Tags
Have you ever heard the saying ‘what is old is new again’? Some 30 years ago nurses did frequent back rounds. Despite its title it wasn’t just limited to back care – it included making sure patients were comfortable and had everything they needed.
Sweeping across the US, UK and Australia is a nursing concept branded Intentional Rounding. Its being promoted by governments and organisations alike in an effort to release nurses back to the bedside as part of transforming care at the bedside. The promoted benefits are happier patients, less falls, less incidences of incontinence episodes and pressure areas, less call bell usage and increased satisfaction of nurses.
Implementing intentional rounding does not bring with it additional nursing labour resources. It’s what government and health executive management call cost neutral. Intentional Rounding is about changing nursing practise from reactive (responding to calls for assistance/clinical incidents which are unplanned) to proactive (checking in and providing assistance which is planned).
Falls, episodes of incontinence and pressure areas are costly not only for the patient but also for health organisations. Nursing labour resources associated with each can be significant in terms of time and cost of care. The assumption is that if there is decreased falls, pressure areas and episodes of incontinence due to intentional rounding this will provide additional time more than sufficient for nurses to attend (and document) hourly rounding.
An add-on value to intentional rounding has been shown to be happy patients. Happy patients make less demands and are less likely to complain even if things don’t go 100% well. Patients and their families/carers are more likely to be forgiving of minor mistakes and miscommunication.
The literature out there in the health care domain does not necessarily fully support all the promotional aspects of intentional rounding. There have been several studies done primarily since 2006 which was very positive about the benefits of intentional rounding. In recent years however the literature has identified issues with the original US research studies methodologies and also highlighting the differences in nursing roles across USA and UK where the bulk of the research has originated.
Anecdotally surely all agree that if a patient is checked each hour and all their care needs are met at the time that it is highly beneficial and worth any cost. There can be no disagreement with this as the studies do show real benefits in reduced falls and pressure area rates etc.
Dissension within the literature is related to the implementation of intentional rounding. As stated in several studies in recent years it needs to be flexible enough for nurses to have a voice in what Intentional Rounding looks like within their individual workplace based on their patient unique needs. This will facilitate nurses engagement and most assuredly provide sustainability of Intentional Rounding.
Interestingly what has not been discussed in the literature is potentially the legal fraternity using hourly rounding ie lack of full compliance or documentation as grounds for allegations of negligence against the individual nurse. This would certainly make for an interesting qualitative study involving nurses and lawyers.
Hey There. I found your blog using msn. This is a very well written article.
I will make sure to bookmark it and return to read more of your useful information.
Thanks for the post. I’ll certainly comeback.
Pretty great post. I simply stumbled upon your weblog and wished to mention that I’ve truly enjoyed browsing your weblog posts.
After all I’ll be subscribing to your feed and I am hoping you write once more very soon!
Nice post. I was checking continuously this
weblog and I’m inspired! Extremely useful info specifically the
remaining part 🙂 I take care of such information much.
I was seeking this certain info for a long time. Thanks and good luck.
Hello, I enjoy reading all of your article post.
I like to write a little comment to support you.
Excellent post. I was checking constantly this weblog and I’m impressed!
Extremely useful info specifically the remaining part 🙂 I care for such info a lot.
I used to be seeking this certain information for a very long time.
Thanks and good luck.
This website was… how do you say it? Relevant!!
Finally I’ve found something that helped me.
Cheers!
Way cool! Some very valid points! I appreciate you penning this write-up and also the rest of the site is also very good.
whoah this blog is wonderful i like studying your articles.
Keep up the great work! You already know, many people are hunting
around for this information, you could aid them
greatly.
Heey There. I discovered youur weblog the usage of msn. That is aan extremely neatly written article.
I’ll make sure to bookmark it and come back to read extra of your helpful information. Thank you for the
post. I’ll definitely comeback.
Hello, I enjoy reading through your article. I like to write a little
comment to support you.
Way cool! Some very valid points! I appreciate you penning this post
plus the rest of the site is really good.
I’m really impressed with your writing skills and also with the layout on your weblog.
Is this a paid theme or did you modify it yourself?
Anyway keep up the excellent quality writing, it’s rare to see a
nice blog like this one these days.
Good post! We are linking to this great post on our site.
Keep up the great writing.
I have been surfing online moгe thаn tҺree ɦours toɗay, yet
I never found аny interesting article lіke yߋurs.
It’s pretty worth enoսgh fοr me. In my opinion, if all website owners ɑnd
bloggers mаde gooԁ contеnt as yoս did, thе internet will be a
lot morе uѕeful tҺan ever before.
Howdy! I could have sworn I’ve visited this blog before but after looking at some of
the posts I realized it’s new to me. Anyways, I’m definitely happy I came across it and I’ll be bookmarking it and checking back often!
I am actually thankful to the owner of this web page who has shared this impressive post at
here.
These are truly wonderful ideas in concerning blogging.
You have touched some good points here. Any way keep up wrinting.
Hello to every single one, it’s in fact a fastidious for me to go to see this website,
it contains useful Information.
WOW just what I was looking for. Came here by searching for refinancing heloc
Hi! I know this is kinda off topic but I was wondering which blog
platform are you using for this site? I’m getting
tired of WordPress because I’ve had problems with hackers and I’m
looking at alternatives for another platform. I would be great if you could
point me in the direction of a good platform.
I also use WordPress …… no problems yet!!
Greate pieces. Keep posting such kind of info on your blog.
Im really impressed by your site.
Heey there, You have performed ann excellent job.
I will certainly digg it and individually suggest to my friends.
I am sure they will be benefited from this website.
Great post however , I was wanting to know if you could write a litte
more on this subject? I’d be very thankful if you could elaborate a
little bit further. Bless you!
Excellent post. I used to be checking constantly this
weblog and I’m inspired! Very useful information particularly the closing part :
) I deal with such info much. I was seeking this
particular info for a very lengthy time. Thank you and best
of luck.
If you are going for most excellent contents like myself, just pay a quick visit
this web site every day because it presents feature contents,
thanks
Hello, I think your website might be having browser compatibility issues.
When I look at your blog in Safari, it looks fine but when opening in Internet Explorer, it has some overlapping.
I just wanted to give you a quick heads up! Other then that, amazing
blog!
Heya i’m for the first time here. I came across this board and I find It
truly useful & it helped me out much. I hope to give something back and help others like
you helped me.
Thanks for another magnificent article. The place else could
anybody get that kind of info in such an ideal method of
writing? I have a presentation next week, and I’m at the search for such info.
I blog frequently and I genuinely appreciate your information. This article has truly peaked my interest.
I will book mark your site and keep checking for new information about once per week.
I subscribed to your Feed as well.
Whats up this is somewhat of off topic but I
was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML.
I’m starting a blog soon but have no coding know-how so I wanted to get guidance from someone with experience.
Any help would be greatly appreciated!
Excellent way of telling, and pleasant paragraph to get information regarding my presentation topic, which
i am going to deliver in school.
Hi, I do think this is an excellent website.
I stumbledupon it 😉 I’m going to revisit once again since i
have bookmarked it. Money and freedom is the best way to change, may
you be rich and continue to help others.
Thank you!!
magnificent put up, very informative. I’m wondering why the other experts of this sector
don’t notice this. You should continue your writing. I’m sure, you have
a huge readers’ base already!
Excellent article! We are linking to this particularly great post on our site.
Keep up the good writing.
Great…thank you!!
Very nice post. I just stumbled upon your weblog and wished to say that I’ve truly enjoyed surfing around your blog posts.
In any case I’ll be subscribing to your feed and I hope you write
again very soon!
Thank you Marco
I was extremely pleased to discover this web site.
I need to to thank you for ones time just for this fantastic read!!
I definitely appreciated every little bit of it and I have you bookmarked to see new stuff in your
site.
Many thanks
Great information. Lucky me I ran across your site by
accident (stumbleupon). I’ve saved it for later!
Great, hope you enjoy Oscar
An impressive share! I’ve just forwarded this onto a co-worker who was conducting a little homework on this.
And he in fact bought me breakfast simply because I found it for him…
lol. So let me reword this…. Thank YOU for the meal!!
But yeah, thanks for spending some time to talk about this subject here on your internet site.
No worries Selina hope you enjoyed your meal!!
Pretty great post. I simply stumbled upon your weblog and wanted to mention that I’ve truly enjoyed surfing around your
weblog posts. After all I’ll be subscribing
in your rss feed and I’m hoping you write again soon!
Thanks….I plan to post twice a week AH