Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation
Origin paper
Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation
Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why
Intentional rounding in acute adult healthcare settings: A systematic mixed‐method review
Intentional rounding - An integrative literature review.
Mapping trends in the concept of nurse rounding: A bibliometric analysis and research agenda
A systematic review: barriers to hourly rounding.
Increasing HCAHPS Scores by Scripting of Hourly Rounding
Nurse and patient satisfaction with intentional rounding in a rural Australian setting.
A qualitative exploration of intentional nursing round models in the emergency department setting: investigating the barriers to their use and success.
Effectiveness of Structured Hourly Nurse Rounding on Patient Satisfaction and Clinical Outcomes
Intentional rounding: facilitators, benefits and barriers.
Proactive Patient Rounding and Effect on Patient Satisfaction
What aspects of intentional rounding work in hospital wards, for whom and in what circumstances? A realist evaluation protocol
Purposeful and timely nursing rounds: a best practice implementation project
To Round or Not to Round: That Is the Dilemma
Evaluation of a Standardized Hourly Rounding Process (SHaRP)
Ethical and professional concerns in research utilisation
Hourly rounding: perspectives and perceptions of the frontline nursing staff.
The effect of hourly nursing rounds on patient satisfaction at Debre Markos Referral Hospital, Northwest Ethiopia: A non-randomized controlled clinical trial
The implementation of intentional rounding using participatory action research.
How do patients perceive hourly rounding?
상급종합병원 간호사의 의도적 간호순회 수행 영향요인
Pre-registration nursing students' perceptions and experience of intentional rounding: A cross-sectional study.
Hourly Rounding: Challenges With Implementation of an Evidence-Based Process
Intentional Rounding: a staff‐led quality improvement intervention in the prevention of patient falls
Hourly Rounding Implementation: A Multisite Description of Structures, Processes, and Outcomes
Perspectives of Nurses, Nurse Leaders, and Women Regarding Anticipatory Rounds in the Postpartum Period
An ethnographic study to understand the patient and nurse experience of rounding
Hourly rounding: De ervaringen van verpleegkundigen
Care and comfort rounds: improving standards.
Barriers Encountered by Nurses and Nursing Assistants that Prevent Purposeful Rounding
'Rounding' for better patient care: an evaluation of an improvement intervention implementation.
Stop going in circles! Break the barriers to hourly rounding.
Nurses’ Perceptions of Patient Rounding
Round with purpose.
Hourly rounding in the pediatric emergency department: patient and family safety and satisfaction rounds.
Validation of the Nurses' Perception of Patient Rounding Scale: An Exploratory Study of the Influence of Shift Work on Nurses' Perception of Patient Rounding
Round and round we go: rounding strategies to impact exemplary professional practice.
Hourly rounds: what does the evidence indicate?
A Multisite Description of Structures, Processes, and Outcomes
After hours nurse staffing, work intensity and quality of care - missed care study: New South Wales public and private sectors. Final report to the New South Wales Nurses and Midwives' Association
Log in to saveSave
© Crown copyright 2013. Contains public sector information licensed under the Open Government Licence v3.0© Queen’s Printer and Controller of HMSO 2019. This work was produced by Harriset al.under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.20132019Crown copyrightQueen’s Printer and Controller of HMSOThe government response to the care failures at the Mid Staffordshire NHS Foundation Trust led to the policy imperative of ‘regular interaction and engagement between nurses and patients’ (Francis R.Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. London: The Stationery Office; 2013. © Crown copyright 2013. Contains public sector information licensed under the Open Government Licence v3.0) in the NHS. The pressure on nursing to act resulted in the introduction of the US model, known as ‘intentional rounding’, into nursing practice. This is a timed, planned intervention that sets out to address fundamental elements of nursing care by means of a regular bedside ward round.The study aims were to examine what it is about intentional rounding in hospital wards that works, for whom and in what circumstances.A multimethod study design was undertaken using realist evaluation methodology. The study was conducted in four phases: (1) theory development; (2) a national survey of all NHS acute trusts in England; (3) in-depth case studies of six wards, involving individual interviews, observations, retrieval of routinely collected ward outcome data and analysis of costs; and (4) synthesis of the study findings.The study was conducted in acute NHS trusts in England.A total of 108 acute NHS trusts participated in the survey. Seventeen senior managers, 33 front-line nurses, 28 non-nursing professionals, 34 patients and 28 carers participated in individual interviews. Thirty-nine members of nursing staff were shadowed during their delivery of intentional rounding and the direct care received by 28 patients was observed.A realist synthesis was undertaken to identify eight context–mechanism–outcome configurations, which were tested and refined using evidence collected in subsequent research phases.The national survey showed that 97% of NHS trusts had implemented intentional rounding in some way. Data synthesis from survey, observation and interview findings showed that only two of the original eight mechanisms were partially activated (consistency and comprehensiveness, and accountability). The evidence for two mechanisms was inconclusive (visibility of nurses and anticipation); there was minimal evidence for one mechanism (multidisciplinary teamwork and communication) and no evidence for the remaining three (allocated time to care, nurse–patient relationships and communication, and patient empowerment). A total of 240 intentional rounds were observed within 188 hours of care delivery observation. Although 86% of all intentional rounding interactions were observed to be documented, fidelity to the original intervention [i.e. the Studer Group protocol (Studer Group.Best Practices: Sacred Heart Hospital, Pensacola, Florida. Hourly Rounding Supplement. Gulf Breeze, FL: Studer Group; 2007)] was generally low.Intentional rounding was often difficult for researchers to observe, as it was rarely delivered as a discrete activity but instead undertaken alongside other nursing activities. Furthermore, a lack of findings about the influence of intentional rounding on patient outcomes in the safety thermometer data limits inferences on how mechanisms link to clinical outcomes for patients.The evidence from this study demonstrates that the effectiveness of intentional rounding, as currently implemented and adapted in England, is very weak and falls short of the theoretically informed mechanisms. There was ambivalence and concern expressed that intentional rounding oversimplifies nursing, privileges a transactional and prescriptive approach over relational nursing care, and prioritises accountability and risk management above individual responsive care.It is suggested that the insights and messages from this study inform a national conversation about whether or not intentional rounding is the optimum intervention to support the delivery of fundamental nursing care to patients, or if the time is right to shape alternative solutions.The National Institute for Health Research Health Services and Delivery Research programme.