Preview

Dissemination Plan

Best Essays
Open Document
Open Document
1706 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Dissemination Plan
Dissemination Plan: Hourly Nursing Rounds
Ronald Douglass Jr.
Saint Joseph College of Maine

Dissemination Plan: Hourly Nursing Rounds Hourly nursing rounds as reported by Halm (2009), is the systematic, scheduled checking of patient needs in an hourly format by nursing and associated staff. Patient needs and wants will be assessed hourly related to four basic areas: pain, posturing, potty, and proximity of commonly used items. Hourly nursing rounds is described by Deitrick, Baker, Paxton, Flores and Swavely, (2012), as an evidence based intervention, developed to anticipate patient needs, reducing unscheduled call bells, and by so increasing patient and nurse safety and satisfaction. Patient satisfaction has become increasingly important, as hospitals and other healthcare institutions have struggled to maintain levels of service, and fiscal stability in the face of increasing regulatory controls, shrinking reimbursement rates, and increased competition (Buerhaus, 2012). Patient safety has likewise become increasingly important to organizations in 2008, when the Center for Medicare and Medicaid developed a list of eight negative patient outcomes, which should never happen to patients while under the care of hospitals and other healthcare institutions. Designated as never occurrences they would no longer be eligible for reimbursement for care provided (Tevington, 2012). The first four of these conditions; falls with injury, pressure ulcers, catheter associated UTI’s and vascular associated infections, as reported by Buerhaus, DesRoches, Donelan and Hess (2009) are directly related to nursing care. Additional pressure relating to competition has resulted as the Center for Medicare and Medicaid services now collects and reports patient satisfaction data generated through patient surveys. Nursing care has been identified by Blakley, Kroth and Gregson (2011), as the driving force behind patient perceptions of safety and satisfaction. The



References: Blakley, D., Kroth, M., & Gregson, J. (2011). The impact of nurse rounding on patient Satisfaction in a medical-surgical hospital unit Buerhaus,P., (2010). It’s Time to Stop the Regulation of Hospital Nurse Staffing Dead in its Tracks.Nursing Economics, 28 (2), 110-113. Buerhaus, P., DesRoches, C., Donelan, K., & Hess,R., (2009). Registered Nurses’ Perceptions of Nurse Staffing Ratios and New Hospital Payment Regulations Ford, B. (2010). Hourly rounding: A strategy to improve patient satisfaction scores. Medsurg Nursing, 19(3), 188-191. Gardner, G., Woollett, K., Daly, N., & Richardson, B. (2009). Measuring the effect of patient Comfort rounds on practice environment and patient satisfaction: A pilot study Halm, M., (2009). Hourly rounds: What does the evidence indicate? American Journal of Critical Care, 18 (6), 581-584. Meade, C., Bursell, A., & Ketelsen, L. (2006). Effects of Nursing rounds on patients’ call light use, satisfaction, and safety Melnyk, B., & Fineout-Overholt, E. (2010). Evidence-based practice in nursing & healthcare: A guide to best practice (2nd ed.) Miller, P. (2009). Back to Basics: The Keys to Nurse Staffing. Trustee, 1-4. Tevington, P., (2011). Mandatory Nurse-Patient Ratios. Medsurg Nursing, 20 (5), 265-268.

You May Also Find These Documents Helpful

  • Satisfactory Essays

    No-Pass Zone Model

    • 124 Words
    • 1 Page

    While the facility in the article had implemented hourly rounding with attention to pain, personal care, and positioning; they continued to score lower on patient satisfaction. In an effort to increase Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, the facility issued the “call bell challenge” putting the no-pass zone model into effect. The no-pass zone means no one passes a lit call light. For this model to work successfully, the entire staff was educated for safe and job appropriate responses to call lights. The facility also added the “fourth p, perimeter,” making sure before leaving a room the patient has what they need or may want within reach. These tools, when properly implemented, insure improved…

    • 124 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    PICO Clinical Questions

    • 474 Words
    • 2 Pages

    Evidence has been found that moving shift reports from the nurse’s station to the patient’s bedside has improved safety and given patients a better grasp of their condition and treatment plan (Ofori-Atta, 2015). The importance of this PICO question helps lead and point the researcher in the direction that provides evidence-based research to help answer the clinical question. Over three hundred journals and peer-reviewed articles appear after searching one database with the keywords, bedside shift reports. Many of the articles provide evidence that implementation of this process not only improves patient safety and quality of care, but also shown an increase in patient engagement, enhance caregiver support, and education (Gregory, Tan, & Tilrico,…

    • 474 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Cited: Baker, S. (2010). Bedside shift report improves patient safety and nurse accountability. 36(4), Retrieved from www.jenonline.org…

    • 465 Words
    • 14 Pages
    Good Essays
  • Powerful Essays

    Nurse Rounding

    • 3219 Words
    • 10 Pages

    References: Blakley, D., Kroth, M., & Gregson, J. (2011). The impact of nurse rounding on patient…

    • 3219 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    Hourly Rounding

    • 1231 Words
    • 5 Pages

    As a manager an area of change that could improve patient care is hourly rounding. Hourly rounding involves rounding on patients every one to two hours and practicing a series of 8 specific behaviors. There are seven recognized reasons patients use their call bells. These seven reasons include bathroom/bedpan assistance (15%), IV/Pump alarm (15%), pain medication (10%), needed a nurse or CNA (9%), position assistance (4%), accidental hits of the call light (13%), miscellaneous reasons (13%). Studies show by using the hourly rounding on patients the percent can decrease by - bathroom 40%, pain 35%, positioning 29%, Iv/pump alarms 40%, and miscellaneous 39% (Studer Group, 2010).…

    • 1231 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Hourly Rounding

    • 3382 Words
    • 14 Pages

    Kessler, B., Claude-Gutekunst, M., Donchez, A. M., Dries, R. F., & Snyder, M. M. (2012). The Merry-Go-Round of Patient Rounding: Assure Your Patients Get the Brass Ring. MEDSURG Nursing, 21(4), 240-245.…

    • 3382 Words
    • 14 Pages
    Better Essays
  • Good Essays

    Nurse bedside shift report, is one of the projects that two of my coworkers and I have been working on since the beginning of the year, and we have been harvesting a wonderful result. Bedside report will provide patients safety and quality of care, it opens the window for better communication among the patients, their families, and nursing staff. Keeping the patients informed and involved in the plan of care is the most important goal of this project. Bedside report decreases patients fall during change of shift. It will improve patient safety. Furthermore, Anderson (2010) adds, end of shift bedside report prevents adverse event caused by breaking down the communication during change of shift. For instance, hand off blood transfusion, checking…

    • 196 Words
    • 1 Page
    Good Essays
  • Good Essays

    Hourly Rounding Essay

    • 635 Words
    • 3 Pages

    1. “Hourly rounding is a new, proactive approach to organizing nursing care that has garnered positive results; its focus on patient-centered care has led to notably improved patient satisfaction scores” (Ford, 2010, p. 188). Hourly rounding acts as a “proactive approach to anticipated needs” and “increases patient satisfaction, because patients perceive their needs are being met in a timely manner” (Ulanimo and Ligotti, 2011,p.1). The purpose of my evidenced based practice project was to examine evidence that supports the effectiveness of hourly rounding on patient satisfaction in hospitalized inpatient adults by answering the following PICOT question: For inpatient medical-surgical hospitalized patients over the age of 18, does the implementation of hourly nursing rounds versus having no hourly nursing rounds improve patient satisfaction…

    • 635 Words
    • 3 Pages
    Good Essays
  • Good Essays

    When thinking about the United States and their health care delivery system it has been noted for the past two decades that Americans are unhappy with their existing health care systems (Blendon, 2006). This is where the change comes into play. When talking with some colleagues who are registered nurses they all have said we can expect that, in addition to proposed results, there will be unseen stresses and unplanned outcomes occurring as a result of the reform. Some of these unplanned events are expected to slow down nurses ' ability to guarantee quality of care and secure settings for patients. The nursing…

    • 786 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    In the nursing profession patient safety and satisfaction is greatly stressed and very important, thus I chose to do my leadership change project on intentional one hour rounding and how it affects patient safety, specifically falls, and patient satisfaction. To bring this vision to a reality it was important to understand the problems and to set measurable goals for achieving them. It was also important to gain knowledge from other leaders in the community and health care field to have a better understanding of the pitfalls that I could come into contact with while working toward a solution.…

    • 1349 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    Nursing-sensitive indicators can be an important tool in identifying patient care issues that could potentially arise during a hospital stay. By analyzing the data on specific nursing-sensitive indicators, the quality of patient care can be optimized and patient satisfaction can be improved. The American Nurses Association (ANA) and the National Database of Nursing Quality Indicators (NDNQI) are two sources of information and guidelines for nurses and nurse managers to use in planning patient care and workloads for each nursing unit. The use of available resources, staffing by acuity and patient needs, appropriate referral indicators, and cooperation among colleagues are all necessary components in providing ethical, safe, and patient-centered care in the hospital setting. Care of the patient should always center on the individual needs, wishes and cultural practices, within the framework of evidence-based patient care interventions.…

    • 1776 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Nurses care for patient is a very “demanding environment, hierarchies, prolonged work hours, multiple roles and emotional demands” (Waite et al., p. 126, 2014). When conflict arises, it can be emotionally stressful for the nurse, “which can lead to ineffective patient care compromising patient safety” (Klinkhamer, p.337, 2015) negatively impacting the healthcare organization’s reputation.…

    • 493 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Health Research; 1(2): 51-61 13. Dorrian, J., Lamond, N., van den Heuvel, C., Pincombe, J., Rogers, A., & Dawson, D. (2006). A pilot study of the safety implications of Australian nurses ' sleep and work hours. Chronobiology International: The Journal of Biological, 23(6); 1149-1163. 14. Ellis, J.R. (2008). Quality of Care, Nurses‟ Work Schedules, and Fatigue: A White Paper, Seattle: Washington State Nurses Association. 15. Gaba, D. M., & Howard, S. K. (2002). Fatigue among clinicians and the safety of patients. The New England Journal of Medicine, 347(16), 1249-1255. 16. Gamble KL, Motsinger-Reif AA, Hida A, Borsetti HM, Servick SV, et al. (2011). Shift Work in Nurses: Contribution of Phenotypes and Genotypes to Adaptation. PLoS ONE, Volume 6(Issue4): e18395. 17. Gold, D., Rogacz, S., Bock, N., Tosteson, T., Baum, T., Speizer, F., et al. (1992). Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. American Journal of Public Health, 82(7), 1011-1014. 18. Greengold, N. L., Shane, R., Schneider, P., Flynn, E., Elashoff, J., Hoying, C. L., et al. (2003). The impact of dedicated medication nurses on the medication administration error rate: A randomized controlled trial. Archives of Internal Medicine, 163(19); 2359-2367. 19. Hughes, R., and Blegen, M. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Vol. 2. Chapter 37. Medication Administration Safety; 397-457. 20. Ito, Hiroto and Yamazumi, Syum. Common types of medication errors on long-term psychiatric care units. International Journal for Quality in Health Care. 2003. Volume 15. Number 3; 207-212. 21. Jha, A. K., Duncan, B. W., & Bates, D. W. (2001). Fatigue, sleepiness, and medical errors. In K. G. Shojania, B. W. Duncan, K. M. McDonald & et al. (Eds.), Making health care safer: A critical analysis of patient safety practices; pp. 519-532 22. Josten, E. J. C., Ng-A-Tham, J. E. E., & Thierry, H. (2003). The effects of extended workdays on fatigue, health, performance and satisfaction in nursing. Journal of Advanced Nursing, 44(6); 643-652. 23. Koller, M (1996). Occupational Health Services for Shift and Night Workers Applied Ergonmics, 27 (1) 31-37. 24. Kunert, K., King, M., & Kolkhorst, F. (2007). Fatigue and sleep quality in nurses. Journal…

    • 2539 Words
    • 11 Pages
    Powerful Essays
  • Better Essays

    In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others.…

    • 1122 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Systematic Research Review

    • 1595 Words
    • 7 Pages

    The objective of the article was clearly stated at the beginning. Methods on obtaining research was documented and reproducible. Inclusion and exclusion criteria was stated clearly. The articles were analyzed using a reputable source and methodology. Finally, the presentation of the study was clear, concise, and easy to follow. Further recommendations by this author include researching RCTs on this subject as well as searching for any economic facts on patient participation. This can be done by conducting another SRR or by changing search criteria to economics of patient…

    • 1595 Words
    • 7 Pages
    Powerful Essays