Unauthorized reproduction of this article is prohibited. The most noted elements assessed during hourly nurse rounding include pain level, need for toileting or elimination, assessment of the environment including room temperature, proximity of personal items, safety hazards, and positioning of the patient or need to change the patient’s position.1,2,4,6,7,9,11−21,23−25 Studies on hourly nurse rounding reveal that patients report higher patient satisfaction, fewer patient falls and hospital-acquired pressure ulcers (HAPUs), and decreased call bell activation.1−22,24,25 Evidence further suggestsĪccepted for publication: JPublished online before print: SeptemDOI: 10.1097/NCQ.0000000000000086Ĭopyright © 2015 Wolters Kluwer Health, Inc. The United Kingdom have instituted hourly nurse rounding as a standard component of nursing practice in an attempt to improve patient satisfaction and reduce patient harm.* Hourly nurse rounding entails assessment of 3 to 12 elements on each patient every hour between 6 AM to 10 PM and then every 2 hours from 10 PM to 6 AM.1,6,9 Rounds are reduced to every 2 hours during the night so that sleep patterns are less disturbed and patients are not awakened unnecessarily. Brosey, DNP, RN, CPHQ, Lancaster General Health, Lancaster, PA 17604 (.
Hapu medical abbreviation pdf#
Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (Correspondence: Lisa A. Supplemental digital content is available for this article.
The authors declare no conflict of interest. A growing body of evidence describing the positive effects of structured nurse rounding on patient satisfaction and clinical outcomes has emerged within the past few years.1−25 On the basis of this emerging evidence and the positive effects demonstrated, many organizations in the United States andĪuthor Affiliations: Lancaster General Health, Lancaster, Pennsylvania (Dr Brosey), and The Stabler Department of Nursing, York College of Pennsylvania, York (Dr March). Key words: accidental falls, evidence-based nursing/standards, hourly rounding, PARiHS framework, patient satisfaction, pressure ulcer/prevention and controlĬUTE CARE FACILITIES continue to evaluate cost-effectiveness methods to enhance patient satisfaction and improve patient safety. Patient falls and hospital-acquired pressure ulcers decreased during the project period. Overall Hospital Consumer Assessment of Healthcare Providers and Systems domain scores increased with the exception of responsiveness of staff. This program evaluation describes outcomes related to the implementation of hourly nurse rounding in one medical-surgical unit in a large community hospital. March, PhD, RN, ACNS-BC Structured hourly nurse rounding is an effective method to improve patient satisfaction and clinical outcomes.
Copyright Įffectiveness of Structured Hourly Nurse Rounding on Patient Satisfaction and Clinical Outcomes Lisa A. 153–159 c 2015 Wolters Kluwer Health, Inc.
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