Hourly Rounding Literature Review

Literature Review A literature review on the effectiveness of hourly rounding suggested that if implemented correctly many aspects of patient care can be improved. This search also found several limitations and barriers, but still showing that hourly rounding is overall improving patient satisfaction, fall rates, and call light usage. According to Dyck, Thiele, Kebicz, Klassen and Erenberg (2013), fall related injuries are a huge concern for patient care and the main focus of their study. The study looked into focusing on starting hourly rounding for fall prevention. They felt there was a good opportunity to reduce fall and injury rates by initiating hourly rounds. This study focused on the change initiative they could make by implementing

This was a quasi-experimental study performed over a six-month time period. This study looked to determine if a standardized hourly rounding process would improve efficiency, patient satisfaction, and quality and safety of care compared to less standardized processes. The study was conducted on a 32-be cardiovascular surgery unit. To implement the standardized rounding, staff participated in a four-hour educational workshop, a patient/family awareness poster was placed in each patient room, charting was required in the electronic patient record, and coaching and mentoring was done throughout to keep the staff on the right track. This study focused on efficiency of care through the use of call lights and nurses’ steps per shift, the quality and safety of care by readmission rates and fall rates, and patient satisfaction through a questionnaire. The results showed a significant decrease in call light usage in the group with standardized rounding but an increase in the group without, the study could not identify if steps per shift decreased due to outside variables, the study also did not see a reduction in patient falls because falls were happening so infrequent prior. However, there was a significant improvement in patient satisfaction in the group that experienced standardized hourly rounding. This study concluded that although there were a reduction in some

This was conducted on an adult inpatient medical-surgical unit. The reason for conducting this study was could be limiting the overall effectiveness. This study identified barriers in the areas of workload issues, burdensome rounding logs, missing staff buy-in, patient acuity levels, lack of adequate staff education, and a lack of sustainability. All of these barriers are directly related to the staff caring out the hourly rounds, except the patient acuity level; meaning that if staff can be thoroughly educated on the correct process of hourly rounding, many of these barriers would be eliminated. This study identified that future studies are needed to address these barriers specifically to see if there would be an improvement in hourly rounding effectiveness, but this study recommends that it would be. This study concluded that by identifying the barriers as to why hourly rounding may not be reaching its potential could be the first step in creating a much more effective hourly rounding process (Toole et al.,