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Hourly rounding to improve nursing responsiveness: a systematic review
Matthew D Mitchell1, Julia G Lavenberg, Rebecca L Trotta
1Author Affiliations: Senior Research Analyst (Dr Mitchell), Research Analyst (Dr Lavenberg), Nursing Liaison (Dr Trotta), Director (Dr Umscheid), Center for Evidence-based Practice, University of Pennsylvania Health System, Philadelphia; Director of Nursing Research and Science (Dr Trotta), Assistant Professor of Medicine and Epidemiology (Dr Umscheid), Hospital of the University of Pennsylvania, Philadelphia; Assistant Professor of Medicine and Epidemiology (Dr Umscheid), University of Pennsylvania Perelman School of Medicine, Philadelphia.
Hourly rounding programs show moderate evidence of improving patient satisfaction and reducing falls. Nurse administrators should consider implementation while cost-effectiveness is further studied.
Area of Science:
- Nursing Care Quality
- Patient Experience Research
Background:
- Patient satisfaction significantly impacts hospital ratings and reimbursement.
- Previous studies suggest purposeful nursing rounds enhance patient satisfaction.
- Systematic examination of evidence on nursing rounds was lacking.
Purpose of the Study:
- Synthesize evidence on hourly rounding programs' effect on patient satisfaction.
- Discuss implications for nurse administrators regarding these programs.
Main Methods:
- Conducted a systematic review of relevant literature.
- Performed a GRADE analysis of evidence concerning nursing rounds.
Main Results:
- Evidence consistency in measuring hourly rounding outcomes was limited, preventing quantitative analysis.
- Moderate evidence indicates hourly rounding improves patient perception of nursing responsiveness.
- Moderate evidence suggests these programs decrease patient falls and call light usage.
Conclusions:
- Nurse administrators should consider implementing hourly rounding programs.
- Further controlled trials are needed to determine the most cost-effective approach.