Date of Conferral
6-19-2025
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Cynthisa Fletcher
Abstract
This is a quality improvement clinical practice guideline (CPG) to address the inconsistent staff rounding practices, developed following recognition of a fall rate of 3.2 per 1000 patient days and declining patient satisfaction in the project facility. I developed the CPG using current evidence-based practices to establish standardized procedures for purposeful rounding to enhance patient safety, satisfaction, and care quality. Three experts, including an educator, clinician, and administrator, evaluated the CPG using the Appraisal of Guidelines for Research and Evaluation II (AGREE II), a tool consisting of seven domains used for measuring the methodological rigor and transparency in which a guideline is developed. The experts determined the relevance of the information in the guideline to the requirements of each item on the seven domains by assigning a score of 1 if the information does not meet the items on the instrument, 7 if it meets the items fully, and 2 to 6 when the information does not meet the full criteria. Experts rated all the domain items from 5 to 7, indicating that the information on the CPG was very relevant to the items on the AGREE II instrument. These findings support the quality and usefulness of the guideline for use in the facility. By adhering to the CPG to perform periodic check ins, nurses are empowered to provide care that has the potential to reduce adverse events and improve the overall patient’s hospital experience. This approach has the potential for positive social change by improving patient dignity and autonomy through regular communication and anticipation of needed care. I recommend yearly evaluation and revision, if needed, to guarantee that the guideline stays current with developing best practices and upcoming research. Intentional rounding assures proactive and consistent, equitable care for all patients.
Recommended Citation
Griggs, Julia, "Clinical Practice Guideline for Intentional Rounding" (2025). Walden Dissertations and Doctoral Studies. 17998.
https://scholarworks.waldenu.edu/dissertations/17998
