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http://dx.doi.org/10.22650/JKCNR.2021.27.1.66

Performance, Perception, and Influencing Contexts of Intentional Rounding  

Kim, Mi Young (Department of Nursing, Samsung Medical Center)
Kim, Mi Soon (Department of Nursing, Samsung Medical Center)
Kim, Ae Ran (Department of Nursing, Samsung Medical Center)
Kim, Hee Sun (Department of Nursing, Samsung Medical Center)
Publication Information
Journal of Korean Clinical Nursing Research / v.27, no.1, 2021 , pp. 66-76 More about this Journal
Abstract
Purpose: This descriptive study aimed to explore the performance, nurses' perception, and influencing contexts of intentional rounding (IR), and to identify the factors influencing the performance of IR. Methods: 498 questionnaire responses were collected from clinical nurses with more than six months of work experiences in general wards performing IR in a general hospital. Results: The mean scores of the performance, nurses' perception, and influencing contexts of IR were 3.81(±0.68), 3.46(±0.42), and 3.79(±0.51) out of 5.00, respectively. There were significant differences in performance (F=20.51, p<.001) and nurses' perception (F=4.96, p=.001) based on the work department. There were significant differences in the influencing contexts based on age (F=6.02, p=.003) and the length of clinical experience in the ward (F=3.36, p=.010). Performance and nurses' perception(r=.42, p<.001), performance and influencing contexts (r=.46, p<.001), and nurses' perception and influencing contexts (r=.58, p<.001) showed a statistically positive correlation. Work unit (F=10.45, p<.001), nurses' perception of the benefits to patients (F=-2.46, p=.014) and to nurses (F=4.34, p<.001), and influencing contexts at the individual (F=7.77, p<.001) and department levels (F=2.99, p=.003) were found to be significant factors on the performance of IR. Conclusion: It is necessary to support the education programs and active participation of nurses in their role as leaders to raise their awareness regarding the benefits of IR. Furthermore, there is a need to adapt the IR protocol according to the unique characteristics of each unit and evaluate the effectiveness.
Keywords
Nursing Care; Clinical Rounds; Work Performance; Perception; Sociological Factors;
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  • Reference
1 Samsung Medical Center. In-hospital nursing guideline: Nursing rounds. Seoul: Samsung Medical Center; 2015 Apr. No.: NSD-002-3311.
2 Tea C, Ellison M, Feghali F. Proactive patient rounding to increase customer service and satisfaction on an orthopaedic unit. Orthopaedic Nursing. 2008;27(4):233-240. https://doi.org/10.1097/01.NOR.0000330305.45361.45   DOI
3 Neville K, DiBona C, Mahler M. Validation of the nurses' perception of patient rounding scale: An exploratory study of the influence of shift work on nurses' perception of patient rounding. Orthopaedic Nursing. 2016;35(2):84-91. https://doi.org/10.1097/NOR.0000000000000223   DOI
4 Han JS, Kim YH. Factors influencing intentional rounding performance of tertiary general hospital nurses. Journal of Korean Academy of Nursing Administration. 2019;25(5):437-447. https://doi.org/10.11111/jkana.2019.25.5.437   DOI
5 Rondinelli J, Ecker M, Crawford C, Seelinger C, Omery A. Hourly rounding implementation: A multisite description of structures, processes, and outcomes. Journal of Nursing Administration. 2012;42(6):326-332. https://doi.org/10.1097/NNA.0b013e31824ccd43   DOI
6 Ryan L, Jackson D, Woods C, Usher K. Intentional rounding: An integrative literature review. Journal of Advanced Nursing. 2019;75(6):1151-1161. https://doi.org/10.1111/jan.13897   DOI
7 Deitrick LM, Baker K, Paxton H, Flores M, Swavely D. Hourly rounding: Challenges with implementation of an evidence-based process. Journal of Nursing Care Quality. 2012;27(1): 13-19. https://doi.org/10.1097/NCQ.0b013e318227d7dd   DOI
8 Neville K, Lake K, LeMunyon D, Paul D, Whitmore K. Nurses' perceptions of patient rounding. Journal of Nursing Administration. 2012;42(2):83-88. https://doi.org/10.1097/NNA.0b013e318243365e   DOI
9 East L, Targett D, Yeates H, Ryan E, Quiddington L, Woods C. Nurse and patient satisfaction with intentional rounding in a rural Australian setting. Journal of Clinical Nursing. 2020;29 (7-8):1365-1371. https://doi.org/10.1111/jocn.15180   DOI
10 Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385. https://doi.org/10.1097/00006199-198611000-00017   DOI
11 Polit DF, Beck CT. The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health. 2006;29(5):489-497. https://doi.org/10.1002/nur.20147   DOI
12 Kim JH. Multicollinearity and misleading statistical results. Korean Journal of Anesthesiology. 2019;72(6):558-569. https://doi.org/10.4097/kja.19087   DOI
13 Shepard LH. Stop going in circles! Break the barriers to hourly rounding. Nursing Manangement. 2013;44(2):13-15. https://doi.org/10.1097/01.NUMA.0000426147.98903.ae   DOI
14 Lowe L, Hodgson G. Hourly rounding in a high dependency unit. Nursing Standard. 2012;27(8):35-40.   DOI
15 Woodard JL. Effects of rounding on patient satisfaction and patient safety on a medical-surgical unit. Clinical Nurse Specialist. 2009;23(4):200-206. https://doi.org/10.1097/NUR.0b013e3181a8ca8a   DOI
16 Dix G, Phillips J, Braide M. Engaging staff with intentional rounding. Nursing Times. 2012;108(3):14-16.
17 Brosey LA, March KS. Effectiveness of structured hourly nurse rounding on patient satisfaction and clinical outcomes. Journal of Nursing Care Quality. 2015;30(2):153-159. https://doi.org/10.1097/NCQ.0000000000000086   DOI
18 Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: On patients' call light use, satisfaction, and safety. American Journal of Nursing. 2006;106(9):58-70. https://doi.org/10.1097/00000446-200609000-00029   DOI
19 Sims S, Leamy M, Davies N, Schnitzler K, Levenson R, Mayer F, et al. Realist synthesis of intentional rounding in hospital wards: Exploring the evidence of what works, for whom, in what circumstances and why. BMJ Quality & Safety. 2018;27 (9):743-757. https://doi.org/10.1136/bmjqs-2017-006757   DOI
20 Yang SH, Jang KS, Park HY. Effects of clinical nurse's intentional nursing rounds on patient needs and satisfaction. Journal of Health Informatics and Statistics. 2015;40(1):87-100.
21 Fabry D. Hourly rounding: Perspectives and perceptions of the frontline nursing staff. Journal of Nursing Management. 2015;23(2):200-210. https://doi.org/10.1111/jonm.12114   DOI
22 Morgan L, Flynn L, Robertson E, New S, Forde-Johnston C, McCulloch P. Intentional Rounding: A staff-led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing. 2017;26(1-2):115-124. https://doi.org/10.1111/jocn.13401   DOI
23 Fitzsimons B, Bartley A, Cornwell J. Intentional rounding: Its role in supporting essential care. Nursing Times. 2011;107 (27):18-21.
24 Tucker SJ, Bieber PL, Attlesey-Pries JM, Olson ME, Dierkhising RA. Outcomes and challenges in implementing hourly rounds to reduce falls in orthopedic units. Worldviews on Evidence-Based Nursing. 2012;9(1):18-29. https://doi.org/10.1111/j.1741-6787.2011.00227.x   DOI
25 Kirk K, Kane R. A qualitative exploration of intentional nursing round models in the emergency department setting: Investigating the barriers to their use and success. Journal of Clinical Nursing. 2016;25(9-10):1262-1272. https://doi.org/10.1111/jocn.13150   DOI