Nurse Rounding In Nursing Paper

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Safety is one of the most important nursing aspects of care. Within an inpatient psychiatric unit, the risk of violent behavior is increased. Our PICO question is as followed: In inpatient psychiatric nursing, how does the use and implementation of nursing protocols enhance safety on the unit? The purpose of this research is to highlight how the use and implementation of nursing protocols enhance safety in inpatient psychiatric units. This review of research will focus on nursing protocols that can be used to enhance safety such as, search protocols, scheduled nurse rounding, close observation, locked units, defensive nursing practices, and safety screening for suicidal behaviors and ideations. The findings will show that the use of nursing …show more content…
In the nursing profession today, patient centered care is essential (DaSilva, 2017). Individual treatment is enhanced, and patients do not feel as isolated. A therapeutic relationship begins to establish, providing nurses with the opportunity to educate and discuss healthy coping mechanisms, instead of the aggressive, violent, and harmful mechanisms currently being utilized. The creation of the ICARE rounding protocol tool for nurses provides an easy to remember acronym that nurses can use on their rounds. Each letter of the acronym represents a meaningful word for nurse-patient encounters. The I stands for introducing yourself to patients when making rounds and reminding them who you are as needed, allowing for the creation of a trusting connection. C encompasses caring attributes, providing the patient with a sense of comfort and expanding patient engagement. Assessing is the next component of the acronym. Constant assessment during rounding for signs of suicidal ideations, intent to harm others, or aggressive and violent behaviors. It is essential to conduct this assessment regardless of the patient’s mental state of mind. Providing reassurance to patients during rounding, reduces anxiety levels, provides comfort, guides thought processes, and also amplifies motivation levels. And finally, being alert and conscientious of the environment for any risks of danger for the patients or yourself (DaSilva, 2017). Although research has found great benefit to nurse rounding protocols and enhancing unit safety, there are many issues that nursing faces with implementation and improvement of rounding
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