Abstract

Purposeful rounding has gained acceptance in academic literature regarding its clinical benefits in patient optimal outcomes. A Mid-Atlantic regional hospital implemented hourly rounding a few years ago, but it has not been successfully sustained. Hospital administrators desired to improve practice with consistent implementation. The purpose of this project was to implement a structured purposeful rounding intervention on a medical-surgical inpatient unit aimed to improve nurses’ and nursing assistants’ perceptions of purposeful rounding, thereby decreasing patient fall rates, and improving patient satisfaction. A process improvement initiative was implemented. A baseline organizational assessment was completed on a 30-bed medical-surgical unit of the hospital. The assessment findings led to a focused educational session designed to promote establishment of a structured purposeful rounding that incorporated time management. Due to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and census restructuring on the initial host unit, implementation was completed in a comparable unit of same structure staffed by the same personnel. A pre survey involving 24 participants and a post survey involving 29 participants were conducted. A difference between the sample mean of the baseline assessment survey and the sample mean of the post intervention survey was 0.15 for nurse respondents and 0.27 for nursing assistant respondents. A Welch two sample t-test, two-sample t (50) = 2.1, p = .04 demonstrated a statistically significant difference between the two sample means. A confidence interval and a population mean were not computed due to small sample size. Implications for future consideration include periodic training and formation of a rounding committee to uphold the practice of hourly rounding.

Author Details

Bernadine Ihediohanma, BSN, DNP - FNP, RN (Student) and Valerie Anderson, DNP, FNP, APRN-C

Sigma Membership

Tau Tau

Lead Author Affiliation

Nebraska Methodist College, Omaha, Nebraska, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Quantitative Research

Keywords:

Nurses' Perceptions, Rounding, Purposeful Rounding, Patient Outcomes, Hourly Rounding, Nursing Assistants

Advisor

Anderson, Valerie Lynn

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2020

Rights Holder

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

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