Rounding In Nursing Practice

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Introduction:
Every day, nearly two hundred thousand people are admitted to american hospitals (Fast Facts on US Hospitals, 2013). Those admitted give up not only their money, but personal boundaries, the control over their activities, and even the clothes on their back, to receive health care. With such a heavy price to pay, health professionals must do everything in their power to provide the best care for their patients. Rounding received its resurgence in 2006 and is believed to be the answer to improve patient satisfaction rates by providing more interaction and addressing problems proactively.
BACKGROUND
Rounding, an old practice, involves health professionals going around their unit, on a regular basis, to assess each of their patients
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The thought behind this research was that patients would believe that “proactive nurses who provide consistent care will meet their physical and emotional needs” (Meade, 2006) This national study took place over six weeks with two weeks to find a baseline of a unit’s patient satisfaction and four weeks using rounding in 22 hospitals on 46 units. After the four weeks of collecting baseline data, the units either implemented one hour rounding, two hour rounding, or served as a control group. The procedure health professionals followed for rounding was described in twelve steps which included introducing oneself, assessing pain, offering toileting assistance, assessing patient’s position and need for repositioning, putting the patient’s possessions within reach, and asking, “Is there anything I can do for you before I leave? I have time while I am here in the room” (Meade, …show more content…
For instance, in the article, The effect of routine rounding by nursing staff on patient satisfaction on a cardiac telemetry unit, no control group was used and the findings were only from pre and post intervention reports. The study did not review patient satisfaction directly either, it asked patients to rate “skill of nurses”, “promptness of response to call lights”, and “attention to special/personal needs.” With only minor gains, in the ever fluctuating variables studied, the authors concluded rounding positively impacted all of the variables studied, even without calculating significance levels (Sobaski,

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