Problem--Patient Rounding

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Evaluation of a standardized hourly rounding process (SHaRP). Academic Journal (English) By: Krepper R; Vallejo B; Smith C; Lindy C; Fullmer C; Messimer S; Xing Y; Myers K, Journal For Healthcare Quality: Official Publication Of The National Association For Healthcare Quality [J Healthc Qual], ISSN: 1945-1474, 2014 Mar-Apr; Vol. 36 (2), pp. 62-9;

Introducing intentional rounding: a pilot project. Academic Journal (includes abstract) Dewing, Jan; O'Meara, Brenda Lynes; Nursing Standard, 2013 Oct 9; 28 (6): 37-44.

The implementation of intentional rounding using participatory action research. Academic Journal By: Harrington, Ann; Bradley, Sandra; Jeffers, Lesley; Linedale, Ecushla; Kelman, Sue; Killington, Geoffrey. International Journal of Nursing Practice. Oct2013, Vol. 19 Issue 5, p523-529. 7p.

DuPree, E., Fritz-Campiz, A., & Musbeno, D. (2014). A new approach to preventing falls with injury. Journal of Nursing Quality Care, 29(2), 99-102.
Patient Rounding
The following objectives are to be addressed under these headings
1. INTRODUCTION

Hospitals must adhere to new regulations and improvement outcomes after the passage of the Affordable Care Act. One of the primary areas of reform is patient safety while in the hospital as many patients suffer injuries and death as a result of the quality of care or lack thereof provided by healthcare providers. One of the main causes of injury is falls, which occur at shockingly high rates, and will result in a lack of reimbursement for services from Medicaid and Medicare under the ACA. Therefore, hospitals must implement new strategies to address this issue based upon evidence-based research. The primary strategy for reducing patient falls is patient rounding that the research literature has shown to tacitly be associated with improvements in care delivery and in patients' perception of care. In addition, and most importantly for this "summary" for (your) paper is that patient rounding has been positively associated with reduction in patient safety events such as falls.

This summary will provide an overview of the challenges associated with hospitals implementing hourly rounding protocol as this implementation will require an entire organizational change within the nursing staff workflow and must first entail a visionary leader such as a DNP educated nurse who is capable of democratic and transformative leadership. This leader must be able to elicit support from the primary stakeholders in this strategic change, who are not in unison regarding patient rounding as many nurses are opposed to this practice while many researchers have also found no statistically relevant impact in hospitals using patient rounding. Therefore, the DNP leader will need to ensure that through evidence-based research, nurses are able to focus on the benefits instead of the extra work and disruption to nurse workflow that accompanies patient rounding.

To ensure that patient rounding is embraced by nurses, effective and substantial training programs must be provided along with evidence-based research and education program that clearly and concisely prove the effectiveness of patient rounding. Patient rounding' that is successfully implemented will entail regular checks of individual patients carried out primarily by nurses using set intervals rather than a response to a summons via a call bell. The objective of patient rounding is to put patients needs and healthcare at the center of the nursing ward by acknowledging differences in patient preferences, which enables nurses to better meet their individualneeds.

2. Problem Area of Impact
Describe how the problem area impacts the three system levels within the organizational structure—microsystem, mesosystem, and ...