Intentional rounding in acute adult healthcare settings: A systematic mixed‐method review

Christiansen, Angela; Coventry, Linda L.; Graham, Renée; Jacob, Élisabeth; Twigg, Di; Whitehead, Lisa

doi:10.1111/jocn.14370

Cited by 20 publications

(29 citation statements)

References 27 publications

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“…Moreover, our results suggest that the most important effects of social support on well-being are direct, and their small indirect effect go through health factors. Literature abounds in social support interventions on different outcomes and specific groups [ 56 , 57 ]. Our findings agree with previous studies showing a strong relationship between physical, psychological health and subjective well-being [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Mental well-being of the general population: direct and indirect effects of socioeconomic, relational and health factors

et al. 2021

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Purpose The aim of this study was to analyse the association between individual mental well-being and social, economic, lifestyle and health factors. Methods Cross-sectional study on a representative sample of 13,632 participants (> 15y/o) from the Catalan Health Interview Survey 2013–2016 editions. Mental well-being was assessed with the Warwick–Edinburg Mental Well-being Scale (WEMWBS). Linear regressions were fitted to associate well-being and sociodemographic, relational, lifestyle and health variables according to minimally sufficient adjustment sets identified using directed acyclic graphs. Predictors entered the model in blocks of variable types and analysed individually. Direct and total effects were estimated. Results Health factors significantly contributed to mental well-being variance. Presence of a mental disorder and self-reported health had the largest effect size (eta2 = 13.4% and 16.3%). The higher individual impact from a variable came from social support (β = − 12.8, SE = 0.48, eta2 = 6.3%). A noticeable effect gradient (eta2 = 4.2%) from low to high mental well-being emerged according to economic difficulties (from β = 1.59, SE = 0.33 for moderate difficulties to β = 6.02 SE = 0.55 for no difficulties). Younger age (β = 5.21, SE = 0.26, eta2 = 3.4%) and being men (β = 1.32, SE = 0.15, eta2 = 0.6%) were associated with better mental well-being. Direct gender effects were negligible. Conclusions This study highlights health and social support as the most associated factors with individual mental well-being over socioeconomic factors. Interventions and policies aimed to these factors for health promotion would improve population mental well-being.

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Section: Discussionmentioning

confidence: 99%

Mental well-being of the general population: direct and indirect effects of socioeconomic, relational and health factors

et al. 2021

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“…The quality of evidence for rounding is weak, with most of the literature consisting of QI studies. 53,54 Difficulties with adherence and sustainability of rounding initiatives are widely reported, [55][56][57] and introduction of the practice is often perceived as a top-down approach which restricts staff autonomy. 57 Other barriers include increased workload, competing priorities, poor documentation, inadequate education, and lack of staff buy-in.…”

Section: Intentional Roundingmentioning

confidence: 99%

“…53,54 Difficulties with adherence and sustainability of rounding initiatives are widely reported, [55][56][57] and introduction of the practice is often perceived as a top-down approach which restricts staff autonomy. 57 Other barriers include increased workload, competing priorities, poor documentation, inadequate education, and lack of staff buy-in. 55,56 Thus, even if stronger evidence supporting the effectiveness of rounding is produced, the feasibility of the strategy as a sustainable fall prevention practice is uncertain.…”

Section: Intentional Roundingmentioning

confidence: 99%

Preventing Falls in Hospitalized Patients

LeLaurin

Shorr

2019

Clinics in Geriatric Medicine

129

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“…Initiatives such as “intentional rounding,” which bears many similarities with the ED Safety Checklist, are based on clinical staff delivering care within specified time frames in a proactive manner. Rounding studies highlight the importance to successful implementation of developing a widely shared understanding of safety tools along with full engagement by all staff (Christiansen et al, ; Forde‐Johnston, ; Mitchell, Lavenberg, Trotta, & Umscheid, ; National Nursing Research Unit, ; Toole, Meluskey, & Hall, ). It is notable that staff in our study did develop shared understandings and meanings, but these differed from the primary purpose of the ED Safety Checklist which was to promote patient safety via structured monitoring.…”

Section: Discussionmentioning

confidence: 99%

The introduction of a safety checklist in two UK hospital emergency departments: A qualitative study of implementation and staff use

Stone

Banks

Brant

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To explore the extent to which a checklist designed to support patient safety in hospital Emergency Departments was recognised and used by staff. Background Patient crowding in UK Emergency Departments makes it difficult for staff to monitor all patients for signs of clinical deterioration. An Emergency Department Safety Checklist was developed at a UK hospital to ensure patients are regularly monitored. It was subsequently implemented in six hospitals and recommended for use across the National Health Service in England. Methods This was a qualitative study in two UK hospital Emergency Departments. Data collection consisted of sixty‐six hours of nonparticipant observation and interviews with twenty‐six staff. Observations were sampled across different days and times. Interviews sampled a range of staff. Data were analysed thematically. The study was undertaken in accordance with COREQ guidelines. Results Staff described the Emergency Department Safety Checklist as a useful prompt and reminder for monitoring patients' vital signs and other aspects of care. It was also reported as effective in communicating patient care status to other staff. However, completing the checklist was also described as a task which could be overlooked during busy periods. During implementation, the checklist was promoted to staff in ways that obscured its core function of maintaining patient safety. Conclusions The Emergency Department Safety Checklist can support staff in maintaining patient safety. However, it was not fully recognised by staff as a core component of everyday clinical practice. Relevance to clinical practice The Emergency Department Safety Checklist is a response to an overcrowded environment. To realise the potential of the checklist, emergency departments should take the following steps during implementation: (a) focus on the core function of clinical safety, (b) fully integrate the checklist into the existing workflow and (c) employ a departmental team‐based approach to implementation and training.

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Intentional rounding in acute adult healthcare settings: A systematic mixed‐method review

Cited by 20 publications

References 27 publications

Mental well-being of the general population: direct and indirect effects of socioeconomic, relational and health factors

Mental well-being of the general population: direct and indirect effects of socioeconomic, relational and health factors

Preventing Falls in Hospitalized Patients

The introduction of a safety checklist in two UK hospital emergency departments: A qualitative study of implementation and staff use

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