Leslie L.C., (2010). Hourly rounding benefits patients and staff. http://Www.americannursetoday.com/From-our-readershourly-rounding-benefits-patients-and-staff/ This article states that even as hourly rounds have been proven to have its good effects, the proper implementation of the same is a hindrance in the way of reaping the benefits of the program.

With statistical data the article states that nursing satisfaction is achieved by the process as the nurses get additional time for bedside care.

However there are implementation problems as research has shown that the evidence-based practice change is challenging and complex and there is no universal method of implementation.

Tucker, Bieber, Attlesey-Pries, Olson and Dierkhising, (2011)suggests that the implementation should incorporate several essential components to the successful implementation and the translation of the process into practice which include understanding the complex nature of the intervention, the assessment of the adopters and an effective communication plan (Tucker, Bieber, Attlesey-Pries, Olson & Dierkhising, 2011).

Researchers also stress on the proper evaluation of the measurable and sensitive outcomes from the intervention.

Stanford Health Care,(2015). Quality and Safety: Purposeful Rounding. https://stanfordhealthcare.org/health-care-professionals/nursing/quality-safety/purposeful-rounding.html

This article deals with the components that should be included in the successful hourly rounds by nurses. There have been many researches that have identified the usefulness of the hourly rounds and some have focused on the implementation of the same. Such studies have also identified the components that need to be included in the implementation program so that the outcomes are desirable and as stated found out in researches.

These components include an increase in the clarity by communication of the purpose of hourly rounding by the health care authorities and the hospital authorities. Effective instruction about what actions needs to be done in the process and how it should be documented and the accountability of the nurses for the process performance are also components that need to be included in the implementation process. Evaluation of the outcomes in terms of measurable metrics should also be included (Goldsack, Bergey, Mascioli & Cunningham, 2015).

Massachusetts General Hospital, (2011). Hourly Safety Rounds Tool Kit.

http://www.mghpcs.org/eed_portal/Documents/SafetyRounds_Toolkit.pdf

This article details some of the facts that hourly rounding brings for both patients and nurses. Some of the facts that have emerged from previous studies form the patient's perspective include reduction in the number of call bells per shift, pressure ulcers and patient falls along with increased patient satisfaction.

From the nurses perspective it increases nursing satisfaction as they tend to get more time on the bed side as well as enhanced team work among the nurses.

Since clear communication of the objectives of the program and the proper evaluation in terms of measureable outcomes is necessary for the program, therefore there also needs to be accountability of the nurses doing the hourly rounds. Therefore research has also indicated that there needs to be a strong leader who could implements all the components of an hourly round for nurses in a hospital or in a health care setting (Nursingcenter.com, 2015).

Christine M.M. et.al, (2006). Effects of Nursing Rounds.

http://bluescrubbrigade.wikispaces.com/file/view/Nursing+Rounds+-+call+light,+satisfaction,+%26+safety.pdf

This article illustrates the importance f the 7Ps that nursing staff need to follow while doing the hourly rounds. These 7Ps are Presence, Person, Plan, Priorities, Personal Hygiene, Pain and Position.

These are used along with the strategies such as the effort to enhance responsiveness to the patients and their families and safety rounds.

Research suggests that presence is important as it makes personal contact with the patient and the relatives and creates an atmosphere of assurance about delivery of health care.

The other Ps help in health care delivery with respect to addressing pain, comfortable positioning of the patient, help with toileting of the patient, assessment of who to attend first and catering personalized care to patients. These coupled with aims of patient and relative satisfaction can help successful implementation of hourly rounds by nurses (Kalman, Olrich & Nigolian, 2008).

Lynne M. & Shelly B., (2013). Hourly Rounding: So Much Impact in SO Few Minutes. Studer Group

http://www.uchc.edu/patients/begins_you/docs/ldi/ldi_preso_mahony_hourlyrounding_091913.pdf

This article gives statistical evidence of the reduction of call light use with the introduction of hourly rounds by nurses.

Research has shown that effective and quality hourly rounds by nurses following the 7P's of nursing can help create patient satisfaction. Problems that patients might encounter like pain, toileting and proper positioning of the body are taken care of in the rounds. These are laos the primary reasons for call lights by patients or their relatives and hence hourly assessment of the same would reduce the frequency of call lights. This has been proven to be true in several researches including one by a survey-based research by (Brosey and March, (2015) where they proved how statistically this can be achieved (Brosey & March, 2015).

Nursing Standard, (2012). Hourly Rounding in a High Dependency Unit

Since the study was conducted over a cross section of patients and care settings, the results were significantly homogenous and representative. The results conform to the survey outcomes of other researches like the one by Deitrick, Baker, Paxton, Flores and Swavely, (2012) that indicate that patient satisfaction increases, call bells per shift, pressure ulcers and patient falls reduces after effective implementation of the hourly round intervention.
AMN Healthcare Education Services, (2012). Hourly Rounding and Fall Prevention: A Winning Strategy

http://lms.rn.com/getpdf.php/1820.pdf-Main_Session=cb22be0314523b1d80f29689b7e45f72

This article deals with the extra caret that high dependency health care services require to provide. Lowe and Hodgson, (2012) suggests that hourly rounds can help improve the delivery of high dependency health care.

Studies by Deitrick, Baker, Paxton, Flores and Swavely, (2012) have found that the rounds help in creating patient satisfaction through better care of patients. Other research have shown that regular rounds, especially hourly, can help take care of many of the frequent problems that high dependency patients require as well as helps in continuous round the clock monitoring of the health parameters of the patient through the hourly checks of the bed side notes and documentation. Such documentation of the health parameters can also help to enhance the diagnosis and treatment of such patients (Deitrick, Baker, Paxton, Flores & Swavely, 2012).

Deitrick L., at.al, (2012). Hourly Rounding: Challenges With Implementation of an Evidence-Based Process.

Vol. 27, Pp 13-19. http://www.nursingcenter.com/journalarticle?Article_ID=1265838

This article deals with how hourly rounds can reduce fall injuries to patients. Fall injuries in hospitals frequently results in physical injury and even death and is still considered a commonly reported phenomena.

According to a study by Tzeng, (2010) more than 45% of falls in hospital settings were toilet-related while a patient was going to or returning from the toilet.

Carroll, Dykes and Hurley, (2010) finds out that hourly rounds by nurses as a strategy to prevent patient fall and fall related injuries can be reduced significantly as the program includes helping the patient in toileting activities (Carroll, Dykes & Hurley, 2010). Also, hourly rounds help patients with pain and proper positioning which also reduce risks of falls. Thus research concluded effective hourly rounds by patients can help reduce incidents of fall and related injuries for patients.

Janet M. & Cherita F., (2010). Hourly Rounding: The 4-P's. MPSC 2010 Annual Conference Solution Submission

http://www.marylandpatientsafety.org/html/education/solutions/2010/documents/culture/Hourly_Rounding_The_4_Ps.pdf

The article identifies the various components that nurses doing hourly rounds need to include in the programs and the manner of scheduling and recording the hourly rounds by nurses. The study also identifies the ways this documentation can help in better communication strategy creation with respect of the recording of patient's medical parameters.

Beverly M.F., (2010). Hourly Rounding: A Strategy to Improve Patient Satisfaction Scores. http://bluescrubbrigade.wikispaces.com/file/view/Hourly+Rounding_Strategy+to+improve+pt+satisfaction.pdf

This article is an evidence study conducted on 29 female and 2 male patients over a period of 3-weeks. The patients were subjected to hourly rounds by nurses and the study observed the changes in the tendency of the patients in using the call lights. Trhe study concludes positive results in terms of reduction in the use of call lights among the patient subjected to the intervention.

This study is in conformation to numerous other studies that have indicated heightened patient satisfaction and decreased use of call light by patients.

Brian L. (2010). Proactive Patient Rounding: Developing Nursing Practice to Improve the Quality of patient Care

http://www.fons.org/Resources/Documents/Project%20Reports/PFProactivePatientRoundingNov2010.pdf

The patient's perspective of the usefulness of the hourly rounds by nurses is depicted in this report article. The researchers have identified the essential components of training for nurses on a monthly basis. The article also identifies how the nurses themselves feel benefitted by the hourly rounds and form the extra time they spend on the patient bed side as a result of the rounds.

References

Brosey, L., & March, K. (2015). Effectiveness of Structured Hourly Nurse Rounding on Patient Satisfaction and Clinical Outcomes. Journal Of Nursing Care Quality, 30(2), 153-159. doi:10.1097/ncq.

Carroll, D., Dykes, P., & Hurley, A. (2010). Patients' perspectives of falling while in an acute care hospital and suggestions for prevention. Applied Nursing Research, 23(4), 238-241. doi:10.1016/j.apnr.2008.10.003

Deitrick, L., Baker, K., Paxton, H., Flores, M., & Swavely, D. (2012). Hourly Rounding. Journal Of Nursing Care Quality, 27(1), 13-19. doi:10.1097/ncq.0b013e318227d7dd

Goldsack, J., Bergey, M., Mascioli, S., & Cunningham, J. (2015). Hourly rounding and patient falls. Nursing,…