2.50
Hdl Handle:
http://hdl.handle.net/10755/164795
Category:
Abstract
Type:
Presentation
Title:
Round and Round and Round We Go to Assure Exemplary Professional Practice
Author(s):
Reimer, Nicole; Herbener, Laura; Kutzler, Deidre
Author Details:
Nicole Reimer, BSN, RN, OCN, Director, Oncology Medical-Surgical Unit, Lehigh Valley Health Network, Allentown, Pennsylvania, USA, email: Nicole.Reimer@lvh.com; Laura Herbener, RN, OCN; Deidre Kutzler, BSN, RN
Abstract:
Administration/Leadership Development: Recent research demonstrated a protocol that incorporates specific actions into patient rounds can reduce the frequency of patients' call light use, increase their satisfaction with nursing care, and reduce falls. The evidence is also definitive that collaborative rounding by clinicians caring for a patient, as well as management rounds to patients and with staff, are associated with enhanced clinical outcomes and patient and staff satisfaction. Evidence regarding rounding for a variety of purposes was the catalyst for staff on a 26 bed medical-surgical oncology unit in an academic, community Magnet hospital to design and implement six rounding methods for their patient population. The goal was to create a transforming experience for both patients and staff by hardwiring the different rounding strategies as standards of care. This presentation will detail each of the six rounding methodologies, outcomes achieved, and strategies to achieve success. The six rounding methods are: 1) hourly patient rounds by registered nurses and assistive personnel; 2) daily patient collaborative rounds by the interdisciplinary care team; 3) daily clinical rounds to patients with their care-givers by the unit-based advanced practice nurse; 4) daily patient rounds by the unit manager; 5) quarterly rounds to patients and caregivers by senior nursing management; and, 6) safety rounds by senior executives. Collaborative rounds have occurred for many years, while the other rounding strategies were formalized and consistently implemented July, 2008. A variety of metrics are evaluating effectiveness of the rounding strategies, to include: patient, staff and physician satisfaction and nurse sensitive quality indicators. Most recent outcomes include: overall nursing satisfaction raw scores in the 90's; nursing vacancy rate of 0, with no nursing turnover since July, 2008; physician satisfaction with nursing scores exceeding benchmarks; and, a decreasing fall rate. Many organizations have instituted rounding concepts, but few have utilized the evidence to create a compendium of rounding strategies to impact patient care management. The associated 'standard operating procedures,' such as scripting and checklists, utilized within each of the six rounding methods by this Magnet staff can be utilized to positively impact satisfaction, clinical quality and safety of the oncology patient.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleRound and Round and Round We Go to Assure Exemplary Professional Practiceen_GB
dc.contributor.authorReimer, Nicoleen_US
dc.contributor.authorHerbener, Lauraen_US
dc.contributor.authorKutzler, Deidreen_US
dc.author.detailsNicole Reimer, BSN, RN, OCN, Director, Oncology Medical-Surgical Unit, Lehigh Valley Health Network, Allentown, Pennsylvania, USA, email: Nicole.Reimer@lvh.com; Laura Herbener, RN, OCN; Deidre Kutzler, BSN, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164795-
dc.description.abstractAdministration/Leadership Development: Recent research demonstrated a protocol that incorporates specific actions into patient rounds can reduce the frequency of patients' call light use, increase their satisfaction with nursing care, and reduce falls. The evidence is also definitive that collaborative rounding by clinicians caring for a patient, as well as management rounds to patients and with staff, are associated with enhanced clinical outcomes and patient and staff satisfaction. Evidence regarding rounding for a variety of purposes was the catalyst for staff on a 26 bed medical-surgical oncology unit in an academic, community Magnet hospital to design and implement six rounding methods for their patient population. The goal was to create a transforming experience for both patients and staff by hardwiring the different rounding strategies as standards of care. This presentation will detail each of the six rounding methodologies, outcomes achieved, and strategies to achieve success. The six rounding methods are: 1) hourly patient rounds by registered nurses and assistive personnel; 2) daily patient collaborative rounds by the interdisciplinary care team; 3) daily clinical rounds to patients with their care-givers by the unit-based advanced practice nurse; 4) daily patient rounds by the unit manager; 5) quarterly rounds to patients and caregivers by senior nursing management; and, 6) safety rounds by senior executives. Collaborative rounds have occurred for many years, while the other rounding strategies were formalized and consistently implemented July, 2008. A variety of metrics are evaluating effectiveness of the rounding strategies, to include: patient, staff and physician satisfaction and nurse sensitive quality indicators. Most recent outcomes include: overall nursing satisfaction raw scores in the 90's; nursing vacancy rate of 0, with no nursing turnover since July, 2008; physician satisfaction with nursing scores exceeding benchmarks; and, a decreasing fall rate. Many organizations have instituted rounding concepts, but few have utilized the evidence to create a compendium of rounding strategies to impact patient care management. The associated 'standard operating procedures,' such as scripting and checklists, utilized within each of the six rounding methods by this Magnet staff can be utilized to positively impact satisfaction, clinical quality and safety of the oncology patient.en_GB
dc.date.available2011-10-27T12:07:08Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:08Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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