Hourly patient rounding, according to Neville, is a preset timing, usually every hour or every two hour, in which tasks are performed by nurses as a way to check in on the patients (Neville, 2012). The concept of hourly rounding by nurses is not new. Infact, it is a way nurses organize their work and address important issues as they go about their day. There are other types of rounding in the hospitals such as interdisciplinary rounds and medical rounds, but these are done perhaps daily or a few times a week. It is the focus of this paper to address three relevant headings related to nursing hourly rounding through research literature and review.
With hourly rounding, nurses can independently initiate and perform tasks. Additionally, nurses can utilize the nursing process and apply it as frequently as every hour. For example, after medicating (implementation) the patient with pain medication in the last hour, with this hour rounding the nurse can re-evaluate (evaluation) the effect of the medication while assessing (assessment) the patient’s vital signs and pain scale and inform the patient when the next pain medication can be given (planning). Hourly rounding is important because in doing so, nurses address patients’ comfort, needs, and safety to prevent any adverse events. Thus, nurses are proactive by anticipating and attending to patients’ needs rather than respond to patients request in reactive mode (Halm, 2009; Hutchings, 2013).
Three most common problems related to nursing hourly rounds are: patient falls, increase use of call light, and decrease patient satisfaction (Kalman, 2012).
B. List of References
Berg, K. et al (2011). Hourly rounding with a purpose. The Iowa Nurse Reporter, 24(30, 12-14.
Tzeng, H. and Yin, C. (2009). Relationship between call light use and response time and inpatient falls in acute care settings. Journal of Clinical Nursing, 18(23), 3333-3341.
Olrich, T., Kalman, M., and
References: Berg, K. et al (2011). Hourly rounding with a purpose. The Iowa Nurse Reporter, 24(30, 12-14. Tzeng, H. and Yin, C. (2009). Relationship between call light use and response time and inpatient falls in acute care settings. Journal of Clinical Nursing, 18(23), 3333-3341. Olrich, T., Kalman, M., and Nigolian, C. Hourly rounding (2012). A replication study. MEDSURG Nursing, 21(1), 23-26. Meade, C., Bursell, A., and Ketelsen, L. (2006). Efects of nursing rounds on patients’ call light use, satisfaction, and safety. American Journal of Nursing, 106(9), 58-70. Assi, M. et al (2008). Why making the rounds makes sense. American Nurse Today, 3(2), 12. Lowe, Hodgson (2012). Hourly rounding in a high dependency unit. Nursing Standard, 27(8), 35-40. Date of acceptance: June 25, 2012. Hutchings, M., Ward, P., and Bloodworth, K. (2013). Caring around the clock: a new approach to intentional rounding. Nursing Management, 20(5), 24-30. Halms, M. (20090. Hourly rounds: What does the evidence indicate? American Journal of Critical Care, 18(6), 581-584. Moran, J. (2011). Improving care on mental health wards with hourly nurse rounds. Nursing Management, 18(1), 22-26. Blakley, D., Kroth, M., and Gregson, J. (2011). The impact of nurse rounding on patient satisfaction in a medical-surgical hospital unit. MEDSURG Nursing, 20(6), 327-332. Weigram, B. and Raymond, S. (2008). Using evidence-based nursing rounds to improve patient outcomes. MEDSURG Nursing, 17(6), 429-430. Tucker, S. et al (First Quarter 2012). Outcomes and challenges in implementing hourly rounds to reduce falls in orthopedic units. Worldviews on Evidence-Based Nursing, 9(1), 18-29. Date of electronic publication: Sep. 19, 2011. Gardner, G. et al (2009). Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: A pilot study. International Journal of Nursing Practice, 15(4), 287-293. Tea, C., Ellison, M., and Feghali, F. (2008). Proactive patient rounding to increase customer service and satisfaction on an orthopaedic unit. Orthopaedic Nursing, 27(4), 233-241. Meade, C., Bursell, A., and Ketelsen, L. (2006). Effects of nursing rounds on patients’ call light use, satisfaction, and safety. American Journal of Nursing, 106(9), 58-70. Tea, C. et al (2008). Proactive patient rounding to increase customer service and satisfaction on an orthopaedic unit. Orthopaedic Nursing, 27(4), 233-241. Lowe, H. (2012). Hourly rounding in a high dependency unit. Nursing Standard, 27(8), 35-40. Date of acceptance: June 25, 2012. Gardner, G. et al (2009). Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: A pilot study. International Journal of Nursing Practice, 15(4), 287-293. Meade, C., Bursell, A., and Ketelsen, L. (2006). Effects of nursing rounds on patients’ call light use, satisfaction, and safety. American Journal of Nursing, 106(9), 58-70. Kalman, M. et al (2012). Hourly rounding: A replication study. MedSurg Nursing, 21(1), 23-26. Moran, J. (2011). Improving care on mental health wards with hourly nurse rounds. Nursing Management, 18(1), 22-26. Hutchings, M., Ward, P., and Bloodworth, K. (2013). Caring around the clock: a new approach to intentional rounding. Nursing Management, 20(5), 24-30. Tea, C., Ellison, M, and Feghali, F. (2008). Proactive patient rounding to increase customer service and satisfaction on an orthopedic unit. Orthopaedic Nursing, 27(4), 233-241.