Introduction
The title of the article outlines the objective of the study. It states the main idea of the study that is the merry go round of the patient rounding's that will ensure that the patient gets the best treatment. A medical-surgical unit in the Lehigh Valley Network (LVHN), which had a capacity of 30 beds started to apply the idea of rounding into their unique procedures which were to be applied to their patients. The staffs at the 6T unit learned about the idea from research carried in 14 US hospital which was to determine the outcome of the nursing rounds on the frequency of patient ‘call light use.' The results proved that the rounding lowered the frequency of call light use by the patients ( Kessler et al., 2012 ).
Tea, Elison, and Feghali noted proactive patient rounds as a way to improve the services offered to a customer and satisfy the patient. Other researchers were carried out, and all proved that the nursing rounding had a positive impact on the patient satisfaction. However, it was noted that the nursing rounding did not cure the patient diseases but a way of improving the nursing care offered. In the research, there is a theoretical framework that is presented by quoting the previous research work. However, they should explain the limitations of the process.
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Method
They first made a research on the patient wants and desires. The relevant information was acquired from making telephone calls to the patient who had been discharged and were at their home. The family members of the patients were also questioned on things they liked and the things they wanted to be adjusted in the unit.
Then in May 2006, the rounding protocol was presented to all the staffs. The staffs had to fill in a survey before being accorded a relevant education based on the unit through didactic workshops and lectures. Then the official rounding stated late May 2006. At first, the rounds were finished by a registered nurse or a TP every hour from the morning at 7:00 am and 11 in the night. It was also done after every two hours between midnight and six in the morning. After every two weeks for the initial two months, the staffs met to discuss the procedures that were working well and those that needed to amend. Nowadays the collection of data is simplified by giving letters to the patient upon admission, and the nurse is required to document the Rounding Log.
This research method is correlational since it involves the use of observation on the patient characteristics that is the use of call light use. There is also a case-control study in which there is observation between two different outcomes that may be based on some factors that are there is the difference between those patients who got access to nursing rounds as compared to those who do not access.
Sampling
There were a couple of questions that were administered to the patients about their satisfaction with the rounding protocol. There were also comments from the interprofessional colleagues and the family members of the patient. Random sampling method could have been deployed. It was well representing the patients.
Measures
Some questions were administered to the patients while conducting the survey. These questions were how well the pain of the patient-controlled was, how quick were the answers to the call bell and how well the staff coordinated with one another to provide the necessary services to the patient. There were also a couple of surveys that were conducted which includes ‘The employee satisfaction survey by Health Stream. There was also use of quantitative metrics.
Data analysis
For the question how well the pain of the patient was controlled in 2006, which was the pre-rounding year, show that it had the highest score of 88.5%. However, the other fiscal years had a lower score for pain controlling with 2007 having 86.5%, 2008 86.5%, 2009 86.9% 2010 87.9% and 2011 85.8%. On the quiz about the promptness in responding to the call bell 2006 had 86.7%, 2007 had 88.7%, 2008 had 87.1% 2009 had 85.7% 2010 had 85.1% and 2011had 82.1%. On the quiz about how well the staff coordinated to serve the customer 2006 had 90.8%, 2007 had 92.1% 2008 had 92% 2009 had 91.4% 2010 had 90.6 percent, and 2011 had 89.9%. On the employee satisfaction surveyed showed that the overall satisfaction of the employees was 3.59 in 2007, 3.63 in 2009 and 3.65 in 2011 when rated from 1 to 5. The vacancy rate was seen to reduce at a higher rate that is in 2005 it was 19.50%, but in 2008 it had reduced to 0%. The fall rate also reduced drastically that is in 2006 it was at 5.46%, but in 2011 it was at 2.19%.
Findings
When the evaluation was out the notable trend was that the patient raised the need for pain management, a better reply to the call bells and attentive acre care. When the rounding protocol was introduced the technical partners, and the nurses showed improvement in the way they communicated, coordinated and teamwork. As the staffs welcomed the protocol, they continued to receive positive feedback from the patients and their family. It was also noted that the hourly rounding enhanced the patient and staff satisfaction. It can be noted that the introduction of rounding protocol helped to improve the health care that a patient receives.
Reference
Kessler, B., Claude-Gutekunst, M., Donchez, A. M., Dries, R. F., & Snyder, M. M. (2012). The merry-go-round of patient rounding: assure your patients get the brass ring. Medsurg Nursing , 21 (4), 240.
