Nursing-Hourly Rounding Project Proposal Essay.

I need a Review of Literature for the following 8 articles for my paper. My paper is a (mock) Research proposal. My research question is Will implementing purposeful hourly rounding decrease the number of falls on a medical-surgical unit within 6 months after implementation? What are the nurse’s lived experiences with purposeful hourly rounding?
Use ONLY the articles are listed in the reference section. I will enclose a sample or a template guide as to what needs to be included. I am also including a grading rubric.Nursing-Hourly Rounding Project Proposal Essay.

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Here are the additional instructions: NO RUNNING HEADER
You will write your Literature Review Section of your EBP Project Proposal. Enclosed is a sample to use as a model or guide.
• The literature review section is a review of studies that are related to your phenomenon. It should take up about eight pages and 2,200 words. The purpose is to tell the reader what is known about your phenomenon and lead the reader to what is not known about your phenomenon (your research problem). You should have sub-headings throughout this section of the paper.
• The literature section discusses the relevant research related to your study. Do not discuss each study individually; instead, synthesize the literature based on your literature matrix. You can discuss individual findings of studies (include all eight studies as appropriate) including the statistical findings and study samples. This section needs to tell the reader what is known about your clinical area of interest. You will also summarize your review of the literature and discuss the gaps you have identified.Nursing-Hourly Rounding Project Proposal Essay.
Your assignment should be:
• Eight pages approximately 2,000+ words, no cover page required, and the page count doesn’t include the references list
• Your search strategy—I WILL BE ADDING THIS TO THE PAPER
• Description of articles (who, population, sample, what was done, statistical findings, limitations, and so on)
• Gaps section: the gaps you have identified from your literature search

The prevalence of falls in the medical-surgical unit has increased significantly. US hospitals experience over one million patients falls annually. This number represents approximately 85% of all hospital-acquired complications.Nursing-Hourly Rounding Project Proposal Essay. Consequently, falling has been ranked as a major public health issue. Some falls result in minor bruises and abrasions, while others lead to serious complications, including lacerations, head injuries, fractures,and even death(Cuttler et al., 2017). Hospitals are recently experiencing high mortality rates associated with falls. However, the rate of inpatient fall and injuries varies significantly depending on the features of healthcare units. The risk of patient falls is extremely high among medical-surgical patients than other patient populations in healthcare facilities. In 1000 patient days (PDs), from 3.67 to 6.26 falls are reported in medical-surgical units in the USA(Cuttler et al., 2017). About 20% and 2% of the medical-surgical unit falls lead to minor injuries and serious complications (Cuttler et al., 2017).The risk of fall increases among acute care patients due to multiple factors, including new mobility,history of previous falls, side effects of the administered medication, changed mental status, and frequent toileting.Therefore, interventions for addressing the high rate of falls in the medical-surgical unit need to be introduced. This project proposal will be based on the question, “Will implementing purposeful hourly rounding decrease the number of falls on a medical-surgical unitwithin 6 months after implementation? What are the nurse’s lived experiences with purposeful hourly rounding?”Nursing-Hourly Rounding Project Proposal Essay.

Literature Review

This section will synthesize studies related to the implementation of purposeful hourly rounding to decrease falls in a medical-surgical unit.

Review of the Literature

            A study was conducted by Brosey and March (2015) to evaluate how patient satisfaction and clinical outcomes are influenced by structured hourly nurse rounding. The intervention was implemented in a medical-surgical unit. Study findings indicated that hourly nurse rounding is an effective strategy for improving overall clinical outcomes and patient satisfaction. An increase in the score of the Hospital Consumer Assessment of Healthcare Providers and Systems was reported. Additionally, the implementation of the project decreased the rate of hospital-acquired pressure ulcers and patient falls. Another study was conducted by Flowers et al. (2017) to assess the impact of intentional rounding (IR) on aged care and maternity settings.The study findings indicated that IR is an effective management tool and facilitated accountability in selected care settings. IR also increased the level of staff and patient satisfaction. Chances to provide patient education also increased following the implementation of IR in care units.Nursing-Hourly Rounding Project Proposal Essay.

A study conducted by Krepper et al. (2014) evaluated a standardized hourly rounding process (SHaRP).  It was expected that implementing SHaRP in the care unit via a formal education program would boost the efficiency, safety, quality, and patient satisfaction than when a less standardized process was implemented in the facility via the traditional train-the-trainer technique. However, no significant differences were reported in various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care.Furthermore, a study by Meade et al. (2006) evaluated the impact of nursing roundson patients’ satisfaction, call light use, and patient safety. Performing hourly rounding at set intervals lowered patient use of the call light, and the rate of falls significantly. Additionally, this intervention increased the level of patientsatisfaction.Nursing-Hourly Rounding Project Proposal Essay.

Morgan et al. (2017) conducted a study to evaluate the impact of adopting a nursing staff-led Intentional Rounding intervention on the rate of inpatient falls. Study findings indicated that the rate of patient falls in the active ward was reduced by 50% following the implementation of customized Intentional Roundingdesigned by healthcare staff. Additionally, this intervention increased other aspects of care by 3·48%. Besides, Olrich et al. (2012) conducted a replication study to assess hourly rounding effectiveness on preventing falls among hospitalized patients, reducing the usage of call light, and improving patient satisfaction. Study findings indicate that the implementation of hourly rounding in the critical care unitprevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.Nursing-Hourly Rounding Project Proposal Essay.

In their study, Sun et al. (2012) assessed the relationship between inpatient falls and hourly rounding (HR). Study findings indicate that increase in nurse frequency with patients raises the risk of falls. Finally, a study was conducted by Tucker et al. (2011) to assess the outcomes and challenges associated with the adoption of hourly rounds in orthopaedic units to lower patient falls. This study revealed thatthe implementation of SNRI in the orthopaedic unit lowered fall rates. Specifically, fall rates in the first three months after implementing this intervention reduced to 1.8%, 0.8%, and 1.1%, respectively. These percentages represented an incidence of 4.5, 1.6, and 3.2 falls per 1,000 hospital days for the three months.Nonetheless, fidelity to the SNRI led to an increase in falls one year after the intervention was implemented in the healthcare organization. Nursing-Hourly Rounding Project Proposal Essay.

Summary of the Reviewed Literature

            Studies indicate that the implementation of hourly rounding in the medical-surgical unit improved overall clinical outcomes, patient and staff satisfaction, and patients’ perception of care(Brose&March2015; Flowers et al., 2017). This intervention also enhanced efficiency in a healthcare organization and reduced call light usage (Meade et al., 2006). Additionally, hourly rounding improved patient safety and quality of care(Meade et al., 2006). Besides, 30-day readmission rates are reduced following the implementation of this intervention in the medical-surgical unit. Studies also indicated that the rate of patient falls decreased after the adoption of hourly rounding in critical care units(Sun et al., 2012; Meade et al., 2006; Morgan et al., 2017; Olrich et al., 2012; Tucker et al., 2011).

However, under some circumstances, an increase in nurse frequency with patients raises the risk of falls (Sun et al., 2012). Similarly, no significant differences were reported in various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care following the implementation of hourly rounding(Krepper et al., 2014).Nursing-Hourly Rounding Project Proposal Essay.

Description of the Articles

Citation: Brosey, L., & March, K. (2015). Effectiveness of structured hourly nurse rounding on patient satisfaction and clinical outcomes. Journal of Nursing Care Quality, 30(2), 153–159.

Purpose: This paper aims to evaluate how patient satisfaction and clinical outcomes are influenced by structured hourly nurse rounding.

Summary:The study focused on the healthcare population. The sample for the study included healthcare staff and patients in the acute care unit. Hourly nurse rounding was implemented in one medical-surgical unit in a community hospital.Study findings indicated that hourly nurse rounding improves overall clinical outcomes and patient satisfaction. Additionally, this intervention increases the score of the Hospital Consumer Assessment of Healthcare Providers and Systems. The implementation period was also associated with a significant decline in the rate of hospital-acquired pressure ulcers and patient falls.Nursing-Hourly Rounding Project Proposal Essay.

Conclusion:Hourly nurse rounding improves overall clinical outcomes and patient satisfaction.

Feelings: Nurse practitioners should focus on making the clients comfortable through the provided care.

Agree: I agree that hourly nurse rounding is effective in improving overall clinical outcomes and patient satisfaction.

Worth: The article contained useful and evidence-based information.

Usefulness: Information contained in this article can be applied while dealing with elderly patients in the medical-surgical unit.Nursing-Hourly Rounding Project Proposal Essay.

Recommendation to others: This article is recommendable for nurses providing geriatric care.

Citation: Flowers, K., Wright, K., Langdon, R., McIlwrath, M., Wainwright, C., & Johnson, M. (2016). Intentional rounding: Facilitators, benefits and barriers. Journal of Clinical Nursing, 25(9-10), 1346–1355. https://doi.org/10.1111/jocn.13217

Purpose: This article focuses on assessing the impact of implementing intentional rounding (IR) on aged care and maternity units.

Summary: The population of this study was healthcare staff from a metropolitan hospital. The sample for the study included fifteen nurses from the metropolitan hospital. The study involved the implementation of intentional rounding (IR) on aged care and maternity units. The study findings indicated that IR is a useful management tool and facilitated accountability in selected care settings. Chances to provide patient education also increased following the implementation of IR in care units. The major limitation of this study involved taking critical care during the implementation of IR to lower the risk of alienating medical staff.Nursing-Hourly Rounding Project Proposal Essay.

Conclusion: IR is a useful management tool and facilitated accountability in selected care settings:

Feelings:Nurses use IR to enhance the safety of the patients, thus making them comfortable.

Agree: I agree that IR also increased the level of staff and patient satisfaction.

Worth: This study is worth since it proposes an evidence-based that can be used to reduce the number of falls that improving patient satisfaction.

Usefulness: Information documented in this article is essential in improving the overall quality of care.

Recommendation: This article is recommendable for practitioners dealing with elderly patients in the critical care unit.

Citation: Krepper, R., Vallerjo, B., Smith, C., & Lindy, C. (2014). Evaluation of a standardized hourly rounding process (SHaRP). Journal for Healthcare Quality, 36(2), 62–69. https://doi.org/10.1111/j.1945-1474.2012.00222.x

Purpose: This study was conducted to evaluate thestandardized hourly rounding process (SHaRP).

Summary: Their study population was practitioners from the selected hospital. The sample for this study included nurses providing care to hospitalized patients in the acute care unit. A standardized hourly rounding process (SHaRP) was implemented in the critical care unit. Study findings did not reveal a significant differencein various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care.Nursing-Hourly Rounding Project Proposal Essay.

Conclusion: The implementation of standardized hourly rounding process (SHaRP) improves 30-day readmission rates, patient falls, and patients’ perception of care.

Feeling: Nurses taking care of geriatric patients have a duty to make them comfortable.

Agree: I agree that SHaRP) is effective in improving various aspects of care, including 30-day readmission rates, patient falls, and patients’ perception of care.

Worth: The article contained valuable evidence-based information, which applies to clinical practices.

Usefulness: The article is essential in the study of nursing courses and the profession of nurses.

Recommendation: It is recommendable to nursing students and practitioners dealing with patients whose risk of fall is relatively high.

Citation: Meade, C., Bursell, A., & Ketelsen, L. (2006). Effects of nursing rounds. AJN, American Journal of Nursing, 106(9), 58–70. https://doi.org/10.1097/00000446-200609000-00029

Purpose: The study was conducted to evaluate nursing rounds’ impact on patients’ satisfaction, call light use, and patient safety.Nursing-Hourly Rounding Project Proposal Essay.

Summary:The population for this study was nursing staff from the selected hospitals. The sample involved nurses working in 27 nursing units in 14 hospitals, which were chosen for the study. The project involved the implementation of an hourly rounding protocol in the 27 nursing units.Study findings indicated that performing hourly rounding at set intervals lowered patient use of the call light and the rate of falls significantly. Additionally, hourly rounding increased the level of patient satisfaction. The major limitation of this study was the substantial sample population. The study included practitioners who provided care in 27 nursing units in 14 hospitals selected for the study. Nursing-Hourly Rounding Project Proposal Essay.

Conclusion: Performing hourly rounding at set intervals lowered patient use of the call light, and the rate of falls.

Feelings: Geriatric nurses focus on making their patients comfortable through the provisionof quality care.

Agree: I agree with the study findings that hourly rounding reduces patient use of the call light and the rate of falls.

Worth:This study was worthwhile since it contained reliable data that was collected through experiments that were conducted in a healthcare facility.

Usefulness: The article is useful to nursing students and care providers.

Recommendation: It is recommendable for the nurses dealing with elderly patients in the acute care unit.

Citation: Morgan, L., Flynn, L., Robertson, E., New, S., Forde-Johnston, C., & McCulloch, P. (2016). Intentional rounding: A staff-led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing, 26(1-2), 115–124. https://doi.org/10.1111/jocn.13401

Purpose: The study was conducted to evaluate the impact of adopting a nursing staff-led Intentional Rounding intervention on the rate of inpatient falls.Nursing-Hourly Rounding Project Proposal Essay.

Summary: The population for this study was nurse practitioners from the selected medical facility. The sample for this study was nurses working in the neuroscience ward. The project involved the implementation of nursing staff-led Intentional Rounding intervention. Four essential strategies were utilized during the implementation of the proposed project.Study findings indicated that the rate of patient falls in the active ward was reduced by 50% following the implementation of customized Intentional Rounding designed by healthcare staff. Additionally, this intervention increased other aspects of care by 3·48%. This study was limited by the complicated process of comparing the active ward’s fall rate to that of the other 50 wards in the healthcare facility.Nursing-Hourly Rounding Project Proposal Essay.

Conclusion:The implementation of customized Intentional Rounding designed by healthcare staff reduces the rate of patient falls in the active ward.

Feelings: Nurses must make their patients comfortable through evidence-based interventions.

Agree: I agree with the article that intentional Rounding designed by healthcare staff reduces the rate of patient falls in the active ward. Nursing-Hourly Rounding Project Proposal Essay.

Worth: The information is worthwhile since it was conducted through experiments.

Usefulness: Information contained in this article is recommendable for nursing students and practitioners.

Recommendation: The article is recommendable for nurses providing care to elderly adults in the medical-surgical unit. It will help them to prevent patients from falling.

Citation: Olrich, T., Kalman, M., & Nigolian, C. (2012). Hourly rounding: A replication study. Medsurg Nursing, 21(1), 23–36.

Purpose: The purpose of the study was to assess the effectiveness of hourly rounding on preventing falls among hospitalized patients, reducing the usage of call light, and improving patient satisfaction.Nursing-Hourly Rounding Project Proposal Essay.

Summary:This quasi-experimental study replicated a study byMeade, Bursell, and Ketelsen’s (2006),which evaluated rounding protocol. Study findings indicate that the implementation of hourly rounding in the critical care unit prevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.A lack of first-hand data limited to this study. Mistakes that were made by Meade, Bursell, and Ketelsen’s (2006) in their study were likely to reflect on this study.Nursing-Hourly Rounding Project Proposal Essay.

Conclusion: The implementation of hourly rounding in the critical care unit prevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.

Feelings: Nurses have a duty of making their patients comfortable through the delivered care.

Agree: I agree that implementing hourly rounding in the critical care unit prevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.Nursing-Hourly Rounding Project Proposal Essay.

Worth: This article is worthwhile since information is based on experiments.

Usefulness: The article is useful for nursing students and healthcare providers.

Recommendation: This article is recommendable for practitioners dealing with geriatric patients.

Citation: Sun, C., Fu, C. J., O’Brien, J., Cato, K., Stoerger, L., & Levin, A. (2020). Exploring practices of bedside shift report and hourly rounding. Is there an impact on patient falls? JONA: The Journal of Nursing Administration, 50(6), 355–362. Nursing-Hourly Rounding Project Proposal Essay.

Purpose: Another study was conducted by Sun et al. (2012) to assess the relationship between inpatient falls and hourly rounding (HR).

Summary: The population for this study was healthcare staff from four hospitals, which were selected for the study. The sample involved practitioners serving in 11 units at four hospitals chosen for the study. The project involved the implementation of hourly rounding (HR) and bedside shift report (BSR) in the 11 units. The authors collectedobservational dataon BSR and HR. Study findings indicated that an increase in nurse frequency with patients raises the risk of falls. Additionally, the results revealed that BSR and HR did not have any relationship with patient falls. Instead, the day of the week and shift influenced the rate of falls. The large sample population was the primary limitation of this study. The authors made nine thousand six hundred ninety-three observations in 11 care units at thefour hospitals selected for the study. Data was gathered in more than 281 shifts.Nursing-Hourly Rounding Project Proposal Essay.

Conclusion:An increase in nurse frequency with patients raises the risk of falls.

Feelings: I feel that nurses have a duty to make their patients comfortable by meeting their healthcare needs.

Agree: I agree that an increase in nurse frequency with patients raises the risk of falls.

Worth: This article is worthwhile since it contains evidence-based information.

Usefulness: This article is useful to nursing students and nurses in their clinical practices.

Recommendation:This reading is recommendable in the acute care unit.

Citation:Tucker, S., Bieber, P., Attlesey-Pries, J., Olson, M., & Dierkhising, R. (2011). Outcomes and challenges in implementing hourly rounds to reduce falls in orthopaedic units. Worldviews on Evidence-Based Nursing, 9(1), 18–29. https://doi.org/10.1111/j.1741-6787.2011.00227.x

Purpose: This study was conducted to assess the outcomes and challenges associated with adopting hourly rounds in orthopedic units to lower patient falls.Nursing-Hourly Rounding Project Proposal Essay.

Summary: The population for the study was healthcare practitioners from the selected medical facility. The sample for the study was the nurses from the orthopaedic unit. The study involved the implementation of SNRI for 12 weeks. Additionally, the authors reviewed medical records of patient falls for one year after the implementation of SNRI. This study revealed that the implementation of SNRI in the orthopedic unit lowered fall rates. Specifically, fall rates in the first three months after implementing this intervention reduced to 1.8%, 0.8%, and 1.1%, respectively. These percentages represented an incidence of 4.5, 1.6, and 3.2 falls per 1,000 hospital days for the three months. However, the patient fall rate increased one year after the implantation of the intervention due to fidelity to the SNRI.Nursing-Hourly Rounding Project Proposal Essay.

Conclusion:The implementation of SNRI in the orthopedic unit lowered fall rates.

Feelings:I feel that nurses should make their patients comfortable by preventing them from falling while hospitalized.

Agree: I agree that the implementation of SNRI in the orthopedic unit is an effective intervention since it lowers fall rates.

Worth: This article is worthwhile since it was based on scientific experiments and information from other reliable sources.

Usefulness: This article is essential to nursing students and practitioners.

Recommendation: The article is recommendable for practitioners dealing with geriatric patients in critical care units.Nursing-Hourly Rounding Project Proposal Essay.

Identified Gaps

Studies indicated that hourly rounding is effective in improving patient satisfaction and overall health outcomes. Specifically, this intervention lowered the rate of patient falls and 30-day hospital readmissions. However, the reviewed studies did not reveal the outcomes of implementing hourly rounding in other healthcare units rather than an acute care unit. Therefore, future scholars can focus on the impact of hourly rounding on other departmentsrather thanthe medical-surgical unit. Additionally, scholars can conduct studies to evaluate the effectiveness of other interventions rather than hourly rounding on preventing fall rates in the medical-surgical unit.Nursing-Hourly Rounding Project Proposal Essay.

The reviewed literature indicated that implementing hourly rounding in a medical-surgical unitlowered the rate of falls within six months after introducing the intervention. Additionally, hourly rounding increased patient satisfaction and overall clinical outcomes, including patient safety and 30-days hospital readmission. Additionally, the usage of call light reduced significantly following the implementation of hourly rounding. However, gaps were identified in the reviewed studies. Studies can be conducted to assess the impact of hourly rounding on otherdepartmentsrather thanthe medical-surgical unit. Additionally, studies can be conducted to evaluate other interventions’ effectiveness rather than hourly rounding on preventing fall rates in the medical-surgical unit.Nursing-Hourly Rounding Project Proposal Essay.

The prevalence of falls in the medical-surgical unit has increased significantly. US hospitals experience over one million patients falls annually. This number represents approximately 85% of all hospital-acquired complications. Consequently, falling has been ranked as a major public health issue. Some falls result in minor bruises and abrasions, while others lead to serious complications, including lacerations, head injuries, fractures,and even death(Cuttler et al., 2017). Hospitals are recently experiencing high mortality rates associated with falls. However, the rate of inpatient fall and injuries varies significantly depending on the features of healthcare units.Nursing-Hourly Rounding Project Proposal Essay. The risk of patient falls is extremely high among medical-surgical patients than other patient populations in healthcare facilities. In 1000 patient days (PDs), from 3.67 to 6.26 falls are reported in medical-surgical units in the USA(Cuttler et al., 2017). About 20% and 2% of the medical-surgical unit falls lead to minor injuries and serious complications (Cuttler et al., 2017).The risk of fall increases among acute care patients due to multiple factors, including new mobility,history of previous falls, side effects of the administered medication, changed mental status, and frequent toileting.Therefore, interventions for addressing the high rate of falls in the medical-surgical unit need to be introduced. This project proposal will be based on the question, “Will implementing purposeful hourly rounding decrease the number of falls on a medical-surgical unitwithin 6 months after implementation? What are the nurse’s lived experiences with purposeful hourly rounding?”Nursing-Hourly Rounding Project Proposal Essay.

Literature Review

This section will synthesize studies related to the implementation of purposeful hourly rounding to decrease falls in a medical-surgical unit.

Review of the Literature

            A study was conducted by Brosey and March (2015) to evaluate how patient satisfaction and clinical outcomes are influenced by structured hourly nurse rounding. The intervention was implemented in a medical-surgical unit. Study findings indicated that hourly nurse rounding is an effective strategy for improving overall clinical outcomes and patient satisfaction. An increase in the score of the Hospital Consumer Assessment of Healthcare Providers and Systems was reported. Additionally, the implementation of the project decreased the rate of hospital-acquired pressure ulcers and patient falls. Another study was conducted by Flowers et al. (2017) to assess the impact of intentional rounding (IR) on aged care and maternity settings.The study findings indicated that IR is an effective management tool and facilitated accountability in selected care settings. IR also increased the level of staff and patient satisfaction. Chances to provide patient education also increased following the implementation of IR in care units.Nursing-Hourly Rounding Project Proposal Essay.

A study conducted by Krepperet al. (2014) evaluated a standardized hourly rounding process (SHaRP).  It was expected that implementing SHaRP in the care unit via a formal education program would boost the efficiency, safety, quality, and patient satisfaction than when a less standardized process was implemented in the facility via the traditional train-the-trainer technique. However, no significant differences were reported in various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care.Furthermore, a study by Meade et al. (2006) evaluated the impact of nursing roundson patients’ satisfaction, call light use, and patient safety. Performing hourly rounding at set intervals lowered patient use of the call light, and the rate of falls significantly. Additionally, this intervention increased the level of patientsatisfaction.Nursing-Hourly Rounding Project Proposal Essay.

Morgan et al. (2017) conducted a study to evaluate the impact of adopting a nursing staff-led Intentional Rounding intervention on the rate of inpatient falls. Study findings indicated that the rate of patient falls in the active ward was reduced by 50% following the implementation of customized Intentional Roundingdesigned by healthcare staff. Additionally, this intervention increased other aspects of care by 3·48%. Besides, Olrich et al. (2012) conducted a replication study to assess hourly rounding effectiveness on preventing falls among hospitalized patients, reducing the usage of call light, and improving patient satisfaction. Study findings indicate that the implementation of hourly rounding in the critical care unitprevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.Nursing-Hourly Rounding Project Proposal Essay.

In their study, Sun et al. (2012) assessed the relationship between inpatient falls and hourly rounding (HR). Study findings indicate that increase in nurse frequency with patients raises the risk of falls. Finally, a study was conducted by Tucker et al. (2011) to assess the outcomes and challenges associated with the adoption of hourly rounds in orthopedic units to lower patient falls. This study revealed thatthe implementation of SNRI in the orthopedic unit lowered fall rates. Specifically, fall rates in the first three months after implementing this intervention reduced to 1.8%, 0.8%, and 1.1%, respectively. These percentages represented an incidence of 4.5, 1.6, and 3.2 falls per 1,000 hospital days for the three months.Nonetheless, fidelity to the SNRI led to an increase in falls one year after the intervention was implemented in the healthcare organization. Nursing-Hourly Rounding Project Proposal Essay.

Summary of the Reviewed Literature

            Studies indicate that the implementation of hourly rounding in the medical-surgical unit improved overall clinical outcomes, patient and staff satisfaction, and patients’ perception of care(Brose&March2015; Flowers et al., 2017). This intervention also enhanced efficiency in a healthcare organization and reduced call light usage (Meade et al., 2006). Additionally, hourly rounding improved patient safety and quality of care(Meade et al., 2006). Besides, 30-day readmission rates are reduced following the implementation of this intervention in the medical-surgical unit. Studies also indicated that the rate of patient falls decreased after the adoption of hourly rounding in critical care units(Sun et al., 2012; Meade et al., 2006; Morgan et al., 2017; Olrich et al., 2012; Tucker et al., 2011).Nursing-Hourly Rounding Project Proposal Essay.

However, under some circumstances, an increase in nurse frequency with patients raises the risk of falls (Sun et al., 2012). Similarly, no significant differences were reported in various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care following the implementation of hourly rounding(Krepper et al., 2014).Nursing-Hourly Rounding Project Proposal Essay.

Description of the Articles

A study was conducted byBrosey and March(2015) to evaluate how patient satisfaction and clinical outcomes are influenced by structured hourly nurse rounding. The study focused on the healthcare population. The sample for the study included healthcare staff and patients in the acute care unit. Hourly nurse rounding was implemented in one medical-surgical unit in a community hospital.Study findings indicated that hourly nurse rounding improves overall clinical outcomes and patient satisfaction. Additionally, this intervention increases the score of the Hospital Consumer Assessment of Healthcare Providers and Systems. The implementation period was also associated with a significant decline in the rate of hospital-acquired pressure ulcers and patient falls.Nursing-Hourly Rounding Project Proposal Essay.

The second study was conducted by Flowers et al. (2017)to assess the impact of implementing intentional rounding (IR) on aged care and maternity units. The population of this study was healthcare staff from a metropolitan hospital. The sample for the study included fifteen nurses from the metropolitan hospital. The study involved the implementation of intentional rounding (IR) on aged care and maternity units. The study findings indicated that IR is an effective management tool and facilitated accountability in selected care settings. IR also increased the level of staff and patient satisfaction. Chances to provide patient education also increased following the implementation of IR in care units. The major limitation of this study involved taking critical care during the implementation of IR to lower the risk of alienating medical staff.Nursing-Hourly Rounding Project Proposal Essay.

Thirdly, a study was conducted by Krepper et al. (2014) to evaluate thestandardized hourly rounding process (SHaRP). Their study population was practitioners from the selected hospital. The sample for this study included nurses providing care to hospitalized patients in the acute care unit. A standardized hourly rounding process (SHaRP) was implemented in the acute care unit. Study findings did not reveal a significant differencein various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care. The major limitation of this study was taking a relatively long period. Authors spent 6-month period to collect data. Additionally, 6 months were used to analyze the collected data to determine the impact of the proposed intervention on 30-day readmission rates, patient falls, and patients’ perception of care.Nursing-Hourly Rounding Project Proposal Essay.

Furthermore, Meade et al. (2006) conducted a study to evaluate nursing rounds’ impact on patients’ satisfaction, call light use, and patient safety. The population for this study was nursing staff from the selected hospitals. The sample involved nurses working in 27 nursing units in 14 hospitals, which were selected for the study. The project involved the implementation of an hourly rounding protocol in the 27 nursing units.Study findings indicated that performing hourly rounding at set intervals lowered patient use of the call light, and the rate of falls significantly. Additionally, hourly rounding increased the level of patient satisfaction. The major limitation of this study was the extremely large sample population. The study included practitioners who provided care in 27 nursing units in 14 hospitals selected for the study. Nursing-Hourly Rounding Project Proposal Essay.

More so, Morgan et al. (2017) conducted a study to evaluate the impact of adopting a nursing staff-led Intentional Rounding intervention on the rate of inpatient falls. The population for this study was nurse practitioners from the selected medical facility. The sample for this study was nurses working in the neuroscience ward. The project involved the implementation of nursing staff-led Intentional Rounding intervention. Four major strategies were utilized during the implementation of the proposed project.Study findings indicated that the rate of patient falls in the active ward was reduced by 50% following the implementation of customized Intentional Rounding designed by healthcare staff. Additionally, this intervention increased other aspects of care by 3·48%. This study was limited by the complicated process of comparing the active ward’s fall rate to that of the other 50 wards in the healthcare facility.Nursing-Hourly Rounding Project Proposal Essay.

Additionally, a replication study was conducted by Olrich et al. (2012)to assess the effectiveness of hourly rounding on preventing falls among hospitalized patients, reducing the usage of call light, and improving patient satisfaction.This quasi-experimental study replicated a study byMeade, Bursell, and Ketelsen’s (2006), which evaluated rounding protocol. Study findings indicate that the implementation of hourly rounding in the critical care unit prevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.A lack of first-hand data limited to this study. Mistakes that were made by Meade, Bursell, and Ketelsen’s (2006) in their study were likely to reflect on this study.Nursing-Hourly Rounding Project Proposal Essay.

Another study was conducted by Sun et al. (2012) to assess the relationship between inpatient falls and hourly rounding (HR). The population for this study was healthcare staff from four hospitals, which were selected for the study. The sample involved practitioners serving in 11 units at four hospitals selected for the study. The project involved the implementation of hourly rounding (HR) and bedside shift report (BSR) in the 11 units. The authors collectedobservational dataon BSR and HR. Study findings indicated that an increase in nurse frequency with patients raises the risk of falls. Additionally, the findings revealed that BSR and HR did not have any relationship with patient falls. Instead, the day of the week and shift influenced the rate of falls. The large sample population was the primary limitation of this study. The authors made nine thousand six hundred ninety-three observations in 11 care units at thefour hospitals selected for the study. Data was gathered in more than 281 shifts.Nursing-Hourly Rounding Project Proposal Essay.

Lastly, Tucker et al. (2011) conducted a study to assess the outcomes and challenges associated with adopting hourly rounds in orthopedic units to lower patient falls. The population for the study was healthcare practitioners from the selected medical facility. The sample for the study was the nurses from the orthopedic unit. The study involved the implementation of SNRI for 12 weeks. Additionally, the authors reviewed medical records of patient falls for one year after the implementation of SNRI. This study revealed that the implementation of SNRI in the orthopedic unit lowered fall rates. Specifically, fall rates in the first three months after implementing this intervention reduced to 1.8%, 0.8%, and 1.1%, respectively. These percentages represented an incidence of 4.5, 1.6, and 3.2 falls per 1,000 hospital days for the three months. However, the patient fall rate increased one year after the implantation of the intervention due to fidelity to the SNRI.Nursing-Hourly Rounding Project Proposal Essay.

Identified Gaps

Studies indicated that hourly rounding is effective in improving patient satisfaction and overall health outcomes. Specifically, this intervention lowered the rate of patient falls and 30-day hospital readmissions. However, the reviewed studies did not reveal the outcomes of implementing hourly rounding in other healthcare units rather than an acute care unit. Therefore, future scholars can focus on the impact of hourly rounding on other departmentsrather thanthe medical-surgical unit. Additionally, scholars can conduct studies to evaluate the effectiveness of other interventions rather than hourly rounding on preventing fall rates in the medical-surgical unit.Nursing-Hourly Rounding Project Proposal Essay.

The reviewed literature indicated that implementing hourly rounding in a medical-surgical unitlowered the rate of falls within six months after introducing the intervention. Additionally, hourly rounding increased patient satisfaction and overall clinical outcomes, including patient safety and 30-days hospital readmission. Additionally, the usage of call light reduced significantly following the implementation of hourly rounding. However, gaps were identified in the reviewed studies. Studies can be conducted to assess the impact of hourly rounding on otherdepartmentsrather thanthe medical-surgical unit. Additionally, studies can be conducted to evaluate other interventions’ effectiveness rather than hourly rounding on preventing fall rates in the medical-surgical unit.Nursing-Hourly Rounding Project Proposal Essay.

The prevalence of falls in the medical-surgical unit has increased significantly. US hospitals experience over one million patients falls annually. This number represents approximately 85% of all hospital-acquired complications. Consequently, falling has been ranked as a major public health issue. Some falls result in minor bruises and abrasions, while others lead to serious complications, including lacerations, head injuries, fractures,and even death(Cuttler et al., 2017). Hospitals are recently experiencing high mortality rates associated with falls. However, the rate of inpatient fall and injuries varies significantly depending on the features of healthcare units. The risk of patient falls is extremely high among medical-surgical patients than other patient populations in healthcare facilities. In 1000 patient days (PDs), from 3.67 to 6.26 falls are reported in medical-surgical units in the USA(Cuttler et al., 2017). About 20% and 2% of the medical-surgical unit falls lead to minor injuries and serious complications (Cuttler et al., 2017).The risk of fall increases among acute care patients due to multiple factors, including new mobility,history of previous falls, side effects of the administered medication, changed mental status, and frequent toileting.Therefore, interventions for addressing the high rate of falls in the medical-surgical unit need to be introduced. This project proposal will be based on the question, “Will implementing purposeful hourly rounding decrease the number of falls on a medical-surgical unitwithin 6 months after implementation? What are the nurse’s lived experiences with purposeful hourly rounding?”Nursing-Hourly Rounding Project Proposal Essay.
Literature Review
This section will synthesize studies related to the implementation of purposeful hourly rounding to decrease falls in a medical-surgical unit.
Review of the Literature
A study was conducted by Brosey and March (2015) to evaluate how patient satisfaction and clinical outcomes are influenced by structured hourly nurse rounding. The intervention was implemented in a medical-surgical unit. Study findings indicated that hourly nurse rounding is an effective strategy for improving overall clinical outcomes and patient satisfaction.Nursing-Hourly Rounding Project Proposal Essay. An increase in the score of the Hospital Consumer Assessment of Healthcare Providers and Systems was reported. Additionally, the implementation of the project decreased the rate of hospital-acquired pressure ulcers and patient falls. Another study was conducted by Flowers et al. (2017) to assess the impact of intentional rounding (IR) on aged care and maternity settings.The study findings indicated that IR is an effective management tool and facilitated accountability in selected care settings. IR also increased the level of staff and patient satisfaction. Chances to provide patient education also increased following the implementation of IR in care units.Nursing-Hourly Rounding Project Proposal Essay.
A study conducted by Krepperet al. (2014) evaluated a standardized hourly rounding process (SHaRP). It was expected that implementing SHaRP in the care unit via a formal education program would boost the efficiency, safety, quality, and patient satisfaction than when a less standardized process was implemented in the facility via the traditional train-the-trainer technique. However, no significant differences were reported in various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care.Furthermore, a study by Meade et al. (2006) evaluated the impact of nursing roundson patients’ satisfaction, call light use, and patient safety. Performing hourly rounding at set intervals lowered patient use of the call light, and the rate of falls significantly. Additionally, this intervention increased the level of patientsatisfaction.Nursing-Hourly Rounding Project Proposal Essay.
Morgan et al. (2017) conducted a study to evaluate the impact of adopting a nursing staff-led Intentional Rounding intervention on the rate of inpatient falls. Study findings indicated that the rate of patient falls in the active ward was reduced by 50% following the implementation of customized Intentional Roundingdesigned by healthcare staff. Additionally, this intervention increased other aspects of care by 3•48%. Besides, Olrich et al. (2012) conducted a replication study to assess hourly rounding effectiveness on preventing falls among hospitalized patients, reducing the usage of call light, and improving patient satisfaction. Study findings indicate that the implementation of hourly rounding in the critical care unitprevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.Nursing-Hourly Rounding Project Proposal Essay.
In their study, Sun et al. (2012) assessed the relationship between inpatient falls and hourly rounding (HR). Study findings indicate that increase in nurse frequency with patients raises the risk of falls. Finally, a study was conducted by Tucker et al. (2011) to assess the outcomes and challenges associated with the adoption of hourly rounds in orthopedic units to lower patient falls. This study revealed thatthe implementation of SNRI in the orthopedic unit lowered fall rates. Specifically, fall rates in the first three months after implementing this intervention reduced to 1.8%, 0.8%, and 1.1%, respectively. These percentages represented an incidence of 4.5, 1.6, and 3.2 falls per 1,000 hospital days for the three months.Nonetheless, fidelity to the SNRI led to an increase in falls one year after the intervention was implemented in the healthcare organization.Nursing-Hourly Rounding Project Proposal Essay.
Summary of the Reviewed Literature
Studies indicate that the implementation of hourly rounding in the medical-surgical unit improved overall clinical outcomes, patient and staff satisfaction, and patients’ perception of care(Brose&March2015; Flowers et al., 2017). This intervention also enhanced efficiency in a healthcare organization and reduced call light usage (Meade et al., 2006). Additionally, hourly rounding improved patient safety and quality of care(Meade et al., 2006). Besides, 30-day readmission rates are reduced following the implementation of this intervention in the medical-surgical unit. Studies also indicated that the rate of patient falls decreased after the adoption of hourly rounding in critical care units(Sun et al., 2012; Meade et al., 2006; Morgan et al., 2017; Olrich et al., 2012; Tucker et al., 2011).Nursing-Hourly Rounding Project Proposal Essay.
However, under some circumstances, an increase in nurse frequency with patients raises the risk of falls (Sun et al., 2012). Similarly, no significant differences were reported in various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care following the implementation of hourly rounding(Krepper et al., 2014).
Description of the Articles
A study was conducted byBrosey and March(2015) to evaluate how patient satisfaction and clinical outcomes are influenced by structured hourly nurse rounding. The study focused on the healthcare population. The sample for the study included healthcare staff and patients in the acute care unit. Hourly nurse rounding was implemented in one medical-surgical unit in a community hospital.Study findings indicated that hourly nurse rounding improves overall clinical outcomes and patient satisfaction. Additionally, this intervention increases the score of the Hospital Consumer Assessment of Healthcare Providers and Systems. The implementation period was also associated with a significant decline in the rate of hospital-acquired pressure ulcers and patient falls.Nursing-Hourly Rounding Project Proposal Essay.
The second study was conducted by Flowers et al. (2017)to assess the impact of implementing intentional rounding (IR) on aged care and maternity units. The population of this study was healthcare staff from a metropolitan hospital. The sample for the study included fifteen nurses from the metropolitan hospital. The study involved the implementation of intentional rounding (IR) on aged care and maternity units. The study findings indicated that IR is an effective management tool and facilitated accountability in selected care settings. IR also increased the level of staff and patient satisfaction.Nursing-Hourly Rounding Project Proposal Essay. Chances to provide patient education also increased following the implementation of IR in care units. The major limitation of this study involved taking critical care during the implementation of IR to lower the risk of alienating medical staff.
Thirdly, a study was conducted by Krepper et al. (2014) to evaluate thestandardized hourly rounding process (SHaRP). Their study population was practitioners from the selected hospital. The sample for this study included nurses providing care to hospitalized patients in the acute care unit. A standardized hourly rounding process (SHaRP) was implemented in the acute care unit. Study findings did not reveal a significant differencein various aspects, including 30-day readmission rates, patient falls, and patients’ perception of care. The major limitation of this study was taking a relatively long period. Authors spent 6-month period to collect data. Additionally, 6 months were used to analyze the collected data to determine the impact of the proposed intervention on 30-day readmission rates, patient falls, and patients’ perception of care.
Furthermore, Meade et al. (2006) conducted a study to evaluate nursing rounds’ impact on patients’ satisfaction, call light use, and patient safety. The population for this study was nursing staff from the selected hospitals. The sample involved nurses working in 27 nursing units in 14 hospitals, which were selected for the study. The project involved the implementation of an hourly rounding protocol in the 27 nursing units.Study findings indicated that performing hourly rounding at set intervals lowered patient use of the call light, and the rate of falls significantly. Additionally, hourly rounding increased the level of patient satisfaction. Nursing-Hourly Rounding Project Proposal Essay.The major limitation of this study was the extremely large sample population. The study included practitioners who provided care in 27 nursing units in 14 hospitals selected for the study.
More so, Morgan et al. (2017) conducted a study to evaluate the impact of adopting a nursing staff-led Intentional Rounding intervention on the rate of inpatient falls. The population for this study was nurse practitioners from the selected medical facility. The sample for this study was nurses working in the neuroscience ward. The project involved the implementation of nursing staff-led Intentional Rounding intervention. Four major strategies were utilized during the implementation of the proposed project.Study findings indicated that the rate of patient falls in the active ward was reduced by 50% following the implementation of customized Intentional Rounding designed by healthcare staff. Additionally, this intervention increased other aspects of care by 3•48%. This study was limited by the complicated process of comparing the active ward’s fall rate to that of the other 50 wards in the healthcare facility.Nursing-Hourly Rounding Project Proposal Essay.
Additionally, a replication study was conducted by Olrich et al. (2012)to assess the effectiveness of hourly rounding on preventing falls among hospitalized patients, reducing the usage of call light, and improving patient satisfaction.This quasi-experimental study replicated a study byMeade, Bursell, and Ketelsen’s (2006), which evaluated rounding protocol. Study findings indicate that the implementation of hourly rounding in the critical care unit prevented falls among hospitalized patients, reduced the usage of call light, and improved overall patient satisfaction.A lack of first-hand data limited to this study. Mistakes that were made by Meade, Bursell, and Ketelsen’s (2006) in their study were likely to reflect on this study.Nursing-Hourly Rounding Project Proposal Essay.
Another study was conducted by Sun et al. (2012) to assess the relationship between inpatient falls and hourly rounding (HR). The population for this study was healthcare staff from four hospitals, which were selected for the study. The sample involved practitioners serving in 11 units at four hospitals selected for the study. The project involved the implementation of hourly rounding (HR) and bedside shift report (BSR) in the 11 units. The authors collectedobservational dataon BSR and HR. Study findings indicated that an increase in nurse frequency with patients raises the risk of falls. Additionally, the findings revealed that BSR and HR did not have any relationship with patient falls. Instead, the day of the week and shift influenced the rate of falls. The large sample population was the primary limitation of this study. The authors made nine thousand six hundred ninety-three observations in 11 care units at thefour hospitals selected for the study. Data was gathered in more than 281 shifts.Nursing-Hourly Rounding Project Proposal Essay.
Lastly, Tucker et al. (2011) conducted a study to assess the outcomes and challenges associated with adopting hourly rounds in orthopedic units to lower patient falls. The population for the study was healthcare practitioners from the selected medical facility. The sample for the study was the nurses from the orthopedic unit. The study involved the implementation of SNRI for 12 weeks. Additionally, the authors reviewed medical records of patient falls for one year after the implementation of SNRI. This study revealed that the implementation of SNRI in the orthopedic unit lowered fall rates. Specifically, fall rates in the first three months after implementing this intervention reduced to 1.8%, 0.8%, and 1.1%, respectively. These percentages represented an incidence of 4.5, 1.6, and 3.2 falls per 1,000 hospital days for the three months. However, the patient fall rate increased one year after the implantation of the intervention due to fidelity to the SNRI.
Identified Gaps
Studies indicated that hourly rounding is effective in improving patient satisfaction and overall health outcomes. Specifically, this intervention lowered the rate of patient falls and 30-day hospital readmissions. However, the reviewed studies did not reveal the outcomes of implementing hourly rounding in other healthcare units rather than an acute care unit. Therefore, future scholars can focus on the impact of hourly rounding on other departmentsrather thanthe medical-surgical unit. Additionally, scholars can conduct studies to evaluate the effectiveness of other interventions rather than hourly rounding on preventing fall rates in the medical-surgical unit.Nursing-Hourly Rounding Project Proposal Essay.
The reviewed literature indicated that implementing hourly rounding in a medical-surgical unitlowered the rate of falls within six months after introducing the intervention. Additionally, hourly rounding increased patient satisfaction and overall clinical outcomes, including patient safety and 30-days hospital readmission. Additionally, the usage of call light reduced significantly following the implementation of hourly rounding. However, gaps were identified in the reviewed studies. Studies can be conducted to assess the impact of hourly rounding on otherdepartmentsrather thanthe medical-surgical unit. Additionally, studies can be conducted to evaluate other interventions’ effectiveness rather than hourly rounding on preventing fall rates in the medical-surgical unit.
Nursing-Hourly Rounding Project Proposal Essay.