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Intentional rounding: facilitators, benefits and barriers.
Kelli Flowers1, Kylie Wright2, Rachel Langdon3
1Liverpool Hospital, Sydney, NSW, Australia.
Journal of Clinical Nursing
|March 31, 2016
Summary
Intentional Rounding (IR) was successfully implemented in aged care and maternity settings, improving patient and staff satisfaction. Management support and staff engagement are crucial for its sustainable practice.
Area of Science:
- Nursing Practice
- Healthcare Management
- Patient Care Quality
Background:
- Hospitals face increased patient severity, demanding more nursing time.
- Routine care is often delayed due to time constraints.
- Intentional Rounding (IR) improves patient/staff satisfaction and outcomes (e.g., fewer falls).
Purpose of the Study:
- To describe the implementation, practice, and sustainability of Intentional Rounding (IR).
- To evaluate IR in diverse healthcare settings: aged care and maternity.
Main Methods:
- Descriptive qualitative research design.
- Three focus groups conducted with 15 nurses in a metropolitan hospital.
Main Results:
- Thematic analysis revealed seven key themes: implementation, practice, roles, context, benefits, barriers, and legal issues.
- IR was rapidly adopted; clinicians understood its core concepts.
- Benefits included increased patient/staff satisfaction and patient education opportunities.
Conclusions:
- Management support and staff engagement are vital for IR sustainability.
- IR is adaptable to different patient types and ward environments.
- Integrating IR charts into patient records is recommended.
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