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Structured interactions between nurses and patients through intentional rounding: A scoping review.

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Area of Science:

  • Nursing
  • Healthcare Quality
  • Patient Safety

Background:

  • Intentional rounding, a structured nurse-patient communication strategy, is widely adopted but its benefits remain unclear.
  • The critical role of nurses in acute care safety is evident, particularly following high-profile patient care failures.
  • Understanding the impact of intentional rounding is essential for optimizing nursing practice and patient outcomes.

Purpose of the Study:

  • To synthesize existing literature on the impact of intentional rounding on patient outcomes in hospitalized adults.
  • To evaluate the current evidence regarding the effectiveness of intentional rounding protocols.

Main Methods:

  • A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) guidelines.
  • Included studies were analyzed to identify various rounding models and reported patient outcomes.

Main Results:

  • Sixteen studies were included, revealing diverse rounding models across clinical settings.
  • Evidence indicated potential reductions in patient falls (4 studies) and pressure injuries (3 studies).
  • Improvements in patient satisfaction (3 studies) and reduced call bell usage (2 studies) were also reported.

Conclusions:

  • The current evidence for intentional rounding's effectiveness on patient outcomes is weak, stemming from methodological limitations and diverse approaches.
  • Further robust research is necessary to assess the acceptability, feasibility, and suitability of intentional rounding protocols in various clinical environments.
  • Implementing intentional rounding without strong evidence may potentially hinder nurses' ability to provide safe and effective care.