Preview

Hourly Rounding: Does It Really Make a Difference?

Good Essays
Open Document
Open Document
1263 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Hourly Rounding: Does It Really Make a Difference?
Identification of broad, evidence-based practice topic Hourly rounding is something that has been around for a while. One of the first things we learned in nursing school was that you should check on your patient every hour or every 2 hours (depending on nursing aid assistance). I started my research by looking at what hourly rounding entails. From there I found the majority of articles that think hourly rounding really does affect patient care and only a few opinion articles that think the opposite.
Develop a focused question Since there were so many articles on hourly rounding, picking through them to find ones that related to the direction I was going with my research was really difficult. The main question that came into my head when thinking about hourly rounding was, does it really make a difference in patient care or just patient satisfaction? Hourly rounding is used for an assortment of reasons. Anticipating patient’s needs before they have to ring the call bell, along with patient safety are key reasons for hourly rounding. The majority of the articles I found focused on patient satisfaction. Although patient satisfaction is a huge deal, the direction I wanted to go was more with patient safety.
Initial and related terms I started out my search by using phrases like “patient hourly round significance”, “why is hourly rounding important for patients”, and “how does hourly rounding affect patients”. This didn’t get me very many articles, so I tried a different approach. I broadened my search by just writing in “nursing hourly rounds” and “nursing rounds” and this got me a lot of articles on hourly rounding.

Evaluation of articles I found after reading my four articles, the critiquing using the Johns Hopkins form was pretty difficult. To me the forms are confusing because I don’t have a lot of experience using them or doing much research. All four articles that I chose to use had adequate information to help me come to a conclusion for the

You May Also Find These Documents Helpful

  • Satisfactory Essays

    “Implement” “the Nurse Bedside Shift Report Strategy the Nurse Bedside Shift Report strategy is flexible and adaptable to each hospital’s environment and culture. As such, this guidance Provide choices and questions for hospital leaders on how to implementation this strategy .It may be helpful to Implement. These strategies initially on a small scale e.g. a, single unit single Identify lessons learned from the single-unit pilot “Implement” refine your approach, and then spread it to more units. In this way, you can build on your success in this as pathway to broader dissemination and wider scale change... Abstract the purpose of bedside nursing report is to communicate critical information pertinent to patient care. This transfer of information…

    • 328 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Select the quantitative or qualitative critical appraisal form available on the McMaster university site: http://bit.ly/bc7hlm. Using the guidelines to help you, try to critique the article you chose in time out 4. Phase 2: appraising the quality of articles The term ‘assessing study quality’ is often used interchangeably with ‘assessing the internal validity’ – that is, the extent to which a study is free from methodological biases’ (Petticrew and Roberts 2006) or ‘the degree to which the results of a study are likely to approximate the “truth”’ (The Cochrane Collaboration 2009). Jadad (1998) suggested that the following points should be considered when assessing the quality of randomised controlled trials: 4Relevance of the research question. 4Internal validity of the trial – the degree to which the trial design, conduct, analysis and presentation minimise bias. 4External validity – the extent to which findings are generalisable. 4Appropriateness of the data analysis and presentation. 4Ethical implications. In the context of systematic reviews, quality refers to the methodological quality – the internal and external validity of quantitative studies.The criteria for qualitative studies are different. These studies are often judged on the basis of BOX…

    • 4688 Words
    • 19 Pages
    Powerful Essays
  • Good Essays

    Task EBT1

    • 1869 Words
    • 7 Pages

    or hourly rounding further allows the nurse to be more productive and remain on schedule due to…

    • 1869 Words
    • 7 Pages
    Good Essays
  • Good Essays

    Bus 237

    • 1079 Words
    • 5 Pages

    for critiquing the article. You will be critiquing the content of the article. Do not critique the writing style or grammar…

    • 1079 Words
    • 5 Pages
    Good Essays
  • Good Essays

    The researchers stated that more in depth research is needed to evaluate the effects of structured nursing rounding interventions. Also that other strategy may need to be added besides just hourly rounding to decrease falls in acute care settings. Another area that needed to be added to advance this research is a better documentation system and health information technology to increase the reliability of the documentation and intervention (Tucker et al., 2011). Also a more in depth examination of what the hourly rounds entails need to be implemented to improve patient care. There are no generalizations…

    • 560 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Not the most efficient process, not to mention patients felt like their emergency was unimportant. To improve on this process, time stamped data is collected concerning time patient checked into the ED, time patient was triaged, to time patient was placed in a treatment room. Using Excel, a general computer program a formula was developed to provide time percentages. This method is simple and cost effective while producing accurate data. Time interval metrics are better understood when evaluating time stamps/time intervals of a typical ED stay (Welch, 2012). After an adequate amount of data was collected the “Nurse First” pilot was implemented. In other words, a patient, when entering…

    • 938 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    * Identify the assumptions and limitations of findings in a peer-reviewed article on healthcare research.…

    • 1951 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Nurse Staffing Case Study

    • 1392 Words
    • 6 Pages

    These shifts still need to be filled because of the ever increasing patient amount within the hospital. These extra hours will play a toll on our current employees who are expected to step up and take these extra shifts. “Long work hours can lead to fatigue, restlessness, inadequate sleep, pain and deficits in performance and reaction time as a result of increased exposure to physical demands and insufficient recovery time (Bae, Nursing Overtime: Why, How Much, and Under What Working Conditions?). Continuing, “Reduced rest and recovery time leads to physiologic depletion or exhaustion that continues into the next workday. The Institute of Medicine recommended nurses work no more than 12 hours in a 24-hour period and no more than 60 hours in a 7-day period to avoid error-producing fatigue” (Bae, Nursing Overtime: Why, How Much, and Under What Working Conditions?). Nurses will not be able to abide by this recommendation from the IOM due to the need for overtime of nurses on the ICU from missing three nursing positions. This will prove to be unsafe and unhealthy for the patients and the individual nurse working so many overtime hours alike. “Excessive use of overtime increases nurse injuries, including needle stick and musculoskeletal problems” (Bae, Nursing Overtime: Why, How Much, and Under What Working…

    • 1392 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Jeffs, L., Simpson, E., Campbell, H., Irwin, T., Lo, J., Beswick, S., & Cardoso, R. (, January 2, 2013). The Value of Bedside Shift Reporting. Journal of Nursing Care Quality, 28(3), 226=232.…

    • 9251 Words
    • 38 Pages
    Good Essays
  • Good Essays

    To assess the implementation of bedside reporting impacts on patient care, a baseline of falls, injuries, and medical errors would be obtained prior to bedside reporting. At the end of each month a report will be generated to show how many of these adverse events occurred. The goal would be to see a steady decrease in adverse events over the course of a three to six-month time period. To address patient experience, communication, and quality of care received, patients and their family members will continue to receive a patient survey; the results of these surveys will be plotted with results both prior to implementation of bedside reporting and after to create a graph that shows the if the new procedure has had a positive impact on the patients. To address the impact on time management of the nursing staff, a report of hours worked by the nurses will be generated. The amount of overtime will be the variable measure that will determine if the bedside reporting improves the overall time management of the…

    • 508 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Hourly Rounding

    • 1231 Words
    • 5 Pages

    Hourly rounding is more than just “checking in” every hour. Once this practice becomes part of the nurse’s workflow, the organization will begin to see decreases in lost charges, incidental overtime, med errors, and an increase in nursing and patient satisfaction.…

    • 1231 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Hourly rounding means intentionally checking on patients at regular intervals continuously to ensure patients’ needs has been met. Attending to patients’ comfort, safety, and environmental needs may prevent adverse events like falls and contribute to patients’ satisfaction.…

    • 1136 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Hourly Rounding Essay

    • 635 Words
    • 3 Pages

    AHRQ (2015) goal is to “produce evidence to make healthcare safer, higher quality, more accessible, equitable and affordable and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidenced is understood and used. My role as a graduate prepared nurse in relation to the AHRQ agenda is to participate in the research process so that the most up to date evidence based practices are implemented in my personal practice and so that I can provide the most quality, cost-effective and safe care to my patients. The AHRQ specifically relate to this EBP because hourly rounds are a cost-effective intervention that serves as a proactive way to prevent patient adverse events. AHRQ (2015) developed a scheduled rounding protocol as a fall precaution and ensure patient’s needs are met on a routine basis. Although it focuses on fall precaution as an outcome and not patient satisfaction, it showcases another way hourly rounds are proven to be an evidenced based practice within the healthcare…

    • 635 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    I believe I worked on your floor last semester because I recall such a change being discussed. I did not realize the hospital is interested in changing vital signs time for the entire hospital! I can see how moving the time to 0600 would delay the night PCTs from finishing their work and the day nurses from starting their shift. Collecting vitals and blood sugars while managing meal times and shift change sounds like a time-consuming task. However, I can see this as a potentially effective change since the day nurses would receive the most recent vitals and updates about their patients. I am curious about how long the hospital plans for to test the change on the unit. Perhaps over time the unit would adjust to the change? It appears fortunate…

    • 152 Words
    • 1 Page
    Satisfactory Essays
  • Best Essays

    Nurse Staffing

    • 1995 Words
    • 8 Pages

    Two major forms of staffing guidelines will be discussed, nurse-to-patient ratio and staffing by acuity. This paper will discuss the history of each staffing form. It will point out the benefits and negative features of both practices, describe how hospitals deal with staffing and discuss the states that have laws requiring certain guidelines be followed.…

    • 1995 Words
    • 8 Pages
    Best Essays

Related Topics