Premium Essay

Hourly Nursing Rounds

In: Science

Submitted By cutbuddy
Words 1023
Pages 5

Hourly Rounding Decrease Falls, Call Light Usage and Increase Patient Satisfaction
Jacqueline Madison
Grand Canyon University
Introduction to Nursing Research
NRS 433v
Diana Nassar
August 12, 2012

Hourly Rounding Decrease Falls, Call Light Usage and Increase Patient Satisfaction
Hourly rounding is a continuing challenge for hospitals across the United States. What’s effective about this method is that it has brought some positive changes to some Health care facilities. There are three factors that have been constantly tested to improve patient care. These factors are: 1) fall rates 2) call light usage and 3) overall patient satisfaction. Previous researchers have done experiments that may have helped with improving the three factors. Reduction in patients’ injury due to falls is one of the safety goals of the Joint Commission. Research would suggest that patient’s falls can be damaging to the patient, their family members, staff, and can cause increase in health care cost.
Prior studies have acknowledged the importance of fall prevention and patient satisfaction in hospital settings. Nurses, who are the primary care-giver for the patients, are the central impact of patient care. Therefore, the researchers depended on the medical-surgical nurse specialists (CNS) and nursing managers (NM) to make sure that all the patients’ needs were met in order to address the factors mentioned before. The researcher’s purpose for this study was to show the effect that hourly rounding has on the three factors: fall rates, call light usage, and patient satisfaction. Questions that the researchers had prior to the experiment were educationally answered by other researchers. Three previous studies showed that hourly rounding decreased call light usage and increased patient...

Similar Documents

Premium Essay

Project Plan Hourly Nursing Rounds

... Date: _3/25/12_____ Topic: Hourly Nursing Rounds to Improve HCAHPS Scores * Clearly state the proposed project (what do you plan to do): Implement hourly nursing rounds on the Progressive Care Unit at SPGH to improve patient satisfaction. Hourly nursing rounds have been shown in evidenced based practices to not only improve patient satisfaction but also help to reduce patient falls and reduce the occurrence of decubitus ulcers. Not only does hourly nursing rounds help the before mentioned items it also serves to reduce the call light usage by patients thereby increasing productivity for nurses (Culley, 2008). The proposed project includes education of the nursing staff on PCU to the initiation of hourly nursing rounds, including evidenced based research showing how regular rounds helps to improve patient satisfaction and safety. Described potential or real barriers and solutions (financial, political, social, etc) and methods that will or could be used to address these barriers: Some potential barriers could be reluctance by the nursing staff to participate in the hourly nursing rounds due to the feeling that they do not have enough time to complete these hourly rounds. By providing the unit with appropriate staff and helping to reduce or eliminate their fears by providing them with the research gathered can hopefully achieve this goal. Also by showing them that call light frequency will be lower when hourly rounds are completed they may be less......

Words: 1057 - Pages: 5

Premium Essay

Hourly Rounds Reduces Patients

...Hourly Rounds Reduces Patients’ Frequent Call Lights and Improves Safety. Christian Oyibe NURS 8103 Evidence Based Practice. Governors State University Professor Somi Nagaraj, MSN, DNP. June 5, 2013. Introduction The nurse call light is an important tool in which patients used to get the attention of nurses during hospitalization. It is one of the many means by which patients can exercise control of their health care. It is done to seek the nurses’ attention for help during inpatient hospitalization. The ideal situation is that when the patient pushes the call light, the nurse or the staff will be there to find out what assistance the patient needs. However, when these calls are made by patients, and there were delays in response time, this will in turn lead to frustration in most cases, and the patient will attempt activities that threatened their safety, thereby leading to falls and other safety issues. In most inpatient hospital or other health care facilities, call lights are made by residents or patients who need bathroom or bedpan assistance. The problem......

Words: 2171 - Pages: 9

Premium Essay

Nurses Questionaire on Perception of Hourly Rounds to Prevent Falls

...Running Head: Hourly Rounds and Patient Falls 1 Keeping patients safe while they are in the hospital is a priority to all members of the healthcare team. Patient falls contribute to a greater length of stay for the patient and contribute to increased injuries and longer periods of time before they can regain independence. It can also result in them being out of work longer than anticipated. "The average hospital stays for patients who fall is 12.3 days longer, and injuries from falls lead to a 61 percent increase in patient care costs" (American Nurse Today, March, 2011) Nationally, hospitals are now being threatened with the possibility of not being reimbursed for injuries resulting from falls. Two nursing students at the Massachusetts College of Pharmacy and Health Sciences researched the need for hourly rounding to prevent patient falls and injury. While the reason for falls may vary, one way proposed to reduce patient falls was hourly nursing rounds on the patients. Armed with The Joint Commissions' National Safety Goals and the nurse's concern over the safety of their patients, a decision was made that hourly rounding should be implemented and that this would decrease the number of falls. Specific questions identified were: Is there a difference between......

Words: 586 - Pages: 3

Premium Essay

Qi Plan Part 1

...QI Plan Part I Nia Coerbell HCS 588 January 27, 2015 Professor Horton According to a recent survey, the quality of service of Davis Health Care needs improvement. Research suggests that patient safety measures like hourly rounding by nursing personnel positively impacts patient fall rates, call light usage and overall patient satisfaction (Olrich et al., 2012, p. 25). Patients are likely to recover and thrive in an environment where they know that they are being acknowledged, monitored and their concerns are being addressed. Health care facilities that have instituted hourly rounding, where nursing staff (e.g. registered nurses, licensed practical/vocational nurses and nurse aides) check in on the patients and inquire of the needs of patients on an hourly basis, have been faced with barriers prior to implementation. Many of the nursing staff would reluctant toward the idea of practicing hourly rounds as this is often perceived as time-consuming strategy. However, if we institute hourly rounding at Davis Health Care, we will notice remarkable improvement in our next survey scores. The Model for Evidence-Based Practice Change by Rosswurm and Larrabee (1999) suggests that the initial step is to search for where there is a need for change in the clinical setting. Once an improvement team (consisting of unit managers, nurse researchers, quality improvement nurses, a statistician, etc.) forms, we find ways to identify an improvement goal. Unstructured brainstorming allows......

Words: 1255 - Pages: 6

Premium Essay

Effects of Nurses Rounds on Patients Call Light Use Satisfaction and Safety

...A Critique of the Literature Effects of Nursing Rounds: on patients’ Call Light Use, Satisfaction and Safety. Introduction: The findings of this article will critically review the methods of research, population, systems and data used to obtain results regarding this study. This evaluation of the outcome would determine whether or not there was a need to change the nursing management of patient care. The study would determine if patients were happy with their care and if the rate of falls were minimised. In the health care setting, the call light is an important communication tool for the nursing staff and patients especially in an emergency situation. Title: The title clearly summarises the content of this Journal article which suggests there was either a qualitative or quantitative designed research data used to conclude the findings. There was limited context which was not clearly defined (Meade et al.2006, p 58). Abstract: This is succinct, meaning the writer has been brief and precise with the back ground information about the research article. This...

Words: 2370 - Pages: 10

Premium Essay


...that is scheduled to help ease the patient during the post-surgical time frame. One of the side effects of anesthesia exiting the body is nausea and vomiting which can make the patient feel dizzy and lightheaded, thus making them a great risk for falls. This has been the reason that the topic was chosen; to attempt to improve this issue in the hospital setting and to provide a system in which all hospital staff collaborate to help increase the quality of patient care. The location that is being observed is the post-surgical/orthopedic floor where the author is currently working. A description of risks and concerns are provided and patient outcomes depend on implementing the proposed interventions. The two solutions that are presented are hourly rounding and the importance of an improved nurse call light button and education on proper usage. Each intervention is supported by evidence-based practice peer-reviewed journal articles. The proposal will show the improvements of patient safety and increased patient compliance to hospital staff, physicians, and administration. A power point presentation that will be presented on Appendix B will also be used to highlight key points of the proposal. Another tool that will be used is...

Words: 8460 - Pages: 34

Free Essay

Nurses Perception of Patient Rounding

...Research Critique: Nurses’ Perception of Patient Rounding by K. Neville, K. Lake, D. LeMunyon, D. Paul, K. Whitmore Introduction to Nursing Research February 19, 2012 Research Critique: Nurses’ Perception of Patient Rounding by K. Neville, K. Lake, D. LeMunyon, D. Paul, K. Whitmore Hourly rounding may be described as the purposeful checking of assigned patients at regular intervals. When rounding on patients, nursing staff do so with the intent of checking the “4P’s”- pain, position, potty (the need to toilet), and proximity of personal items and safety measures (call light, phone, side rails etc.) (Halm, 2009 pg 581). Evidence reveals that when doing purposeful patient rounding, falls decreased, use of call lights decreased, and patient satisfaction scores increased. However, the majority of studies did not include evaluate nurses’ the perception of whether hourly rounding would benefit their own practice. So while hourly rounding may increase patient safety and satisfaction outcomes; this study evaluates whether hourly rounding will increase or decrease nursing job satisfaction and what factors may influence their views. Somerset Medical Center (SMC), a 350-bed medical center located in New Jersey implemented hourly rounding over a six-month trial period, which proved to increase patient satisfaction and perception of pain management while decreasing the fall rate and use of call light. However, the postproject did not include an evaluation of the nurses’...

Words: 913 - Pages: 4

Premium Essay

Research Critique, Part 2

...Research Critique, Part 2 Introduction to Nursing of Nursing Nursing 433v October 26, 2013 Research Critique, Part 2 Introduction Improving patient satisfaction has been the forefront of nursing for the past decade. Many studies have been executed to assess practice and procedures that will improve patient satisfaction and patient safety. Nursing leadership and bedside nursing staff play a pivotal role in transforming bedside nursing. A critical appraisal was conducted in Australia by Gardner, Woollett, Daly, & Richardson, (2009) on measuring the effect of patient comfort rounds on practice environment and patient satisfaction: a pilot study. This research aimed to test the effect of a model of practice that enhanced the role of the assistant-in-nursing (AIN) on a skill mixed unit (Gardner et al, 2009). Gardner et al, 2009 adopted a quasi-experimental pilot study using a non-randomized parallel group trial design. The purpose of this paper is to identify if hourly rounding will upturn patient safety and satisfaction during their hospitalization. Protection of Human Participants. The authors of this study did not disclose any risk related to the study, however, one main benefit is this is a pilot study assessing techniques and tools for a larger study in the future. The piolet was regulated over an eight week span within a matched surgical unit including an experimental and control group. The intervention unit includes a sample of 61 consenting patients and 23...

Words: 959 - Pages: 4

Premium Essay

Care Delivery Model

...of Health Improvement (IHI), “patient-centered family care is care through a patient’s experience that is coordinated, informed and grounded in respectful interactions with providers that are consistent with the patient’s values, expectations and care decisions” (Balik, 2011). Evidence-based practice has drastically increased this past decade with one of its cornerstones being “patient-centered care and nursing being at the frontline to lead this change. Professional nurses are prepared to effectively lead the healthcare team to achieve patient and organizational goals. Patients are unique in every facet of their needs and therefor multiple disciplines are critical to best deliver patient-centered outcome (Cama, 2009). Nursing executives must develop an effective patient-centered care delivery model with the highest quality, cost effective and patient satisfaction. Patient care model must be line with the mission and vision of the organization in order to meet quality and financial goals. The care model will be developed using a multidisciplinary team approach lead by nursing while developing an...

Words: 1281 - Pages: 6

Premium Essay

Care for the Frail Older Patient

...Care for Frail Older Adults” is outlined. IHI states that the purpose of this process is to “Ensure coordinated, reliable, and safe care for frail older patients as they enter the hospital.” As the title of the map indicates this patient process is related to the care of our older adult patients. The IHI website indicates that it would be moderately challenging to implement this patient process for the following reason “Either it involves multiple units or disciplines OR requires a substantial shift in culture an/or operations, but not both of these.” This patient process will need to be implemented in any medical facility that may treat the frail older adult including medical, surgical and emergency departments of hospitals along with nursing homes and intensive care units and also in the transfer of care between the above-mentioned agencies. This patient process aims towards delivering safe, fair, and evidence –based care for our older adult patient population. Elements of the Patient Care Process The frail older adult patient care process involves three important elements; implementing standard processes, appropriate...

Words: 1496 - Pages: 6

Premium Essay

Accreditation Audit

...Accreditation Audit AFT Task 4 Regulatory Audit Organization Plans Compliance Facility Compliance The following represents the level of compliance in the pain assessment area of patient care that was audited for Nightingale Community Hospital: There were 3 departments audited for Pain Assessment compliance over a 12 month period, NIGHTINGALE COMMUNITY HOSPITAL averaged 86.94% compliance. Audit | Audit Period | Location | Compliance % | Pain Assessment | 12 Months | ED | 70.66% | Pain Assessment | 12 Months | 3E | 93.5% | Pain Assessment | 12 Months | PACU | 96.66% | There were 3 departments audited for Pain Reassessment compliance over a 12 month period, NIGHTINGALE COMMUNITY HOSPITAL averaged 80.415 % compliance. Audit | Audit Period | Location | Compliance % | Pain Reassessment | 12 Months | ED | 54.83% | Pain Reassessment | 12 Months | 3E | 92.916% | Pain Reassessment | 12 Months | PACU | 93.5% | The following are the results of the audit that was completed for use of prohibited abbreviations in an aggregate of ICU, Telemetry, 3E and 4E over a 12 month period: Audit | Audit Period | Abbreviation | Occurrences per 50 opportunities | Prohibited Abbreviations | 12 Months | “cc” | 33.75 | Prohibited Abbreviations | 12 Months | “qd” | 15.916 | Fire Dill History of drills held once per shift per quarter over a 12 month period: Quarter | Shift 1 | Shift 2 | Shift 3 | Compliance Analysis | 1st (Jan-Mar) | √ |......

Words: 1812 - Pages: 8

Premium Essay

Fall Prevention

...Falling in adults 65 and older is a complex problem confronting public health, the health care system and families. Statistics alone do not begin to measure the pain, suffering and loss of independence that are experienced by older adults who fall, but a number of trends highlight the magnitude of the problem: o Falling accounts for 80-95% of hip fractures in older adults. o The rate of fatal falls increases dramatically with age. o Falls are the leading cause of injury deaths for older adults. o Among adults 75 and older, those who fall are four to five times more likely to be admitted to a long-term care facility for a year or longer. (Mission Hospital Data, Risk Management, 2012) For decades, hospitals and other health care organizations have integrated to understand the contributing causes of falls, to minimize their occurrence and resulting injuries or deaths. Today, organizations have begun reaching out to each other for collaboration on the best ways to prevent falls. Based on Centers for Disease and Prevention (2012) data, each year one in three older Americans (65 and older) falls and about 30% of those falls require medical treatment. Falls are not only the leading cause of fatal and nonfatal injuries but also the most common cause of hospital admission for trauma. More than $19 billion annually is spent on treating the elderly for the adverse effects of falls: $12 billion for hospitalization, $4 billion for emergency department visits, and $3 billion for......

Words: 1467 - Pages: 6

Premium Essay

Transcultural Case Study

...Assumptions can lead to stereotypes and unfair judgments about individuals. Some of Becca’s assumptions are cultural stereotypes, such as immigrants being poor and lacking insurance and the Chinese being unable to speak English. Even though Becca was well meaning, her stereotypes did not serve her or her patient. Deductive reasoning uses general information to come to a specific conclusion. This is one ingredient of critical thinking skills used by nurses to form nursing judgments and make decisions on plans of care. Becca used deductive reasoning in this situation based on her previous encounter with Chinese diabetic patients. However, Becca’s assumptions and stereotypes were incorrect and thus lead her to a false conclusion. Stereotyping affects the nurse and the patient and results in unequal treatment. Nurses who engage in stereotyping will be unable to see their patient as a unique individual because of the distortion stereotypes create. Stereotypes become barriers to appropriate, individualized nursing care, which leads to poor patient outcomes. Patients who have been stereotyped will be more distrustful of the healthcare industry. They then may withhold information, delay care, miss follow-up appointments, or be noncompliant because they do not feel valued or understood. I was guilty of stereotyping a 34 year old male patient who was admitted for IV antibiotic therapy for cellulitis; he was a heroin addict. When I heard heroin – I...

Words: 594 - Pages: 3

Premium Essay

At-Will Employment

...relationship where there is no contractual obligation to remain in the relationship; either party may terminate the relationship at any time, for any reason, as long as the reason is not prohibited by law, such as for discriminatory purpose.” (Bennett-Alexander, D. & Hartman, L. 2007). The employment-at-will is actually a concept that my current company speaks about weekly to our employees. I currently work for a staffing and recruiting firm that employs candidates in engineering, nursing, administrative, and IT roles in the state of Michigan. Discussion on this topic is weekly due to what my company’s actions are. Since we do employ candidates, we have to discuss the at-will scenario. This does not just apply to our candidates we staff out but to our recruiters and staff members as well. We are employed at the employer’s discretion and have a strict policy on our employment. If goals and matrix are not met, there is a disciplinary action. This results in counseling with team leaders and managers. The first round is verbal consult which describes what is going on. If the matrix is still not achieved, a written warning will than issued allowing the recruiter or employee to have at least 30 days to improve. After the time frame, if the matrix is not met and no movement has taken place, the employee is than let go. Within our organization, the disciplinary action is not the only way employment-at-will is put in action. Other examples of include an employee interviewing with......

Words: 916 - Pages: 4

Free Essay

Healthcare Burnout

...Dealing with Compassion Fatigue Being a nurse is the best, most rewarding career in existence! I thank God every day that I have found my passion in life. However, it is equally the most physically and mentally draining job there is. At the end of a twelve hour day, there is often times nothing left for myself or my family. Compassion fatigue is a real challenge that plagues all nurses. No one is invincible. Combining the stresses of life at home with the stresses of simply being a nurse, this fatigue can be severe and debilitating. Knowing how to recognize the warning signs of compassion fatigue and being aware of the potential causes will help one cope. Also knowing what the personal needs of the caregiver are, and coping strategies and resources for combating compassion fatigue will equip the nurse to be successful and to continue to give the best treatment every patient deserves. Signs of Compassion Fatigue All of the sudden this heavy, gray, gloomy feeling starts to weigh on the nurses shoulders. The feeling has slowly been accumulating until it can no longer be carried around. It is called compassion fatigue. Wouldn’t it be nice if you could learn the warning signs and symptoms and head it off at the pass? ‘Some warning signs of compassion fatigue include lack of enjoyment in day-to-day activities, not deriving any joy from things that used to excite you before, difficulty in concentrating on any task, feelings of anxiety and perpetual fear, feelings of...

Words: 1273 - Pages: 6