9.00
Hdl Handle:
http://hdl.handle.net/10755/306599
Category:
Abstract
Type:
Poster
Title:
Hourly Rounding - Improving Patient Satisfaction in the Emergency Department
Author(s):
Ignacio, Alfie; Choe, Nancy
Lead Author STTI Affiliation:
Non-member
Author Details:
Alfie Ignacio, DNP, MSN, RN, ACNS-BC, FNP-BC, CEN, CCRN, CFRN, PHN, Zulu22373@aol.com; Nancy Choe, RN
Abstract:

Evidence-based Practice Abstract

Purpose: Research indicate that the largest number of complaints about ED care focus around patient treatment, communication, poor staff attitudes, and delay in treatments. These are also causes of patients leaving without being seen. Studies have documented that staff providing information regarding patients' health status and treatments, how well patients are informed about delays, prompt pain control methods, and the attitudes of health care providers significantly impact ED patient satisfaction. Research indicates that hourly rounding is one of the best interventions that ED staff can provide to reduce patient anxiety and help control their pain. Explanation of treatment delays will keep them in the ED and not leave without being seen. The purpose of this project was to implement an evidence-based practice (EBP) guideline for hourly rounding in the emergency department.

Design: This was an EBP project guided by the steps of the Iowa EBP Model including baseline patient satisfaction assessment, staff education, coaching/mentoring, and outcomes evaluation.

Setting: The practice change project was conducted in a 34-bed ED of a non-profit community hospital.

Participants: Approximately 80 randomly selected patients were surveyed regarding their satisfaction of care in the ED, 70 ED nurses and 38 ED techs completed education on hourly rounding.

Methodology: The CNS in collaboration with ED staff, Nurse Manager, and Director developed a formalized process of hourly rounding in the ED. A one-hour class on patient rounding was provided to ED staff during skills fair and multiple in -services were conducted. Documentation of ED rounding was provided by a rounding log, which was reviewed by the Nurse Manager, Supervisor, and ED CNS for compliance and accountability. ED Technicians rounded during even hours and the ED RN's rounded during odd hours. Pain, explanation of plan of care and delays in treatments were addressed during roundings.

Findings/Outcomes: Patient satisfaction scores in the ED increased three months after implementation of hourly rounding. Patient satisfaction scores based on how well the nurses explained patient treatments increased from 80% to 85.8% and reasons for the delays in treatments improved from 64.9% to 73.3%. Patient satisfaction on how well their pain was controlled increased from 75.3% to 82.8%. Patients leaving without being seen was reduced from 4.2% to 3%.

Conclusion and Implications: Hourly rounding improved patient satisfaction results and reduced the number of patients who left without being seen in the ED. Developing a structured format of hourly rounding, monitoring through the use of rounding log to hardwire the practice and incorporating it in the ED policy and procedure will improve patient care management and satisfaction.

Keywords:
Improving ED Patient Satisfaction
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleHourly Rounding - Improving Patient Satisfaction in the Emergency Departmenten_GB
dc.contributor.authorIgnacio, Alfieen_GB
dc.contributor.authorChoe, Nancyen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsAlfie Ignacio, DNP, MSN, RN, ACNS-BC, FNP-BC, CEN, CCRN, CFRN, PHN, Zulu22373@aol.com; Nancy Choe, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306599-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: Research indicate that the largest number of complaints about ED care focus around patient treatment, communication, poor staff attitudes, and delay in treatments. These are also causes of patients leaving without being seen. Studies have documented that staff providing information regarding patients' health status and treatments, how well patients are informed about delays, prompt pain control methods, and the attitudes of health care providers significantly impact ED patient satisfaction. Research indicates that hourly rounding is one of the best interventions that ED staff can provide to reduce patient anxiety and help control their pain. Explanation of treatment delays will keep them in the ED and not leave without being seen. The purpose of this project was to implement an evidence-based practice (EBP) guideline for hourly rounding in the emergency department.</p><p>Design: This was an EBP project guided by the steps of the Iowa EBP Model including baseline patient satisfaction assessment, staff education, coaching/mentoring, and outcomes evaluation.</p><p>Setting: The practice change project was conducted in a 34-bed ED of a non-profit community hospital.</p><p>Participants: Approximately 80 randomly selected patients were surveyed regarding their satisfaction of care in the ED, 70 ED nurses and 38 ED techs completed education on hourly rounding.</p><p>Methodology: The CNS in collaboration with ED staff, Nurse Manager, and Director developed a formalized process of hourly rounding in the ED. A one-hour class on patient rounding was provided to ED staff during skills fair and multiple in -services were conducted. Documentation of ED rounding was provided by a rounding log, which was reviewed by the Nurse Manager, Supervisor, and ED CNS for compliance and accountability. ED Technicians rounded during even hours and the ED RN's rounded during odd hours. Pain, explanation of plan of care and delays in treatments were addressed during roundings.</p><p>Findings/Outcomes: Patient satisfaction scores in the ED increased three months after implementation of hourly rounding. Patient satisfaction scores based on how well the nurses explained patient treatments increased from 80% to 85.8% and reasons for the delays in treatments improved from 64.9% to 73.3%. Patient satisfaction on how well their pain was controlled increased from 75.3% to 82.8%. Patients leaving without being seen was reduced from 4.2% to 3%.</p><p>Conclusion and Implications: Hourly rounding improved patient satisfaction results and reduced the number of patients who left without being seen in the ED. Developing a structured format of hourly rounding, monitoring through the use of rounding log to hardwire the practice and incorporating it in the ED policy and procedure will improve patient care management and satisfaction.</p>en_GB
dc.subjectImproving ED Patient Satisfactionen_GB
dc.date.available2013-12-09T17:00:32Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:32Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
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.en_GB
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