A. Problem Description
Hourly patient rounding, according to Neville, is a preset timing, usually every hour or every two hour, in which tasks are performed by nurses as a way to check in on the patients (Neville, 2012). The concept of hourly rounding by nurses is not new. Infact, it is a way nurses organize their work and address important issues as they go about their day. There are other types of rounding in the hospitals such as interdisciplinary rounds and medical rounds, but these are done perhaps daily or a few times a week. It is the focus of this paper to address three relevant headings related to nursing hourly rounding through research literature and review.
With hourly rounding, nurses can independently initiate and…show more content… Orthopaedic Nursing, 27(4), 233-241.
C. Organizational Headings
i. Increased patient falls and/or decreased patient safety
Patient falls are one of many challenges nurses face every day. It is also the highest reported incidence in hospitals. As of 2013, the operational cost for patients who suffered an injury as a result of fall in the hospital was $13,316 higher than for those patients who do not fall (Ganz et al, 2013). Falls are problem of public health worldwide. Not only do they result in possible loss of function and/or mobility, falls prolonged hospital stay. Nurses throughout the nation have develop models of care in which the goal is to decrease patient falls, thereby increasing patient safety. One of the famous model hospitals adopted is the hourly nursing rounding in which the nurses address with each rounding the 4Ps: potty, pain medication, positioning patients, and possession (Meade, 2006, Halm, 2009, Tea, 2008).In the original study done by Meade et al in 2006, report shown that the reduction in fall rate decreased by 60%. Olrich replicated the study six years later resulted in patient falls by 23% on the experimental unit (Olrich, 2012). In one study done by Gardner et al, report shown that one of the burden resulted in the health care industry in Australia was from patient falls (Gardner,2009). In conclusion, falls are definitely a harm to patients’ safety. As a
