Running head: A LITERATURE REVIEW FOR IMPROVED CARE 1

A Literature Review for Improved Care

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William Combs

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Galen College of Nursing

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 A LITERATURE REVIEW FOR IMPROVED CARE 2
A Literature Review for Improved Care

In healthcare, substantial progress has been achieved to improve care delivered to

patients. Quality care is vitally important to the of other vital factors, like the safety of every

individual and patient satisfaction. A most successfully development intervention is the

incorporation of hourly rounding to enhance care delivered. Hourly rounding is defined as

intentionally checking on patients by the hour in the effort to meet needs. Hourly rounding is

deemed to be a crucial intervention that nursing staff takes to prevent and decrease falls by 50%

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and to improve safety inside the acute care setting (James, 2018). There are some main points for

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hourly rounding consisting of assessing the environment for safety issues, the patient's need for

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pain reduction, if the patient needs to use the bathroom, the patients positioning and comfort, if
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the patient has their possessions within arm's length, and let the patient know that staff is readily
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accessible.
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Review of Chosen Articles

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For these articles, EBSCO was accessed to seek out articles. Several various articles were
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examined prior to a decision in selecting the next three: "Effects of nursing rounds: on patients'
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call light use, satisfaction, and safety”, "Purposeful and timely nursing rounds: a best practice

implementation project", and "Can rounding reduce patient falls in acute care? An integrative
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literature review".
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Compliance

Juli F Daniel is the author of the first article. The main goal of the article was to establish

and to improve the compliance regarding obligation and fitting reply to hourly rounding taken by

the nursing employees and reinforce the knowledge of interventions when completing hourly

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 A LITERATURE REVIEW FOR IMPROVED CARE 3
rounding (Daniels, 2016). Research methods consist of monitoring employees with an emphasis

on the obligation and fitting reply of protocol while completing hourly rounding. Aside from

supervision, meetings were carried out together with employees to determine personal views

about the impact of hourly rounding on the allocated floor. The primary objective was to improve

the safety of patients by reducing fall incidents by using hourly rounding programs.

Reducing Falls

In the next article, appraised, Darlene Hicks is the author. An integrative review

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technique was used in this article. An integrative research review is associated with the findings

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within individual studies to determine if the present knowledge on the subject matter and draw

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conclusions that will guide forthcoming nursing practices (Hicks, 2015). The primary intention
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was assessing the data to show hourly rounding decreases patient falls throughout the hospital.
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Reaching this goal, researchers went over numerous articled and identified connections. Fourteen
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studies utilizing hourly rounding in regard to preventing falls within the acute care setting were
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assessed. Articles examined indicated execution of hourly rounding decreased the number of
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patients falls and improved patient overall outcomes. Hourly rounding interventions aid
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employees in keeping patients safe by focusing on current needs (Hicks, 2015).

Effectiveness of Hourly Rounding

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The final article reviewed is by Christine Meade, Lyn Ketelsen, and Amy Bursell. The
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objectives of the article were to clarify efficiency of hourly rounding and relation to call light

usage. Researchers have been trying to learn if one-hour rounding and two-hour rounding on

patients lowered the call light usage and improved safety along with patient satisfaction within

this article (Meade et al., 2006). Inside the units, employees implemented one hour or two-hour

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 A LITERATURE REVIEW FOR IMPROVED CARE 4
rounding by using a procedure that was already made. Results that recommended one hour or

two-hour rounding by nursing employees were related to a significant reduction in call bell use

from clients (Meade et al., 2006). Additionally, a rise in client’s satisfaction with a decrease in

patients falling. When researchers reviewed the information additionally, findings showed a

substantial fall decline happened only with the one hourly rounding.

Information Synthesis

For the three articles, For the three articles that were reviewed, many aspects were looked

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at within the articles to determine what best improves patient outcomes when pertaining to

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hourly rounding within the hospital. Juli F Daniels (Daniels, 2016), stresses that compliance with

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the hourly rounding is the way to enhance patient outcomes and improve safety for patients at the
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same time. Darlene Hicks (Hicks, 2015) within her article mostly focuses on using hourly
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rounding as a tool to enhance client safety by reducing falls within the acute care setting, stating
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that hourly rounding interventions aid employees in keeping patients safe by focusing on current
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needs (Hicks, 2015). Christine Meade, Lyn Ketelsen, and Amy Bursell (Meade et al., 2006)
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looked at the use of call bells and staff compliance to answering the call bell promptly. Their
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research showed that once nursing staff utilized an hourly rounding program that patient call bell

usage went down, and satisfaction, along with safety, improved within the acute care setting.
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Based on the evidence from these studies, it would prove that implementing an hourly rounding
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program aids in improving safety for patients and aids in their satisfaction.

Healthcare Delivery Impact

Evidence-based research is powered by patient care and patient outcomes. Utilizing

hourly rounding is a procedure that enhances the client's outcomes along with the quality of care

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 A LITERATURE REVIEW FOR IMPROVED CARE 5
the patient gets, which will result in an enhancement within the patient's satisfaction. Hourly

rounding improves the care that is supplied by employees, and nurses will respond to the

patient's concerns and needs more frequently and as soon as possible with hourly rounding

(James, 2018). Hourly rounding benefits in a decrease in the number of fall incidents, which will

improve outcomes for patients. Hourly rounding being utilized inside the hospital, cost reduction

would significantly contribute to the facility. Hourly rounding creates a decrease in time waste,

giving nurses and employees additional time to care for more patients over short times (James,

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2018). Using hourly rounding within the hospital helps improve the safety of patients and

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employees. Guaranteeing that any potential inconsistencies from inside the clinical procedures

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are observed prior to any safety issues occur. Hourly rounding improves the medical services
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available to patients, assisting in strengthening a successful recovery. Because the hourly
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rounding is patient-focused, this ensures clients get an improved stay in the hospital and recover
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faster (James, 2018).

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Conclusion
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Within the setting of the hospital, hourly rounding is a proven best practice that
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employees can integrate add to the delivery of care to patients. For hourly rounding interventions

to work out effectively, it needs included gradually over the strategies of retraining nursing
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employees along with benchmarking to assist in streamlining the entire method of execution of
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hourly rounding. As it starts to be an integral part of the nursing employees’ everyday routine, it

will assist in enhancing quality care that patients receive through an increase in safety. Overall,

hourly rounding is going to help in enhancing overall patient satisfaction.

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 A LITERATURE REVIEW FOR IMPROVED CARE 6
References

Daniels, J. F. (2016). Purposeful and timely nursing rounds: a best practice implementation

project. JBI Database of Systematic Reviews & Implementation Reports, 14(1), 248-267.

Hicks, D. (2015). Can rounding reduce patient falls in acute care? An integrative literature

review. MEDSURG Nursing, 24(1), 51–55.

James, A.H. (2018). Action learning: a process to support change implementation. British

Journal of Healthcare Management, 24(9): 426-427. doi:10.12968/bjhc.2018.24.9.426

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Meade, C. M., Bursell, A. L., & Ketelsen, L. (2006). Effects of nursing rounds: on patients' call

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light use, satisfaction, and safety. The American Journal of Nursing, 106(9), 58–70.

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