The implementation of intentional rounding using participatory action research

Abstract

ABSTRACT'Intentional'/'hourly rounding' is defined as regular checks of individual patients carried out by health professionals at set intervals, rather than a response to a summons via a call bell. Intentional rounding places patients at the heart of the ward routine including the acknowledgement of patient preferences and in anticipation of their needs. The aim of this study was to implement intentional rounding using Participatory Action Research to increase patient care, increase staff productivity and the satisfaction of care provision from both patients and staff. Outcomes of the study revealed a drop in call bell use, no observable threats to patient safety, nursing staff and patient satisfaction with care provision. However, any future studies should consider staff skill mix issues, including the needs of newly graduated nursing staff as well as the cognitive status of patients when implementing intentional rounding on acute care wards.

A systematic review: barriers to hourly rounding

“…, Harrington et al . , Shepard , Fabry , Forde‐Johnston ). Patient acuity levels may impact the nurse's ability to round at a prescribed frequency.…”

The Lived Experience and Training Needs of Librarians Serving at the Clinical Point-of-Care

“…This study utilized elements of several qualitative research techniques including phenomenology, grounded theory, and participatory action research (see the sidebar), 17,20–22 supplemented by survey-based quantitative data collection (see Figure 1). The initial, self-reflective focus group of five librarians represented widely varying levels of experience in the clinical setting; length of experience ranged from one year to over thirty years and occurred at multiple institutions.…”

A qualitative exploration of intentional nursing round models in the emergency department setting: investigating the barriers to their use and success

“…) with for example, Harrington et al . () demonstrating a 50% reduction in use, and Hutchings et al . () a 32% fall.…”

“…, Braide , Harrington et al . , Hutchings et al . ), with, for example, one or two‐hourly rounding or a combination of both.…”

“…A number of factors might influence frequency of rounds including levels of patient acuity or time of day (Harrington et al . ), staffing mix and identified member responsible for managing rounding (Woodard ).…”