The influence of organization tenure on nurses’ perceptions of multiple work process improvement initiatives

Nurses' Perceptions of Hourly Rounding in Jordanian Hospitals: A National Survey

AIM

To explore nurses' perceptions of hourly rounding in Jordanian hospitals.

BACKGROUND

Hourly rounding is a standardized and systematic process conducted by nurses to anticipate and address needs in hospitalized patients. The evidence on hourly is mixed, and research is needed to affirm the benefits of implementing hourly rounding across different contexts.

METHOD

A cross-sectional correlational design was used. A convenient sample of 1378 nurses was recruited from one Military hospital, two university-affiliated hospitals, four governmental hospitals, and four private hospitals in Jordan. The Hourly Rounding Questionnaire was used to collect data. Descriptive statistics, T-test, one-way ANOVA, and Kruskal-Wallis H test were used to analyze the data.

RESULTS

The highest agreements between nurses were on the items related to the implementation of hourly rounding in terms of preventing patient falls" 1211(87.9%), "preventing hospital-acquired pressure ulcers" 1201(87.2%) and addressing patients' position" 1199(87%). The lowest agreements between nurses were on the items related to the involvement of nurses in the decision-making process and sense of ownership 268(19.4%), and the availability of continued support and resources 239(17.3%). Female nurses, nurses who often work on a shift rotation, nurses working in private hospitals and respiratory units had a positive perception of hourly rounding.

IMPLICATIONS FOR NURSING PRACTICE

Findings will inform nursing leaders and policy developers about the implementation of hourly rounding from nurses' perspectives. A protocol should accompany hourly rounding for robust evaluation to measure the impact of this process change with the involvement of nurses in the decision-making process.

Intentional rounding - An integrative literature review

AIMS

To establish current knowledge about the efficacy and acceptance of intentional rounding in current practice, from the perspective of nurses, patients, patient satisfaction and safety indicators.

BACKGROUND

Intentional rounding is a formal means of nursing staff checking care needs of patients in hospital settings on a regular basis.

DESIGN

An integrative literature review conducted following the Joanna Briggs Institute manual.

DATA SOURCES

A literature search from 2000 - 2017 was conducted using the following electronic databases: The Cumulative Index to Nursing and Allied Health Literature, ProQuest, PubMed, Informit, Sage and Scopus.

REVIEW METHODS

Articles were assessed for quality and rigor using the Critical Appraisal Skills Program tool and the Effective Public Health Practice Project Quality Assessment tool for Quantitative Studies. A sequential explanatory mixed studies approach was used to combine qualitative and quantitative evidence in a single review. In-depth parallel reviews of the quantitative and qualitative evidence were undertaken, and then a synthesis of the combined qualitative and quantitative evidence conducted.

RESULTS

Intentional rounding has positive outcomes on patient satisfaction and safety. Nurses perceive benefits related to intentional rounding; however, some nurses perceive it as an additional, unnecessary task. The effectiveness of intentional rounding is influenced by external factors including leadership and formal rounding education, workload, ward layout, staffing and experience level.

CONCLUSION

Intentional rounding is a positive intervention in patient safety and satisfaction generally, but needs further research and consideration about actual impact, staff delegation, education and engagement, student nurse involvement, documentation and specializing the structure of intentional rounding.