Implementation of a Nurse Leader Rounding Program in the Emergency Department

Abstract

Practice Problem: The identified practice problem was the low “Likelihood to Recommend” patient experience survey scores within the ED at the identified project setting. PICOT: The PICOT question that guided this project was “In ED patients (P), how does the implementation of Nurse Leader Rounding (I) compared to the prior state of no Nurse Leader Rounding (C) affect the “Likelihood to Recommend” top box score (O) within eight weeks (T)?” Evidence: In a review of 13 articles, the evidence consistently showed that Nurse Leader Rounding was a proven intervention for increasing patient engagement scores. Intervention: Nurse Leader Rounding is defined as the department leader rounding on the patient within the department and providing: 1) feedback to the primary care team related to observations of care expectations by the leader and 2) in the moment service recovery if needed Outcome: The outcome of the project was a clinically significant increase in “Likelihood of Recommending” by 2.3% while no statistical significance in scores. Conclusion: The conclusion of this project found that COVID-19 played a big part into the small increase in engagement scores. However, it did show that Nurse Leader Rounding, as an intervention, has the ability to increase patient engagement scores.