Hourly rounding - Essay Example

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Hourly Nursing Rounds Name Institution Tutor Date Hourly Nursing Rounds Introduction Hospital ratings and rankings are becoming accessible to the public and nursing care providers are shifting their attention to patient satisfaction. Patients who receive quality care provide high ratings and there is likelihood of returning to the hospital (Bourgault, King, Hart, Campbell and Swartz, 2008)…
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Hourly Nursing Rounds Hourly Nursing Rounds Introduction Hospital ratings and rankings are becoming accessible to the public and nursing care providers are shifting their attention to patient satisfaction. Patients who receive quality care provide high ratings and there is likelihood of returning to the hospital (Bourgault, King, Hart, Campbell and Swartz, 2008). Timely responses by hospital staff to patient needs and request have a direct relationship to patient satisfaction. Reliability, responsiveness, and effective communication have an impact in providing patients with the comfort required in the hospital (Castledine, 2002). Quality care keeps the patient fully informed, allows the patient to retain control through active participation. Hourly nursing rounds allow nurses to provide scheduled treatments and interventions. This provides proactive patient care compared to reactive care when nurses respond to bells and lights (Dutton, 2003). During hourly shifts, incoming nurses introduce themselves to patients and define the time period they will be attending to the patient (Miller, 1997). This helps create a nurse-patient relationship that is necessary when providing satisfactory intervention (Ford, 2010). During each hourly visit, the nurse provides assistance such as visiting the bathroom, conducts repositioning to ensure the patient is comfortable and provides appropriate intervention such as ensuring the patient is not in pain (Halm, 2003). The patient gets the chance to request for anything else that the nurse can do or provide. Hourly rounds decrease patient falls, increase patient satisfaction and decrease the number of call lights. Hourly care helps reduce decubitus ulcers when patients are repositioned frequently (Meade, Bursell and Ketelsen, 2006). PICOT Question In an adult patient in the acute care setting (P) what are the effects of hourly rounding (I) on patient safety and patient satisfaction(O) compared with providing scheduled treatments and responding to call lights (C)? Purpose This proposal aims at replacing call bells and lights with hourly nursing rounds. The nursing care facility relies on call lights and bells alerts when providing care for patients. This is a form of reactive intervention by nurses. In most cases, nurses are interrupted while attending to a patient so that they can answer a call bell. They are forced to answer call bells and call lights for patients that were not in the schedule for treatment. This affects the efficiency of nurses when providing treatment and interventions. Introducing hourly rounds would improve patient satisfaction, nurses’ efficiency, and reduce resources used by the hospital. Advantage Hourly rounds would introduce shifts that decrease staff overtime and introduce better time management. Currently, nurses working beyond the normal working time require extra payment as per the overtime work agreement. Patients falling from beds and those who develop decubitus increase hospital costs due to the need for specialized care. Introducing hourly rounds would reduce hospital costs (Sheedy, 1989). A silent environment is required in hospitals since patients are disturbed by noise. Relying on call bells increases the noise levels within the hospital due to frequent buzzing by patients requiring assistance. Hourly rounds are shared among nursing teams, and the names of the current team are updated on the white board. This introduces accountability by nurses as they assume full responsibility for patients in the hospital (Olrich, Kalman and Nigolian, 2012). Implementation Plan Hourly nursing will be performed on an hourly basis between 0600 and 2300. They will be conducted every other hour between 2300 and 0600. Patients will not be woken up between 2300 and 0600 unless for those requiring scheduled intervention such as pain management. The nursing team will be divided into two; one team will provide rounds on even hours and the other on odd hours. The nurse in charge will have a list of the nurses conducting rounds during every shift. The nursing will undergo 15-20 minute training on the basic requirements and importance of hourly rounding. The head nurse will conduct monthly reviews on the effects of the nursing rounds on patients, nurses, and management. Checklists will also be issued to assess the competency of nursing on the subject of hourly rounding. Staff members who fail the assessment will undergo further training on the importance of the hourly rounds. Patients will receive questionnaires evaluating their satisfaction during the period of their admission. Conclusion Satisfaction is a perception of a patient regarding the type of services and treatment provided. Patients require timely responses by nurses, and they have to build confidence on the nursing practices at the care facility. Hourly rounding is a proactive nursing approach aimed at improving patient satisfaction. Hourly rounds eliminate the need for overtimes by nurses and reduce the number of patient falls. Nurses also have a planned schedule for treatment and intervention, which eliminates abrupt reaction when the call bell rings. These rounds reduce stress on nurses by freeing time and decreasing frustration by introducing timely shifts. References Bourgault, A., King, M. M., Hart, P., Campbell, M., & Swartz, S. (2008). Circle of excellence. Nursing Management, 39(11), 18. Castledine, G. (2002). Patient comfort rounds: A new initiative in nursing. British Journal of Nursing, 11(6), 407. Dutton, R. (2003). Daily multidisciplinary rounds shorten length of stay for trauma patients. Journal of Trauma, 55(5), 913-919. Ford, B. M. (2010). Hourly Rounding: A strategy to improve patient satisfaction scores. Medsurg Nursing, 19(3), 188-191. Halm, M. (2003). Interdisciplinary rounds: Impact on patients, families, and staff. Clinical Nurse Specialist, 17(3), 133-142. Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of Nursing Rounds on Patients' Call Light Use, Satisfaction, and Safety. American Journal of Nursing, 106(9), 58-70. Miller, E. (1997). Nurse call systems: impact on nursing performance. Journal of Nursing Care Quality, 11(3), 36-43. Olrich, T., Kalman, M., & Nigolian, C. (2012). Hourly Rounding: A Replication Study. Medsurg Nursing, 21(1), 23-36. Sheedy, S. (1989). Responding to patients: The unit hostess. Journal of Nursing Administration, 19(4), 31-33. Read More
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