Date of Conferral

2023

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mattie Burton

Abstract

Research has shown that consistent hourly rounds improve patient satisfaction and quality of care. Successful implementation and maintenance of this patient-centered practice hinges on nursing knowledge and proper training in the processes and procedures that support timely, purposeful, and effective hourly rounds. The purpose of this doctoral project was to implement a staff education project to improve staff perception of the value of hourly rounding on an inpatient orthopaedic unit. Project materials supplemented the hourly rounding program already in place at the facility. Following an in-depth literature search, pre-intervention multiple-choice knowledge assessment questionnaires were distributed to staff who volunteered to participate in the study; a staff education program was then presented; and post-intervention multiple-choice knowledge assessments were distributed, collected, and analyzed to determine the perceived value of hourly rounding. Of the 27 nurses who completed and returned the pre-intervention questionnaire, 11 completed and returned the post-intervention questionnaire. Among those 11 nurses, a 6% increase from baseline perception of the value of hourly rounding was seen, as well as a 6% increase from baseline on the impact that hourly rounding has on decreasing falls and a 17% increase from baseline on the impact that hourly rounding has on decreasing call bell usage. Recommendations to leadership included a follow-up measure of patient satisfaction. Positive impact on social change was seen related to improvement of staff knowledge of the value of hourly rounding, as well as potential for positive impact on patient perception of quality of care, patient safety, serious safety events, quality metric results, and financial implications for the practicum facility.

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