PICOT Statement:
In adult hospitalized patients (P), how does the implementation of hourly rounding (I) compared to no hourly rounding (C) affect patient satisfaction with nursing care (O) over a period of 6 months (T)?
Clinical Problem:
Patient satisfaction is a crucial aspect of healthcare delivery, and it has been linked to improved clinical outcomes, increased adherence to treatment plans, and patient loyalty. Poor patient satisfaction can be associated with inadequate communication, decreased quality of care, and negative patient experiences. The issue of low patient satisfaction is prevalent in many healthcare settings, and it can lead to decreased patient trust, increased medical costs, and negative publicity for healthcare facilities. Hourly rounding has been identified as a nursing intervention that can improve patient satisfaction by enhancing communication and responsiveness, reducing call light usage, and addressing patients’ needs promptly.
Evidence-Based Solution:
The implementation of hourly rounding is an evidence-based nursing intervention that has been shown to improve patient satisfaction in numerous studies. Hourly rounding involves nurses checking on patients every hour, addressing their needs, and communicating with them about their care plan. The rationale behind this intervention is to enhance communication, anticipate patients’ needs, and improve patient outcomes.
Nursing Intervention:
The nursing intervention involved in this PICOT statement is hourly rounding. This intervention is designed to enhance patient satisfaction by improving communication and responsiveness, reducing call light usage, and addressing patients’ needs promptly. During hourly rounding, nurses check on their patients every hour, ask them if they need anything, address their needs, and communicate with them about their care plan. Hourly rounding has been associated with decreased falls, improved pain management, increased patient satisfaction, and improved overall patient outcomes.
Patient Care:
Patient satisfaction with nursing care is the outcome of interest in this PICOT statement. Patients’ satisfaction with their care is a crucial aspect of healthcare delivery, and it has been linked to improved clinical outcomes, increased adherence to treatment plans, and patient loyalty. Patient satisfaction can be assessed using various tools, such as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, which measures patients’ experiences with their hospital care.
Health Care Agency:
The implementation of hourly rounding can be carried out by various healthcare agencies, including hospitals and long-term care facilities. The healthcare agency’s culture and leadership play a critical role in the successful implementation of hourly rounding, and it is essential to have organizational support and buy-in from all stakeholders.
Nursing Practice:
The implementation of hourly rounding is a nursing intervention that requires the involvement of all nursing staff, from charge nurses to bedside nurses. Nurses must be trained on the importance of hourly rounding, how to carry it out effectively, and how to document their hourly rounding activities. Nursing practice plays a crucial role in the successful implementation of hourly rounding, and it is essential to have a culture of teamwork, collaboration, and accountability.