Download or read book Hourly Rounding written by Kelsey Lynne Johnson and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly Rounding, also known as intentional rounding, is a fairly new concept in many medical facilities. Hourly rounding consists of asking patients important questions each hour to help keep patients more comfortable while also maintaining safety during the hospital stay. In order to assist hourly rounding in becoming an even bigger part of the health care routine, data needs to be collected from studies to see how well it really works. By doing a study and tracking the results over a six-month time frame, it will not only help hourly rounding become implemented on that particular floor, but it could also lead to the implementation of hourly rounding in many other places. Evidence based practice runs the health care profession. Once a theory is proven to work or proven to be the safer method, it will be implemented in a larger setting. Hourly rounding is hypothesized to decrease patient falls, patient call lights, and increase patient safety and satisfaction. Before the study begins, the staff and supervisors will be educated on the topic as well as what is expected from hourly rounding. There will be a staff meeting with pamphlets, power point presentations, and additional time to ask any questions that may arise. Once the information from the study has been collected and interpreted, we should see that patient satisfaction rises because patients feel a bigger sense of responsibility in their own care. Some patients have commented that hourly rounding made them feel more important. Patients need to feel like the center of their care and feel like their opinions truly matter. Hourly rounding is going to help hospitals achieve that goal.

Download or read book Hourly Rounding written by Sarah Nakawaki and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The use of hourly rounding in nursing care has been supported by research and evidence-based practice to improve patient outcomes. Research has indicated that by regularly rounding on patients in a purposeful manner, such as addressing pain, toileting, positioning needs and placing important and personal items within reach of the patient decreases the incidences of patient falls and increases patient satisfaction (Meade, Bursell, and Ketelsen, 2006). An hourly rounding protocol already is in place at Hoag Hospital, but patient falls and hospital-acquired pressure ulcers still continue to happen. Hoag Hospital can greatly benefit by re-educating nursing staff and nursing assistants on proper hourly rounding protocol, including rationale for hourly rounding and important factors to address with patients. A chime will also be introduced to ring when hourly rounding is performed, every one hour for day shift and every two hours for night shift, to gently remind staff to round on their patients. The staff can also benefit by reinforcing the importance of hourly rounding through the yearly house side mandatory review session accessed through the hospital's intranet website. This proposal will include an implementation plan that shows the positive benefits implementing hourly rounding re-education given to nurses and nursing assistants has improved patient outcomes, specifically improved patient safety as seen by a decrease in falls, and improved patient satisfaction. In addition, evaluation of the findings as well as disseminating them to all unit department directors and the nursing community will be discussed.

Download or read book Hourly Rounding Supplement written by Studer Group (Firm) and published by . This book was released on 2007 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Implementation of Intentional Hourly Rounding Or Intentional Hourly Rounding written by Rachel Abril and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, it is estimated that 700,000 to 2,000,000 individuals have a fall in the acute hospital setting with one in three individuals aged 65 years and older. Yearly, 20-30 percent of hospitalized patients suffer an injury that could have been prevented (Ganz, Saliba, Huang and Shier, 2013). Based on documented studies, implementing purposeful rounding or intentional rounding decreases call lights, alarms, falls, increases patient and employee satisfaction, supports a more productive shift for nursing staff, and most importantly increases patient safety (Olrich, Kalman, and Nigolian, 2012). Several documented studies have reported a decrease in fall rates post implementation of intentional rounding, one hospital reported a decrease in falls by 23 percent post implementation (Olrich, Kalman, and Nigolian, 2012). Falls in the acute hospital setting are a serious complex problem, addressing and implementing purposeful or intentional hourly rounding while better serving patients will decrease the fall rate in the acute hospital setting. Based on several journal readings successful implementation of intentional rounding or purposeful rounding that included the nursing staff in the implementation process yielded the most rewarding results. Identifying the problem or issue, developing an implementation plan and evaluation plan, along with finding the best avenues to disseminate the evidence are key to successful implementation of any project.

Download or read book Impact of Hourly Rounding written by Kelli DiPietro and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals face increasingly high pressure to maintain quality care as evidenced by patient satisfaction as well as patient safety scores. The rigorous gravity of satisfaction and safety are factors that affect the return of satisfied patients and payment by the Centers for Medicare and Medicaid (CMS) (Hagland, 2011). Because nurses are seen as key providers and are the ones that are typically perceived as providers of timely pain management, ones who develop healthy, trusting relationships and communicators of much of the information that is provided in a hospital setting, many satisfaction scores are based on the quality of nurse care delivered. Due to the importance of nursing and their overall impact on patient's as well as hospital's bottom line, it imperative that the nurse excel at meeting and exceeding patient expectations. When nursing staff is overwhelmed and understaffed, the patient suffers. The suffering can cause longer stays and increased financial burden on the patient as well as the hospital. One way to improve outcomes is to design and implement an hourly or intentional rounding program to ensure that the patient's needs are being met and that patients feel well taken care of. There are different situations in a variety of facilities that can benefit from hourly rounding. The need to develop an program that is tailored to the necessities of a specific floor or unit is crucial in the success of the program. Based on research, hourly rounding can make a positive impact on patient and nurse satisfaction.

Download or read book Significance of Hourly Rounding written by Rugiatu Mansaray and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient falls remain a common detrimental incident in an acute care setting. Studies have shown that inpatient falls are the second largest category of reported adverse events, and are estimated to cost more than $20 billion a year. It is predicted that the cost of fall injuries will reach $43.8billion dollars by 2020.Research had shown that implementing hourly rounding in an acute care setting will reduce harm to patients, and increase patient's satisfaction. Hourly rounding is a planned method by which nurses and other health care workers performed checks on patients at a given time to assess, and care their basic needs. The purpose of hourly rounding is to decrease harm to patients such as, falls, pressure ulcers, urinary tract infections, as well as increase patient's satisfaction. The aim is to explore the implementation and use of hourly rounding, and its effectiveness in improving patient care, decreasing hospital cost, and length of stay.

Download or read book Hourly Rounding and Its Impact on Patient Satisfaction written by Lakeisha Vallier-Scott and published by . This book was released on 2012 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Benefits of Hourly Rounding written by Charlotte Vaillant and published by . This book was released on 2010 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Significance of Nurses Hourly Rounding written by Victoria Ogbuji and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly rounding is an evidence-based practice on which there have been wide debates regarding its significance on quality patient outcome and safety. Based on documented studies, structured nurses hourly rounding, enhances proactive nursing, builds nurse-patient rapport, and promotes a healing environment through decreased call bell usage. Several other research outcomes, revealed that hourly rounding fosters uninterrupted nursing workflow, decrease inpatient fall and pressure ulcer rates, and increase patient satisfaction scores. This article describes steps needed to introduce hourly rounding as an evidence-based project supporting professional commitment, and promoting patients' safety and satisfaction. Having identified increased patient fall, pressure ulcer, and dissatisfaction rates as a problem within an orthopedic inpatient population, proper and standardized educative tools were used to achieve the support and approval of this project from the organization's stakeholders.

Download or read book Hourly Rounding written by Tamara McFadden and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly rounding on inpatients in the hospital setting is an evidence-based practice that increases patient satisfaction and increases patient safety. Evidence from both quantitative and qualitative research studies support this nurse-driven, patient-centered practice. For institutions that have successfully implemented hourly rounding, data from both Press Ganey and the National Data Base of Nursing Quality Indicators (NDNQI) is reflective of an increase in overall patient satisfaction, decrease in fall rates and a decrease in hospital acquired pressure ulcers (HAPUs). Hospitals face challenges in all of these areas and are always looking for ways to improve their scores and improve patient outcomes. In institutions that have implemented hourly rounding and have not seen an improvement in their scores or patient outcomes, it may be time to go back and make sure hourly rounding was properly implemented and is being supported by nursing leadership and management. Ownership and by in of this evidence-based practice by the nursing staff is the key driver to the success of this practice change.

Download or read book Nursing Hourly Rounding written by Elsa Jacobs and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an effort to meet patient needs, improve patient satisfaction scores, decrease call light usage, prevent nursing burn out, and maintain patients safe, many hospitals across the country have started implementing hourly nurse rounds. Rounding with the purpose of checking on patients every our around the clock. Studies have proven that by doing hourly rounds patient falls decrease, because their needs are being addressed and met in a timely manner. Research also has shown that rounding will allow for the nursing staff to set expectations and goals the patients' and family members as well as planning for their care. When nurses check on patients, their focus is to address the 4 Ps, positioning, potty (elimination needs), pain, and possessions (proximity of personal belongings). (Halm, 2009) At the time of admission, patients and their family members will be informed of the hourly rounding process in order to set realistic expectations of the plan of care. Research performed in 14 hospitals has found that by setting these goals, the use of call lights have decreased by 37%, patient falls decreased by 52%, and patient satisfaction scores increased by 12%. (Stanford Medicine, 2015).

Download or read book Research for Advanced Practice Nurses written by Magdalena A. Mateo, PhD, RN, FAAN and published by Springer Publishing Company. This book was released on 2009-07-13 with total page 497 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! "This book should provide graduate nursing students with the knowledge to evaluate research evidence and use it in practice. With the increasing focus on EBP, this book should serve as a useful resource." Score: 100, 5 stars --Doody's Achieve competency in evidence-based practice now! This book provides practical ways for nurses to develop competency in evidence-based practice (EBP) by effectively using and appraising clinical studies. In this single, introductory volume, Mateo and Kirchoff present everything that advanced practice nurses and graduate students need to know to translate clinical research into practice. With this book, readers will learn the essential methods that are used to achieve EBP, such as how to find and evaluate research articles, design questionnaires and data collection forms, analyze quantitative data, and much more. Key features: Includes guidelines on how to evaluate the strengths and failures of research articles Presents data collection methods for physiological and psychosocial data Explains how to evaluate the ethical aspects of a study Provides guidelines on how to present and publish research findings Contains appendices with examples of evidence-based practice activities and protocols as well as a resource list of relevant websites By knowing how to appraise the available evidence and its implications for clinical care, readers will learn to seamlessly translate evidence into practice.

Download or read book Healthcare Value Proposition written by Vincent K. Omachonu and published by CRC Press. This book was released on 2018-11-13 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Never before in the healthcare industry has there been such intense emphasis and open debate on the issue of quality. The steady rise in the cost of healthcare coupled with the need for quality have combined to put the healthcare industry at the top of the national agenda. Quality, costs, and service are not just socially provocative ideas. They are critical criteria for decision-making by patients, physicians, and many key constituents of healthcare organizations. The pursuit of improved performance has driven a host of executives and managers in search of techniques for structuring, rehabilitating, redesigning, and reengineering the organizations they serve. Unfortunately, the narrow-mindedness with which programs are implemented and the discontinuity in their application weaken the promise of success. The process of quality improvement can become an undisciplined search for illusions rather than reality. For many years, healthcare managers have embraced the narrow definition of performance solely in the context of financial success. Forward-thinking executives now realize that the road to financial success begins with success in quality and service. Quality and service are no longer separate issues – they are the same. Neither one by itself will bring about lasting success. The ultimate measure of performance is in an organization’s ability to create value for its customers, and true performance must be measured in the context of the customers’ total experience. This book is about how to manage performance in the context of value to the customer or patient. It brings together the many pieces of the performance improvement puzzle – quality, technology, costs, productivity, and customer service. The author also covers process improvement tools including Lean and Six Sigma, and how to create a culture of continuous improvement as well as how to improve the patient experience and productivity improvement strategies. The book is filled with examples, illustrations, and tools for improving key aspects of a healthcare organization’s performance.

Download or read book Hourly Rounding with a Purpose written by Dawn R. Cooper and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hourly rounding with a purpose is not a new concept among the acute care setting. Determining whether or not there is an increase in patient satisfaction and a decrease in patient falls is important in determining the effectiveness of such tasks. With falls as a common occurrence in the acute care setting determining ways to reduce them needs to be identified. By focusing on the four P09́s, pain, positioning, potty, and personal needs can patient satisfaction be increased and can patient falls be reduced. There are over one million falls occurring annually among hospitals in the US, broken down this is equivalent to an average of 3.31 to 11.5 fall events per 1,000 patients per day (Mion, 2012). Injury resulting from falls can result in minor aches and pains as well as serious injury such as fractures, bleeding and even death. When falls happen in the acute care setting it is important to learn what the root cause behind the incidence may be.

Download or read book Capstone written by Nichole A. Hunt and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The rate of falls among patients in the acute care hospital setting continues to be an important issue in nursing. Many falls can be prevented with the implementation of proper interventions. Intentional hourly rounding is one such intervention that has been proven through research to be an effective measure in reducing the rate of patient falls. Intentional hourly rounding requires staff to round on patients on an hourly basis addressing basic care needs. Those needs include pain, potty, position, and placement of frequently used objects. This project focuses on the implementation of an hourly rounding initiative on an acute care unit. Outcomes are evaluated through the use of rounding log reviews, fall rate comparisons, and staff surveys. Fall rate data will be gathered for the six month period before implementation of the rounding process and for the six month trial period. Rounding logs are kept in each patient room and staff are expected to initial the log each time they round on the patient. Staff will be expected to complete a survey regarding the usefulness and adaptability of the hourly rounding process. By evaluating the completeness of the rounding logs and surveying staff attitudes toward the process, the researcher will have the ability to determine if the hourly rounding process is being fully applied. Results of the initiative will be disseminated to nursing staff, management, and the nursing community as a whole through a process of meetings and conferences. Information will be made available regarding fall rates and patient satisfaction.

Download or read book Intentional Hourly Rounding written by Stanislaus Akisah and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The patient population of 50 years and older, the baby boomer population, are seen more in hospitals nowadays. Due to their age, they are more vulnerable to injury after surgery as they are weaker and need more assistance postoperatively. This research proposal is aimed verifying if intentional hourly rounding on post operatives patients 50 years and older can improve patient safety and satisfaction compared to patients who are seen by nurses or nursing assistants following a patient stimulated call bell. The nursing assistants are expected to round on the patients during the odd hours while the registered nurses round on the patients on even hours. Each time rounding is conducted, four key components need to be assessed, that is; pain, position, potty and personal needs (4Ps). Fall rate and hospital acquired pressure ulcers (HAPUs) will be the variables measure pre and post rounding implementation to determine improvements in patient safety, while the Press-Ganey discharge survey will.

Download or read book Impact of Hourly Rounding on Patient Falls written by Patricia Doyle and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Agency for Health care Research and Quality, approximately 700,000 to 1 million patients fall in hospitals annually (Ferenc, 2014). Patient safety and fall prevention are a top priority for nursing. Hourly or purposeful rounding has been suggested as an intervention to combat patient falls. Research shows that hourly rounding reduces patient falls, decreases call light use and helps to improve patient satisfaction scores. A systematic review of literature was conducted to determine the effectiveness of hourly rounding in preventing patient falls as oppose to no rounding or current clinical practices. Fifteen peer-reviewed research articles on the subject were examined, including 13 quantitative or qualitative studies and two literature review studies. Overall, based on the research, hourly rounding helped to reduce patient falls. Therefore, hourly rounding should be incorporated into nursing work flow as an evidence-based best practice.