... 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 reluctant...
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...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 associated...
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...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 every...
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...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 the...
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...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...
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...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...
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...Congratulation: Congralution to Heather Dean, RN and Lacie Jensen, RN on successful completion of the Nursey Residency Program. You are a great asset to our team! It is always pleasing to hear about the extraordinary care you give to our patients when I do my leadership rounding. This week, kudos goes out to Michelle Salem, Shannon Faulkner, and the nursing team. Our patients appreciated the love and compassion they received from each of you and made it mission to recognize you. As we discussed in our staff meeting and daily shift huddle, we have some care concerns needing improvement. 1. We have responsibility to answer the call light promptly to address out patient needs. When conducting hourly rounds it is important to encourage...
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...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’...
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...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...
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...The monitoring schedule may be every 15 minutes, every 30 minutes, 1 hour, 3-hour, 4-hour and so on. Most hospitals only use every 15 minutes and hourly rounds. However, most of these scheduled monitoring is specific to patients, and specific to certain procedures such as turning the patient, taking the vitals, or assessing urine output among other parameters (Langley, 2015). This assessment may leave out other factors that can predispose the patient to worsening health condition or in a way it is discriminating. Therefore, there is a need for an all-inclusive and extensive rounding where the nurses and nursing assistants assigned to several patients to round assessing the patients...
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...involvement of the nurses and nursing assistants. According to Stetler et al. (2014), involving the authority or gatekeeper’s open room for better understanding the major challenges that could be expected. In addition, a project supported by the major stakeholders is more likely to succeed unlike one intended to be implemented (Dalheim et al. 2012). Once permission is granted for assessing the project feasibility,...
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...preceptor and I floated to another unit. While there, I noticed a few lapses on the implementation of universal fall precautions. This ranged from failure to use and untimely response to bed and chair alarms, missing patient fall risk bands, cluttered patient rooms, and missed hourly rounding. Importance of this Issue Patient falls is still a significant issue in healthcare. Around 700,000 to 100,000 people in the U.S. suffer from falls in a hospital setting (Agency for Healthcare Research and Quality, 2013). Obviously, this is problematic because falls can exacerbate the patient’s condition. It can cause unwanted outcomes like pain, fractures, head injuries, or in a worst-case scenario, even death. Preferred Practice Falls in a hospital setting are preventable. Successful implementation of universal precautions is a big part of preventing this issue. It should always be practiced. Universal fall precautions include but are not limited to • Properly identifying patients...
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...patient, the consequences can be serious and even result in death. It is the responsibility of each directly related staff member to prevent potential patient falls from occurring. When forming a team of members who are involved in this work process within my unit in a hospital setting, I would choose: doctors, nurses, certified nursing assistants, physical therapists, case managers, and dietary staff. All of these staff members have the most frequent direct contact with patients throughout their...
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...In a recent article published in the MEDSURG Nursing journal it discussed the effects of hourly rounding to prevent falls for patients in acute care. Falls not only cause harm to patients, they cost hospitals money. In 2012 “the Joint Commission identified reduction of harm from patient falls as a national patient safety goal” (Hicks, 2015). In attempts to reduce falls, studies have been conducted on hourly rounding. “The main components of hourly rounds include reducing anxiety by using key words, addressing the four Ps (pain, potty, position, and possessions), assessing the environment for safety issues and telling the patient when staff will return” (Hicks, 2015). Data for this article was gathered from fourteen published journal articles...
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...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...
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