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Contextual Factors and Intentional Rounding in Acute Hospitals: Understanding What Works, for Whom, in What Settings:
Aileen Hetherton1, Jan Sorensen2, Frances Horgan3
1Royal College of Surgeons in Ireland (RCSI), School of Postgraduate Studies, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Journal of Clinical Nursing
|July 21, 2026
Summary
Intentional Rounding (IR) in hospitals improves patient safety by addressing patient needs. This study synthesizes literature to provide recommendations for effective IR implementation, focusing on mechanisms like motivation and accountability.
Area of Science:
- Healthcare Management
- Patient Safety Research
- Nursing Interventions
Background:
- Inpatient falls are a significant safety concern, often resulting from complex patient and environmental factors.
- Intentional Rounding (IR) is a structured nursing intervention involving regular patient checks to address needs and enhance safety.
Purpose of the Study:
- To synthesize existing literature on how, when, and under what circumstances Intentional Rounding improves patient safety in acute care settings.
- To develop evidence-based recommendations for implementing IR effectively in real-world hospital environments.
Main Methods:
- A Realist Synthesis approach was employed to understand the complexities of IR implementation.
- Searches across six bibliographic databases and grey literature identified 34 and 18 studies, respectively, for inclusion.
Main Results:
- Five key mechanisms supporting IR implementation were identified: motivation, accountability, engagement, consistency, and comprehensiveness.
- Organizational support and resource availability were identified as crucial contextual factors influencing IR success.
- Seven recommendations for designing and implementing IR programs were developed based on the synthesis findings.
Conclusions:
- The study provides robust programme theories and actionable recommendations for guiding research and practice in ward-level IR interventions.
- Findings can inform the design and implementation of IR programs to enhance patient safety and reduce adverse events like falls.
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