Impact of Structured Nurse Leader Rounds on Satisfaction With Nursing Care Among Patients With Cancer

Abstract

Background The patient satisfaction rate is considered a challenge for nurse leaders, especially among patients with cancer, due to the complexity of the disease, diagnostic procedures, and treatment. Aim The purpose of this study was to evaluate the impact of structured nurse leader rounds (NLRs) on satisfaction with nursing care among patients with cancer. Moreover, we assessed the relationship among NLRs, patient satisfaction, and demographical variables. Methods A two‐group posttest design was used in four adult inpatient oncology units in a specialized oncology center. A stratified random sampling technique was utilized to select 169 patients for the experimental group (80 patients) and control group (89 patients). Structured leader rounds were conducted by nurse leaders using a scripted nurse leader tool to standardize the rounds in the experimental group, while the unstructured leader round was conducted in the control group. Patient satisfaction was measured using the Patient Satisfaction with Nursing Care Quality Questionnaire. Results The findings revealed that there was a significant difference in total score of patients’ satisfaction between study groups (t = −9.213, p > .001). Conversely, the structured leader round has a significant impact on the patient’s experience with nurse concern and caring (t = −2.054, p = .042). Conclusions Adoption of a structured NLR has a significant impact on improving patient satisfaction in an oncology setting where patients receive care from many disciplines, such as surgical, medical, radiotherapy, and radiology. Clinical Relevance Efficient structured NLRs of nursing professionals are important for enhancing the quality of nursing care and patient satisfaction.

Nurse manager intentional rounding and outcomes: Findings of a systematic review

“…About the other aspects of the quality of care, information accessibility ( p = .001), discharge instructions ( p = .001), coordination of care after discharge ( p = .001), and patients' experience with nurses' concern and caring ( p = .042) were significantly higher in the group of patients exposed to the NMIR (Ayaad et al, 2019). A significant difference after rounding was found in 1‐year post‐implementation with regards to communication with doctors (+11.5%, p = .007), pain management (+11.9%, p = .045), unit cleanliness (+10.1%, p = .027) and quietness (+8.3%, p = .049), whereas in 3‐year postimplementation, significant improvements emerged in communication with nurses (+4.8%, p = .025), communication about medication (+7.8%, p = .018) and discharge information (+5.1%, p = .032) (Manss, 2017).…”

“…Four studies evaluated the HCAHPS mean score outcomes at pre-and post-rounding intervention (Cody & Williams-Reed, 2018;Hudson-Covolo et al, 2018;Manss, 2017;Winter & Tjiong, 2015). The remaining three also evaluated the post-test after the rounding intervention (Ayaad et al, 2019;Morton et al, 2014;Pattison et al, 2017).…”

“…• Patients were given occasions to also share positive comments or experiences concern and caring (p = .042) were significantly higher in the group of patients exposed to the NMIR (Ayaad et al, 2019). A significant difference after rounding was found in 1-year post-implementation with regards to communication with doctors (+11.5%, p = .007), pain management (+11.9%, p = .045), unit cleanliness (+10.1%, p = .027)…”

The Effect of Nursing Round on Patient Satisfaction in Nursing Services

“…It was found that the implementation of nursing leader rounds had a significant impact in increasing patient satisfaction with patient and family involvement, patient discharge processes and care coordination, staff performance, responsiveness, and interaction with patients (Ayaad et al, 2019). By practicing the nursing round, it ensure that the patient feels cared for by the nursing staff while in the hospital, and increase nurse-patient interaction, satisfaction, and results (East et al, 2020).…”

“…The research that contributed to this study was mostly a qualitative study and a quasy-experiment. Research from the reviewed studies was conducted in seven different countries, Australia (Flowers et al, 2016;Tobiano et al, 2019;East et al, 2020), United States (Blakley, Kroth and Gregson, 2011;Daniels, 2016;), Iran (Negarandeh, Hooshmand Bahabadi, and Aliheydari Mamaghani, 2014), Republic of Korea (Shin and Park, 2018), Saudi Arabia (Saleh et al, 2011), United Kingdom (Kirk and Kane, 2016), and Jordan (Ayaad et al al., 2019). Nursing rounds in the journals article used in this reviewed are implemented in a treatment room or ward that have patients with different diagnoses and some are implemented in special care environments such as medical surgery units, emergency departments, oncology units, intensive care units (ICU), elderly care unit and maternity.…”