Intentional rounding: facilitators, benefits and barriers

Abstract

Engaging all staff, encouraging ownership and stability of management are key factors in the successful implementation and maintenance of IR. IR is flexible and robust enough to accommodate different patient types and acuity.

Intentional rounding – An integrative literature review

“…Intentional rounding was seen as advantageous for patient and staff satisfaction (Flowers et al., ; Rondinelli et al., ) and improving the safety of patients overall (Deitrick et al., ; Flowers et al., ; Rondinelli et al. , ) though influenced by several external factors.…”

“…Ongoing education and support is imperative for the continuation of IR and strong, consistent, positive leadership is required from management and senior staff (Flowers et al., ; Meade et al., ). The fact that some staff could not link patient safety benefits to IR highlights the need for appropriate education to assist ongoing compliance (Fabry, ).…”

“…IR is a systematic approach to checking individual patients at set intervals, anticipating patient needs, reducing adverse advents, offering greater comfort and reducing anxiety for patients. IR started as “patient comfort rounds,” in an effort to ensure that each patient was comfortable and that fundamental care needs such as pain assessment and control, personal comfort and environmental needs were met (Flowers et al., ; Forde‐Johnston, ; Meade, Bursell, & Ketelsen, ; Morgan et al., ; Kirk & Kane, ) . This rationale for regular rounding is to give holistic care and to meet all medical, social and behavioural needs.…”

“…as pain assessment and control, personal comfort and environmental needs were met (Flowers et al, 2016;Forde-Johnston, 2014;Meade, Bursell, & Ketelsen, 2006;Morgan et al, 2016;Kirk & Kane, 2016) .…”

“…This rationale for regular rounding is to give holistic care and to meet all medical, social and behavioural needs. It is timely for a synthesis of current literature to occur, as IR is attracting increasing interest in the international nursing community (Fabry, 2015;Flowers et al, 2016;Morgan et al, 2016;Negarandeh, Hooshmand Bahabadi, & Aliheydari Mamaghani, 2014).…”