Literature Review: How Caring Affects Patient Outcomes

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Twenty two research articles were included in the review. Questionnaires, interviews, audits and reflections where also used to collect data. Nine research studies were found related to intentional rounding. The purpose of the study was clearly stated. The purpose was to evaluate how intentional rounding affects patient outcomes. The review was completed in 2014. Some limitations where discussed they were throughout the research material. The conclusion was that patient outcomes were positive with intentional rounding and they were based off the results from the study. The study did state that they were not sure if intentional rounding was the cause of improved patient outcome or relationships that formed with the nurse and patient. The article…show more content…
The article was written in 2013. 14 hospitals were evaluated in this study. There was not a control group or intervention group. The tables were consistent. Limitations of the study were not clearly identified. 11 articles were research. Detail of the articles included literature review, model, project set up and pilot, discussion, and conclusion. The conclusion was based off the results from the study. I would rate this as a low quality reference. Caring around the clock is an approach used for hourly rounding. A clock is placed at the bedside and the nurse tells the patient when she will return. This gives the nurse the opportunity to be proactive and take care of the residents needs before they have to call for someone to take care of their needs. This approach includes stages of rounding. The floor nurse makes hourly rounds, A Senior nurse makes rounds and talks with patient about their care and concerns, they then go back and educate staff on what concerns the patient has. The leaders also do rounds and they give staff recognition for a good job that is being done. When the floor nurse does hourly rounds. She assesses the 4 p’s plus any questions or supplies the patient needs. The leadership picks out certain nurses to be the trainers. They are with staff for about 6 weeks to train them on how the program works. This article pertains to my clinical questions as it discusses rounding and how it…show more content…
The purpose of the article was to see the effects of hourly rounding on rate of falls, use of call lights and patient satisfaction. The sample size was small. The study did have a control group and an experimental group. Date was collected on patient falls, call light use and patient satisfaction six months prior to initiation of hourly rounding and 6 months during study. A post discharge survey was also used. The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality. Hourly Rounding : a replication study. Was a study of 2 medical surgical units. The study focused on reduction in falls, call light use and patient satisfaction. All patients that were discharged during the one year study was involved. The experimental group received specialized educations prior to hourly rounding being initiated. Hourly rounding was to take place from 0600-2200. And q 2 hours rounding completed 2200-0600. If patient was asleep when rounding took place. Environmental rounding was only completed. Leadership also completed rounding three times weekly. They interviewed patients and ensured rounding was being completed. Four months into the survey staff attended another education session

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