Purposeful Proactive Hourly Rounding: A Positive Influence on Outcomes and Experience

8.00
Hdl Handle:
http://hdl.handle.net/10755/621757
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Purposeful Proactive Hourly Rounding: A Positive Influence on Outcomes and Experience
Author(s):
O'Flaherty, Deirdre; Murray-Bachmann, Renee; Deady-Rooney, Mary J.; Alter, Emily; DiCarlo, Linda R.
Lead Author STTI Affiliation:
Alpha Phi
Author Details:
Deirdre O'Flaherty, DNP, RN, NE-BC, APRN-BC, ONC, Professional Experience: 2015 DNP graduate Case Western Reserve University with research and publications in resilience, structural empowerment and engagement. 2009-2015 Senior Administrative Director Patient Care Services Lenox Hill Hospital Author Summary: Demonstrated progressive clinical, academic and leadership experience in emergency, trauma, perioperative and orthopaedic nursing. Graduated Case Western Reserve University Frances Payne Bolton DNP program, with research and publications in resilience, structural empowerment and engagement. ANCC certification in Nursing Administration, Adult Nurse Practitioner, Orthopaedic Nursing. Currently Senior Administrative Director, Patient Care Services, Surgical Nursing, Orthopaedic Program Coordinator, Lenox Hill Hospital New York, New York, USA. Community Nurse Leader, Alpha Phi Chapter, Sigma Theta Tau International
Abstract:

Lenox Hill Hospital (a member of the Northwell Health System) is a comprehensive acute care facility located in New York City. It is recognized nationally for its outstanding patient care, as well as its innovative medical/surgical modalities. The market shift from volume to value based care, coupled with Lenox Hill Hospitals’ own mission to provide exceptional patient centered health care with compassion and respect, is the foundation on which nursing leadership develops an environment that engenders staff contribution.

Patients’ perception of their care significantly impacts their response to both Press Ganey and HCHAPS surveys, which directly correlates to incentive payments. Communication with the nurse is paramount in that it optimizes care, increases satisfaction and facilitates safe discharge thus enhancing survey response ratings.

In order to achieve high performance scores in the communication with nurse dimension and patient satisfaction, several best practices must be adopted. These include consistent and purposeful hourly rounding, bedside shift reporting (hand-off), use of scripts and the recruitment of nursing candidates that exhibit strong interpersonal skills. In addition, leadership rounding has proven to sustain quality outcomes.

The Institute of Medicine (IOM) endorses empowering all members of the healthcare team to engage in creating a culture that promotes patient safety. This recommendation is further validated by nursing research involving the effect of empowerment and the importance of consistent workplace strategies to promote staff and patient satisfaction. 
The theory of Structural Empowerment has been widely applied in nursing research and practice. This philosophy is defined as the ability to accomplish goals in an organization by having access to information, resources, opportunity and support. Kanter, the founding theorist, acknowledged that management plays a significant role in the provision of these structural factors and postulates that empowered leaders are more effective in endowing their employees. This results in an increased commitment to ensuring that the organizational goals are achieved (DiNapoli, & O'Flaherty 2015;DiNapoli et al., 2016;Boamah & Laschinger, 2014). In espousing this theory, the leadership team has developed strategies that empower the staff, have positively impacted patient and staff satisfaction and increased engagement scores (Clavelle et al., 2013). The nursing leadership team fosters an environment that promotes competence and confidence in our nurses (Purdy et al, 2010;Neville et al., 2016). This has resulted in the delivery of safe and outstanding care as evidenced by the outcomes in our patient satisfaction scores and quality data.

Keywords:
Communication; Patient Satisfaction; Purposeful Rounding
Repository Posting Date:
10-Jul-2017
Date of Publication:
10-Jul-2017
Other Identifiers:
INRC17PST333
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titlePurposeful Proactive Hourly Rounding: A Positive Influence on Outcomes and Experienceen_US
dc.contributor.authorO'Flaherty, Deirdreen
dc.contributor.authorMurray-Bachmann, Reneeen
dc.contributor.authorDeady-Rooney, Mary J.en
dc.contributor.authorAlter, Emilyen
dc.contributor.authorDiCarlo, Linda R.en
dc.contributor.departmentAlpha Phien
dc.author.detailsDeirdre O'Flaherty, DNP, RN, NE-BC, APRN-BC, ONC, Professional Experience: 2015 DNP graduate Case Western Reserve University with research and publications in resilience, structural empowerment and engagement. 2009-2015 Senior Administrative Director Patient Care Services Lenox Hill Hospital Author Summary: Demonstrated progressive clinical, academic and leadership experience in emergency, trauma, perioperative and orthopaedic nursing. Graduated Case Western Reserve University Frances Payne Bolton DNP program, with research and publications in resilience, structural empowerment and engagement. ANCC certification in Nursing Administration, Adult Nurse Practitioner, Orthopaedic Nursing. Currently Senior Administrative Director, Patient Care Services, Surgical Nursing, Orthopaedic Program Coordinator, Lenox Hill Hospital New York, New York, USA. Community Nurse Leader, Alpha Phi Chapter, Sigma Theta Tau Internationalen
dc.identifier.urihttp://hdl.handle.net/10755/621757-
dc.description.abstract<p><span>Lenox Hill Hospital (a member of the Northwell Health System) is a comprehensive acute care facility located in New York City. It is recognized nationally for its outstanding patient care, as well as its innovative medical/surgical modalities. The market shift from volume to value based care, coupled with Lenox Hill Hospitals’ own mission to provide exceptional patient centered health care with compassion and respect, is the foundation on which nursing leadership develops an environment that engenders staff contribution.</span></p> <p>Patients’ perception of their care significantly impacts their response to both Press Ganey and HCHAPS surveys, which directly correlates to incentive payments. Communication with the nurse is paramount in that it optimizes care, increases satisfaction and facilitates safe discharge thus enhancing survey response ratings.</p> <p>In order to achieve high performance scores in the communication with nurse dimension and patient satisfaction, several best practices must be adopted. These include consistent and purposeful hourly rounding, bedside shift reporting (hand-off), use of scripts and the recruitment of nursing candidates that exhibit strong interpersonal skills. In addition, leadership rounding has proven to sustain quality outcomes.</p> <p>The Institute of Medicine (IOM) endorses empowering all members of the healthcare team to engage in creating a culture that promotes patient safety. This recommendation is further validated by nursing research involving the effect of empowerment and the importance of consistent workplace strategies to promote staff and patient satisfaction. <br />The theory of Structural Empowerment has been widely applied in nursing research and practice. This philosophy is defined as the ability to accomplish goals in an organization by having access to information, resources, opportunity and support. Kanter, the founding theorist, acknowledged that management plays a significant role in the provision of these structural factors and postulates that empowered leaders are more effective in endowing their employees. This results in an increased commitment to ensuring that the organizational goals are achieved (DiNapoli, & O'Flaherty 2015;DiNapoli et al., 2016;Boamah & Laschinger, 2014). In espousing this theory, the leadership team has developed strategies that empower the staff, have positively impacted patient and staff satisfaction and increased engagement scores (Clavelle et al., 2013). The nursing leadership team fosters an environment that promotes competence and confidence in our nurses (Purdy et al, 2010;Neville et al., 2016). This has resulted in the delivery of safe and outstanding care as evidenced by the outcomes in our patient satisfaction scores and quality data.</p>en
dc.subjectCommunicationen
dc.subjectPatient Satisfactionen
dc.subjectPurposeful Roundingen
dc.date.available2017-07-10T18:19:20Z-
dc.date.issued2017-07-10-
dc.date.accessioned2017-07-10T18:19:20Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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