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Hospital stays typically subject families and patients to significant distress levels

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Hospital stays typically subject families and patients to significant distress levels

Hospital stays typically subject families and patients to significant distress levels, and this causes them to become emotionally and socially vulnerable. Patients are obliged to request for assistance to execute necessary activities such as elimination, eating, and repositioning. Nurses may take long to respond to patient calls in some instances. Checking on patients intentionally and at regular intervals, a practice commonly referred to as hourly rounding, according to Brag (2016), acts as an essential mechanism aimed to address the necessary patient needs as well as to promote patient experience, satisfaction, and safety. The study’s overall purpose is to provide a summary of independent researches to ascertain current knowledge regarding the topic (effectiveness and barriers to intentional rounding) and to draw conclusions and recommendations to guide nursing practice. The study’s objectives are: To analyze and identify the benefits of purposeful rounding in healthcare settings and to analyze and distinguish the barriers to the appropriate implementation and execution of purposeful rounding in healthcare settings. I searched for pertinent articles published between 2010 and 2019 on the CINAHL, EBSCOhost, PubMed, and MEDLINE databases. Keywords for the search included hourly, purposeful, or intentional rounds and barriers or effectiveness, patient satisfaction, nursing satisfaction, or patient outcomes, particularly risk for falls and call bell use. Seventeen articles were ascertained to meet the inclusion/exclusion criteria. The selected studies emphasize the significance of hourly rounding on various aspects. These aspects include high patient satisfaction rates, improved patient outcomes such as falls and pressure ulcers, and the increases in nurse satisfaction rates. Some of the identified barriers in the study include onerous hourly rounding logs, issues regarding nurses’ workload, acuity levels in patients, lack of sustainability, lack of sufficient nurse education, unexpected interruptions, and the nursing staff’s failure to buy-in to the idea.

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