Pilot Studies on Hourly Rounding
Every community has a set of conventions that help govern both how people behave and what beliefs they hold. The conventions that are important to a group (which may also be called the culture of a profession or organization) mean that it can be very difficult to bring about change in the way that individuals act. This is no less true for medical professionals than for any other group; indeed, medical professionals may be even more resistant to change than are others since the consequences of their actions can mean life or death. However, sometimes it is in the best interests of patients (as well as of the medical professionals themselves) that they change the way in which they work.
The most important development in the culture of medicine that has occurred in the last decade is a shift to a greater and greater reliance on evidence-based practice. This requires medical professionals to examine how effective their practices are based not on any intuitive sense of efficacy but on a careful review of actual outcomes. This paper examines the data on one potential shift in nursing practice, which is how rounds are conducted. Rosswrum & Larrabee (1999) note that the essential elements of a shift to evidence-based practice include the fact that medical professionals must remain current on the most recent research.
The authors also write that this shift to evidence-based practice requires a much closer association between clinical practitioners and researchers than has been the case. Academic research has always informed medical practice, but at a remove, with clinicians in general not giving significant credence to research that they considered to be disjoint from the real-world conditions that they face. The subject of this research is an excellent...
Patients in hospitals often complain of pain regardless of the diagnosis. Several activities in a patient's life contribute to pain. Some of the activities include amount of sleep, daily chores and quality of life (Alaloul, Williams, Myers, Jones, & Logdson, 2015). While health care expenses have increased significantly over the years, there have been great improvements in increasing both family and patient involvement in medical care. Hourly care is one
diagnoses, pain is a common complaint among inpatients. In the U.S. alone, approximately 100 million patients experience chronic pain (Alaloul et al., 2015). Pain negatively affects numerous aspects of an individual's life, such as sleep, quality of life, and physical functioning. Pain is also associated with negative psychological outcomes like depression, extended hospitalization, and a huge economic burden. In the U.S., for instance, pain imposes an estimated cost of
setting, definition Sample/Setting Conclusions (Appraisal) Level of Evidence (Flagg, 2015) Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients A healthcare organization with nursing staff on twelve-hour schedules Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5. Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory,
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