). In order to help alleviate patient anxiety, and improve patient perception of nursing responsiveness, an hourly rounding protocol should be initiated throughout the hospital on all nursing units.
CONSULTATIVE CHANGE RECOMMENDATIONS 7 Rationale for Recommended Change Hourly rounding protocols have been proven to improve patient perception of nursing and staff responsiveness, thus improving HCAHP scores for the hospital. When patients are checked on at least hourly, it helps them know that they have not been forgotten about. Even if a nurse or patient care assistant has no task to complete with a patient when it is time to round, it is crucial that patient contact is still made. Proactively meeting patients’ needs helps lessen call light use, incontinent episodes, and patient falls. It also helps the patient to feel important and heard in a situation where they are typically very uncomfortable. As nurses we are used to the hospital environment, the sights, the sounds, and sometimes even the smells. We are used to incontinence, but for a patient an episode of incontinence could be humiliating, especially if their call light was not answered in time for them to get to the restroom. Mitchell, Lavenberg, Trotta, & Umscheid (2014) stated that “ the evidence on hourly rounding leads us to conclude that it improves patients’ perceptions of nursing staff responsiveness in units where this may have been a problem and improves patient satisfaction scores”. Implementing purposeful hourly rounding will help to meet the needs of Dayton, Ohio’s specific population. Dayton, Ohio was identified as having a large population in poverty, a high level of drug abuse, and a number of citizens that speak a first language other than English. Making contact with these patients at least hourly will help to reinforce that they matter and that they are getting the care that they need and deserve. No one’s financial state, medical history, or ethnic background should ever be reason for lack of medical care and fair treatment. Some of these patients are at a high risk of leaving the hospital against medical advance, which could be
CONSULTATIVE CHANGE RECOMMENDATIONS 8 devastating for them and their families. Hourly rounding can help to prevent things like this if done purposefully and respectfully. Evaluation of Change Effectiveness In order to evaluate change effectiveness multiple means will be used including nurse leader rounds, HCAHP scores, and patient/staff conversations. Nurse leader rounds will not only be an opportune way to evaluate the effectiveness of hourly rounding, but it will help the patient to feel that they matter and that the hospital leaders want to assure that their needs were met while they were in the hospital. Nurse leaders will then be able to either follow up on issues that they perceive, or report back to the staff about how well the implementation is going in regard to patient satisfaction. Miami Valley Hospital publishes HCAHP scores on a quarterly basis in order to keep a close eye on trends throughout the organization, whether they be good or bad. Being
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- Fall '18
- Nursing, Miami Valley Hospital