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Hourly rounding: challenges with implementation of an evidence-based process
Lynn M Deitrick1, Kathy Baker, Hannah Paxton
1Division of Community Health and Health Studies, Lehigh Valley Health Network, Allentown, Pennsylvania 18105, USA. Lynn.Deitrick@lvhn.org
Journal of Nursing Care Quality
|July 8, 2011
Summary
Implementing hourly rounding, an evidence-based practice, requires careful planning and communication for success in hospital settings. This study highlights the importance of a systematic approach to nursing practice changes.
Area of Science:
- Nursing Practice
- Healthcare Management
- Qualitative Research
Background:
- Implementing evidence-based practice changes in hospitals presents significant challenges.
- Hourly rounding is a key nursing intervention aimed at improving patient care and outcomes.
- Previous attempts at implementing such changes often face unforeseen obstacles.
Purpose of the Study:
- To examine the implementation challenges of hourly rounding on two inpatient units.
- To identify factors contributing to the difficulties encountered during the practice change.
- To provide insights for successful future implementations of nursing practice changes.
Main Methods:
- Ethnographic methods were employed to study the implementation process.
- Data were collected on two similar inpatient units within a hospital.
- Observations and potentially interviews (implied by ethnography) were used to understand the context.
Main Results:
- The study identified specific problems encountered during the implementation of hourly rounding.
- Successful adoption of the practice change was found to be dependent on several key factors.
- The units studied experienced distinct, though related, implementation hurdles.
Conclusions:
- Successful implementation of nursing practice changes like hourly rounding necessitates meticulous planning.
- Effective communication strategies are crucial throughout the implementation process.
- Continuous evaluation and adaptation are vital for sustaining practice changes in healthcare environments.
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