Presentation on theme: "Evaluating the Impact of Nurses’ Rounding on Patient Satisfaction and Clinical Outcomes Margaret Redmond,BSN, OCN Rene Lavoie, RN-BC Renee DiGiovanni,"— Presentation transcript:
Evaluating the Impact of Nurses’ Rounding on Patient Satisfaction and Clinical Outcomes Margaret Redmond,BSN, OCN Rene Lavoie, RN-BC Renee DiGiovanni, BSN, RN-BC, CCTN Ochsner Medical Center, New Orleans Miro Sarac, PhD, LSUHSC School of Nursing
Background – Nursing Rounds Purpose To assess patient needs Described as Task oriented Unstructured without a consistent set of standards – “a peak in the door” Current practice Reactive vs. proactive
Literature Review Structured rounding protocol focusing on Pain, Potty, & Positioning supported positive impact on outcomes Reduced call light usage Improved patient satisfaction Decreased in fall rate Mead, C., Bursell, A., & Ketelsen, L. (2006). Effects of nursing rounds on patient call light use, satisfaction, and safety. AJN, 106(9),59-69.
Purpose for Study Investigate the impact of a patient rounding protocol on outcomes associated with Investigate the impact of a patient rounding protocol on outcomes associated with Pain Potty Positioning
Study Methods Research Design Prospective Descriptive Study IRB expedited review with waiver of documentation of informed consent Convenience Sample Patients admitted to five medical surgical units Procedure Rounding protocol over 12 weeks
Focus on “ 3 P’s” Hourly during the day (6am-10pm) Every 2 hrs at night (10pm-6am “Is there anything else you need?” Rounding Protocol
Data Collection – Pre- & Post-Protocol Call light use Pain Potty Position Pain management satisfaction Press Ganey Patient satisfaction Press Ganey Falls NDNQI Falls 1000/patient days Hospital acquired pressure ulcers NDNQI HAPU/1000 patient days
Data Analysis Frequency distribution for each variable Tests for differences between & among groups Chi- square Paired t-test ANOVA All tests 2-tailed, α = 0.05
Limitations Generalizability of findings Convenience sample at one site Limited to 3-month study period Unable to verify the accuracy of rounding logs Appropriate time? Addressed all 3 variables?
Summary Decreased patient call light volume overall Improved outcomes on some units Pain management HAPU and falls Uncertain why some units did not demonstrate improvement
Relevance to Nursing Frequent structured rounds should Improve clinical outcomes Reduce nurses’ burden Additional research should address Other foci for rounding should be studied (ie. IV pump) Obstacles to nurses’ rounding
References Castledine, G. (2002). Patient comfort rounds: A new initiative in nursing. British Journal of Nursing, 11 (6), 407. Halm, M. et al. (2003). Interdisciplinary rounds: Impact on patients, families and staff. Clinical Nurse Specialist, 17(3), 133-142. Mead, C., Bursell, A., & Ketelsen, L. (2006). Effects of nursing rounds on patient call light use, satisfaction, and safety. AJN, 106(9), 59-69. Van Handel, K. & Krug, B. (1994). Prevalence and nature of call light request on an orthopedic unit. Orthopedic Nursing, 13(1), 13-18.