Date of Award
Summer 2023
Project Type
Thesis
College or School
CHHS
Department
Nursing
Departments (Collect)
Nursing
Program or Major
Direct Entry Master's in Nursing
Degree Name
Master of Science
First Advisor
Kaitlynn Liset
Abstract
Background: Hourly rounding is a form of intentional rounding (IR) to standardize care for patients to prevent adverse outcomes. Visiting patient rooms every hour and documenting any changes in client status is used as a general format for hourly rounding. Research reveals consistent hourly rounding is strongly linked with value for performance of this form of IR. Nurses’ Perceptions of Patient Rounding Scale (NPPRS) is a tool for assessing nurses’ value for their work. An educational video combined with NPPRS were utilized to create change for patients to continue to receive care that is safe, high quality, and cost-effective.
Local problem: At a federally microsystem, hourly rounding was not consistent. Performing hourly rounding is time consuming and difficult for nurses to perform with patients who have behavioral issues. Allocating adequate time for patient care is variable due to client behaviors and competing demands for daily tasks. Opportunities for improvement arose from a sentinel event related to consistency of hourly rounding.
Methods: The Plan, Do, Study, Act (PDSA) model was the framework utilized for this quality improvement (QI) initiative. One PDSA cycle was performed to test for changes in nursing staff perspectives towards hourly rounding after watching an educational video using audio, visual, and reading tactics for instilling knowledge.
Interventions: Nursing staff were briefed on the expectations for this QI initiative. NPPRS was used as a pre- and post-survey to analyze staff perspective towards hourly rounding. The data from NPPRS were compared to observe a change in nurses’ value for performing their rounding duties.
Results: NPPRS scores collected revealed a 35% increase in nursing staff value towards hourly rounding. Open-ended statements provided in dedicated portions of NPPRS offered the microsystem relevant feedback for future PDSA cycles to improve hourly rounding consistency.
Conclusion: There was an increase of nursing staff perspective towards hourly rounding. Further exploration of nursing staff feedback to continue another PDSA cycle may be tested to observe for any improvements with hourly rounding.
Key words: hourly rounding, intentional rounding, purposeful hourly rounding, education, perspective, value, quality improvement
Recommended Citation
Juhn, Jacqueline, "Reshaping Nurses’ Attitudes Toward Hourly Rounding to Increase Patient Safety and Instill Values-based Care: A Quality Improvement Initiative" (2023). Master's Theses and Capstones. 1687.
https://scholars.unh.edu/thesis/1687