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Evaluation of a standardized hourly rounding process (SHaRP)
Summary
Implementing a standardized hourly rounding process (SHaRP) reduced call light use and nursing steps. However, it did not significantly decrease patient falls, readmissions, or improve patient satisfaction.
Area of Science:
- Nursing
- Healthcare Management
- Patient Safety
Background:
- Hourly rounding in hospitals is linked to better care delivery, patient perception, and fewer safety events.
- Successful implementation requires significant changes in nursing workflow and comprehensive training.
- Standardized processes may offer advantages over traditional training methods.
Purpose of the Study:
- To evaluate the impact of a standardized hourly rounding process (SHaRP) compared to a less standardized approach.
- To determine if SHaRP improves efficiency, quality, safety, and patient satisfaction.
- To assess the sustainability of improvements over time.
Main Methods:
- A quasi-experimental study design was employed.
- The standardized hourly rounding process (SHaRP) was implemented via a formal education program.
- Data were collected over six months and trended for an additional six months.
Main Results:
- Significant reductions were observed in call light use (p = .001) and nursing staff steps (p = .02) on the intervention unit.
- No statistically significant differences were found in patient falls, 30-day readmission rates, or patients' perception of care.
- Sustained gains were assessed in the subsequent six-month period.
Conclusions:
- Standardized hourly rounding, when implemented through formal education, can improve nursing workflow efficiency.
- Further research is needed to enhance patient safety outcomes and satisfaction metrics.
- The study highlights the importance of tailored implementation strategies for nursing protocols.
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