Abstract

Purposeful hourly rounding has been termed the best practice intervention to meet patients' basic needs, decrease the overall occurrence of preventable patient events, proactively prevent problems before they occur. Hourly rounding has been found to increase patient satisfaction and quality of care while reducing call bell lights. This hourly rounding initiative was a standardized structured approach to eliminating preventable inpatient falls and increasing patient satisfaction during an inpatient stay. The project's overall purpose was to increase the Hospital Consumer Assessment of Healthcare Providers and Systems survey scores. Specifically targeting staff hourly rounding percentage, staff responsiveness, and nurse communication domains. Furthermore, the project aimed to eliminate falls in the inpatient setting in a three-month implementation period. The methods utilized during this project included the activation of Hillrom's NaviCare Nurse Call automated hourly rounding reminder technology. This technology provided a structured approach and a visual reminder to the staff to conduct a purposeful hourly round on their patient. Pre-and post-implementation scores were analyzed and compared. The nurse responsiveness domain displayed a minimal increase in percentage from 59.03% to 59.55%. There was an increase from 73.86% to 80.81% in the nurse communication domain. The hourly rounding staff percentage score improved from 64.71% to 72.73%. The falls in the inpatient setting was not eliminated during the implementation period. Two falls were sustained during the three-month project time period. In conclusion, there was no data displaying statistical significance evidence to determine a practice change.

Author Details

Chelsea Marie Brouillet, DNP, BSN, RN

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Hourly Rounding, Inpatient Falls, Patient Satisfaction

Advisor

Erica Kines

Degree

DNP

Degree Grantor

Jacksonville University

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2022-04-07

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