of the time the ones calling the attention of the nurse regularly due to panic and irritability out of the patient’s condition.

This is a very common scenario especially inside the emergency room, where every patient wants to be attended with the notion that their patient is an emergency case that needed immediate attention. With the bulk of patients an emergency room nurse has to attend, it is an impossible thing to be at the patient’s bedside all the time and watch the patient’s condition improves or worsens. Since level of nursing care has developed over the years, nurses have bridged through the impossible to provide patients with the best care and satisfaction.

Nurses have developed a way to assess patients on a regular manner through a basis of a regular nurse rounding --intentionally checking on patients at regular intervals (Halm, 2009, p. 581). Since then, nursing rounds has been an important nursing tool that lets the nurse interact dynamically with the patient by attending to comfort, safety, and environmental needs that may prevent adverse events like falls, pressure ulcers, or unrelieved pain that contributes highly to patients’ total satisfaction with the nursing care provided (Halm, 2009, p. 581). Hourly rounding is a systematic, proactive nurse-driven evidence-based intervention to anticipate and address needs in hospitalized patients (Deitrick et al. 2012, p. 13).

This study is intended to find out the effect of nurses rounding on patients’ satisfaction especially in a pediatric facility that would be helpful to the staff and the management in providing the best care that would benefit highly satisfied patients and their family. B. Nature of the Study and Hypothesis/ Research Question This study is intended to find out the effect of Emergency Department staff hourly rounding on clients' satisfaction in a pediatric facility. Within its context it will define the positive outcomes of the staff hourly rounding and its effect on the level of satisfaction of clients within the facility and how it may affect provision of care and clients’ overall assessment of their stay that will be helpful in bettering the way care is given in the facility.

The study will be guided with the following hypothesis: A. Hourly rounding has an effect on client's satisfaction with staff The study will characterize the effect of hourly rounding on clients’ satisfaction with the kind of service the staff is giving. In this way the staff is evaluated of how they relate and interact with clients that would evaluate their interpersonal and social relating skills in dealing with different kinds of clients. This benefit both parties that clients are assured of receiving the best service from staff nurses as well as benefiting the nurses in improving their interpersonal and communication skills. B. Hourly rounding has an effect on client's satisfaction with regards to area of communication The study will likewise classify the effects of hourly rounding on the degree of clients’ satisfaction with regards to the flow of communication within the facility.

This will cover for the nurses’ initiative and making client’s feel their concern in anticipation of the patient’s condition and the current plan of action. In this context will cover the nurses proper way of delivering communication to clients be informing them of pertinent data that they needed to know even from the simplest way of giving medications to alleviate the patients doubt instead gain the client’s trust that they are informed and given proper care of a trustworthy competitive nurse. C. Hourly rounding has an effect in over-all assessment (e.g. over-all rating of care, likelihood of recommending).

The study is intended to find out the effect in the totality of care given in the facility whether the client have been satisfied and have built trust with the institution and will definitely assure them of a return visit if situation permits. In the likely manner satisfied clients not only boosts the facility’s reputation as a trusted facility but the likelihood of increasing the number of clients by advertisement purely on satisfied clients’ word of mouth is the best possibility. Research Questions: In order to gain better outcome in finding the effect of nurses’ hourly rounds on patients’ satisfaction, the clients’ opinion regarding the staff, the communication process and the overall assessment of the visit in the emergency room department are solicited by means using a likert scale on basis of the following questions.

Please put a check within the space ( ___ ) beside the intended answer. 1. How do you rate your satisfaction with the staff in terms of the following? a. staff courtesy at all times ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) b. approachable and makes self available to your concerns ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) c. attends to you and your child’s needs adequately ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) d.

keeps you informed about your child's treatment ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) e. follows up your child’s condition on a regular basis ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) 2. How will you rate the communication process within the emergency room with regards to your child’s concern? a. how well were you informed of your child’s condition? ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) b. How well you were updated with plan of care?

___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) c. How well were you informed of test results? ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) d. How well you were kept informed about delays? ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) e. keeps you notified of other things that might be of concern regarding your child’s treatment ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) 3. How will you rate you and your child’s over-all visit in our Emergency Department? a. Over-all rating of care received during your child's visit ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) b.

likelihood of visiting our emergency department if situation permits ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) c. likelihood of recommending our ER to others ___very poor (1) ___poor (2) ____fair(3) ___good (4) ___very good (5) References Deitrick L., Baker K., Paxton H., Flores M. & Swavely D. (2012) Hourly Rounding Challenges With Implementation of an Evidence-Based Process. Journal of Nursing care Quality (27) 1, pp. 13-19 Halm M. (2009) Hourly rounds: What does the evidence indicate?

American Journal of Critical-Care, (18) 6, pp. 580-584