The Proposal Of Hourly Rounding

Patient fall during hospitalized is a serious problem. Patient injury related to the patient fall is the first line of the safety issue and compromised patient 's satisfaction and patient-centered care. Also injury result of the prolong patient hospital stay, rehabilitation, and health care cost. In some case, injury cause of patient loss of independence or even death. Health care institutions work hard to seek innovative approaches to promote patient’s safety prevent patient fall and improve patient satisfaction scores. Hourly rounding theory has been reviewed by several independent study, and improved are the solid strategy to promotes patient 's safety and enhances patient 's centered care. The proposal of Implementation hourly rounding

However, hourly rounding method changed the nursing staff waiting to the call bell to the hourly rounding to meet the patient 's needs proactively. Hourly rounding Revealed by the Studer Group, it is another way of regulating existing work. The design is to meet the patients needs and ensure patient safety (Ford, 2010). By addressing the 4Ps that are assessing patient 's pain, reposition the patient, patient 's personal needs, placement of patient 's bedside items within reach (Ford, 2010). The history of the concept of rounding started in the late 1980s as a solution of the increasing in complaints from the patient and the physicians, in a medical center in Birmingham (Hourly Patient Rounding - ADVANCE for Nurses. n.d.). Currently, health care system facing the new challenge since the Affordable Care Act (ACA) is passed in 2010.With the law, The United States health system confronting the fundamental change. Patient-center care and patient’s satisfaction direct the health care practice. Patient fall is the big unsatisfaction for the patient and the families. Also a significant burden for the health organization related to the treatment of the injury caused by the patient

However, the research sample size a too small and the average age of the sample is 58 are too young to fit the long-term facilities setting. More research might need to determine the implementation of the evidence-based change in the long-term facilities. There are three preferences needed to be examined before making changes the hourly rounding theory in practice: (1) potential risks, (2) resources needed, and (3) readiness of those involved. When a change is complicated and requires multiple disciplines, extra time is needed to discover how the data might be applied and what steps will be decided to adjust the engagement of various healthcare professionals in the change (Grove, Gray, & Burns, 2015) (Grove, Gray, & Burns, 2015).

The fourth phase is the translation/application. This period includes preparing to use the actual research evidence into the practice. The translation phase requires to determine what knowledge will be utilized and how that knowledge will be applied to the practice. To implementation, the change also needs to improve the nurse’s knowledge of a situation, provide interpretation of practice dynamics, and develop problem-solving skills for clinical problems (Grove, Gray, & Burns,