Abstract
The purpose of this Value Improvement Project was to address the problem of declining patient experience on our Orthopedic Spinal Unit at our inpatient acute care facility and we used the CAHPS Likelihood to Recommend domain as out measurement tool. At the start of the project, we were at the 55th percentile rank for the second quarter of 2024. We decided to infuse our patient rounding with proactive interventions so that our rounds were not simply to say someone last saw the patient breathing at 1500 but to round with more patient centered purpose! Purposeful hourly rounding has emerged as a vital strategy in healthcare settings to improve patient experience, satisfaction and safety (Jones & Brown 2020). Smith & Johnson (2019) conducted a systematic review and found that purposeful hourly rounding had a positive impact on patient experience and satisfaction. In addition to patient satisfaction, studies indicate that proactive interventions during rounding followed by ACE IT Anything, such as assisting with toileting, adjusting bed positions, and ensuring the availability of personal items, contribute to a safer environment for patients (Karaca & Durna, 2019; George, 2024). Our interventions included education of ACE IT, ANYTHING Standard Work, Patient Rounding Standard work, and Rounding Log sheets during in-services and announcements at huddle each shift. Our goal was to increase our unit’s CAHPS Likelihood to Recommend Scores to the 60th percentile by Q3 2024.
Notes
References:
George, Nicole. (2024). How Nurses Influence the Patient Experience. AJN, American Journal of Nursing, 124, 42-45.
https://doi.org/10.1097/01.NAJ.0001010580.63298.b0
Jones, C., & Brown, K. (2020). Enhancing patient safety through purposeful hourly rounding: A literature review. Journal of Patient Safety & Quality Improvement, 12(2), 87-94.
Karaca A., & Durna Z. (2019). Patient satisfaction with the quality of nursing care. Nurs Open 2019;6(2):535-45
Leamy, M., Sims, S., Levenson, R., Davies, N., Brearley, S., Gourlay, S., Favato, G., Ross, F., & Harris, R. (2023). Intentional rounding: A realist evaluation using case studies in acute and care of older people hospital wards. BMC health services research, 23(1), 1341. https://doi.org/10.1186/s12913-023-10358-1
Smith, J. D., & Johnson, A. B. (2019). The impact of purposeful hourly rounding on patient experience and satisfaction: A systematic review. Journal of Nursing Management, 27(3), 423-432.
Sigma Membership
Phi Kappa
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Acute Care, Sustainable Development Goals, Interprofessional Initiatives, Rounding
Recommended Citation
Nurse, Celia, "Targeting Safety & Satisfaction in Hourly Rounds to Enhance Patient Experience on Ortho-Spinal Unit" (2025). International Nursing Research Congress (INRC). 169.
https://www.sigmarepository.org/inrc/2025/presentations_2025/169
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
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.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Targeting Safety & Satisfaction in Hourly Rounds to Enhance Patient Experience on Ortho-Spinal Unit
Seattle, Washington, USA
The purpose of this Value Improvement Project was to address the problem of declining patient experience on our Orthopedic Spinal Unit at our inpatient acute care facility and we used the CAHPS Likelihood to Recommend domain as out measurement tool. At the start of the project, we were at the 55th percentile rank for the second quarter of 2024. We decided to infuse our patient rounding with proactive interventions so that our rounds were not simply to say someone last saw the patient breathing at 1500 but to round with more patient centered purpose! Purposeful hourly rounding has emerged as a vital strategy in healthcare settings to improve patient experience, satisfaction and safety (Jones & Brown 2020). Smith & Johnson (2019) conducted a systematic review and found that purposeful hourly rounding had a positive impact on patient experience and satisfaction. In addition to patient satisfaction, studies indicate that proactive interventions during rounding followed by ACE IT Anything, such as assisting with toileting, adjusting bed positions, and ensuring the availability of personal items, contribute to a safer environment for patients (Karaca & Durna, 2019; George, 2024). Our interventions included education of ACE IT, ANYTHING Standard Work, Patient Rounding Standard work, and Rounding Log sheets during in-services and announcements at huddle each shift. Our goal was to increase our unit’s CAHPS Likelihood to Recommend Scores to the 60th percentile by Q3 2024.
Description
We exceeded our set goal and improved on the CAHPS Likelihood to Recommend domain from the 55th percentile in Q2 to 69th percentile in Q3. We also improved in other CAHPS domains. Attend this presentation to know the other CAHPS domains we improved on, receive details on all interventions used and learn the process used to motivate and engage staff as audits were completed! This patient centered care initiative can be used at other inpatient acute care facilities to advance clinical practice.