¶ … Hourly Nurse Rounds to Help Reduce Falls, Call Light Use, and Pressure Ulcers
The objective of this paper is to carry out the literature review to investigate whether the hourly rounding is able to reduce pressure ulcers, falls, and call light use and contribute to the overall increase in patient satisfactions. The outcomes of the literature review assist in identifying the gaps in the literature.
Hicks, (2015) in his study, "Can Rounding Reduce Patient Falls in Acute Care? An Integrative Literature Review." (p 51) defines fall as an unexpected descent from a sitting, standing or supine position. Typically, falls are the critical problem within the healthcare organizations and are the top cause of injury-related deaths among older adults. More than "20% of people who fall suffer moderate-to-severe injuries, such as head trauma bruises or hip fractures." (Hicks, 2015, p 51). In 2000, the costs of managing fall injuries were more than $19 billion, and would be over $54 billion by 2020. Hicks (2015) identifies hourly round that involves checking patients at a regular interval in order to meet patients proactive needs, as an effective strategy to reduce patients falls. Typically, hourly rounding is an effective strategy to improve patient's safety.
Hicks, (2015) uses the integrated review as a research design that involves summarizing the outcomes of different independent studies in order to determine the current knowledge that guides the nursing practice. The author performs a search of research articles between 2009 and 2014. The key concepts used for the search include nursing hourly rounds, fall prevention, and hospital. The author also carries out the data analysis by reading the articles several times to identify the similarities, differences, and patterns among the selected articles. Hicks (2015) uses 14 integrated articles to present the findings revealing that hourly rounding is an effective tool to reduce patients' falls. Part of the articles reviewed show that 50% of the falls are recorded within 4 weeks of implementing the hourly rounding. Moreover, "falls decreased from 4.001 to 2.613 per 1,000 patient days." (Hicks 2015, p 52).
Ford, (2010) in his article "Hourly Rounding: A Strategy to Improve Patient Satisfaction Scores" (p 188) argues that patient satisfaction is very critical for the healthcare organizations. An effective patients-nurse relationship can enhance safety, and compassion, service quality. Typically, nursing services play an important role in quality of care, patients' satisfaction, and safety. According to Ford (2010), hourly rounding is an effective method to enhance a quality of care, which involves a proactive approach to achieve patient's positive results as well as improving patient's satisfaction.
Ford, (2010) research design involves collecting the feedback of the "BWMC (Baltimore Washington Medical Center)" (Ford, 2010 p 188) to evaluate the effectiveness of hourly rounding for patients' satisfaction. However, Ford (2015) seeks for the approval from the BWMC's management before evaluating the effectiveness of hourly rounding at the hospital for 3 weeks. "Quantitative call light data were collected during this time, along with data from rounding logs and discharge phone calls made to those patients within 48 hours of discharge." (Ford, 2010 p 189).
Ford presents the findings by revealing that call light logs have been reduced by 52%, and the outcome of hourly rounding show that patient's falls have been reduced within the hospital. Overall, a positive improvement has been recorded leading to patient's safety. Essentially, when the nursing staff is able to meet the needs through a regular round on patients and address their basic needs every hour, the risks of falls decrease. Ford (2010) also presents in his findings that when the nursing staff integrates repositioning and turning in their nursing care, the pressure ulcer rates decrease by 56%. Moreover, patient satisfaction increases through hourly rounding because of a better quality of care. Moreover, nursing care is less stressful and more efficient when the hourly rounding is performed, which ultimately leads to nursing satisfaction.
Hodgson, (2012) also carries out the integrated literature review to reveal the benefit of hourly rounding. The research design is by conducting a comprehensive literature search from "CINAHL (Cumulative Index to Nursing and Allied Health Literature), Medline and Google." (Hodgson, 2012, p 35). The author uses the concepts 'hourly rounds', 'patient safety', intentional rounding', 'and pressure ulcers' and falls in their search terms. Hodgson, (2012) also discusses the method the rounding log is performed at the Leeds Teaching Hospital. The assessment was carried out over a two weeks to determine the effectiveness of hourly rounding at the hospital. The implementation strategy is by using the informal verbal training as well as sending training documentation to the nursing staff through the emails. The rounding logs were carried out for 44 patients out 51 patients. The result reveals that patient's fall was not recorded during the two-hour trial period. Moreover, there was no patient complaint during the trial period.
Saleh, Nusair, Zubadi, et al. (2011) define the NRS (nursing round system) as the strategy of checking patient on an hourly basis. Typically, the hourly round is initiated every 2 hours to access patient pain control, observing patient general health condition along meeting patients' non-medical needs. The authors evaluate the effectiveness of hourly round using a private hospital. The concept used is "NRS...
Hourly nurse rounds help to reduce falls, pressure ulcers, call light use and contribute to rise in patient satisfaction base on evidence base practice The healthcare center is faced with numerous challenges affecting clinical results and client satisfaction (e.g., ulcers, use of call light and falls). The above challenges have brought on the need to develop and institute an appropriate framework to improve patient care delivery by means of better and
Hourly Nurse Rounds Critiquing Validity and Robustness of Research in Hourly Nurse Rounds There are different kinds of studies that are carried out in the nursing field to examine various issues in patient care. An understanding of these issues requires examining these studies to gain insights and inform practice. This paper evaluates two studies on the impact of hourly nurse rounds in lessening falls, pressure ulcers, and call light while increasing
Hourly nursing rounding is regarded as one of the most suitable means for enhancing patient satisfaction and clinical outcomes. This process can be described as a proactive, systematic nurse-centered evidence-based intervention to predict and deal with the various needs in hospitalized patients. There is sufficient evidence to demonstrate that effective hourly nursing rounding can enhance patient safety, promote team communication, and enhance the capability of staff to offer efficient patient
Nursing Proposal -- Evidence-Based The utilization of call lights particularly in hospital settings has recently been put under study as a function of various aspects of nursing including shortages, rounds and analyses of patient outcomes. The proper scheduling of nursing rounds may be essential to enhance the capability of nurses to tackle common or ordinary patient issues relative to more dire needs that have to be regarded as the primary/main target
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