Impact of nurse-initiated intentional rounding on patient satisfaction scores on a surgical unit
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Abstract
This project focused on nurse-initiated intentional rounding (NIIR) as a new nursing approach to patient care. NIIR anticipates the needs of patients as nurses perform hourly checks on their patients, thereby improving the overall patient experience, and increasing patient satisfaction. This DNP project included a summative program evaluation of the use of NIIR on a 33-bed surgical unit (N = 629 patients), guided by the John Hopkins Nursing Evidence-Based Model and Guidelines (JHNEBP). The program evaluation included comparisons of mean patient satisfaction scores 3 months prior to implementation of NIIR, and 3 months after implementation. The results of the evaluation showed an increase in overall mean satisfaction scores after implementation, with improvement in all 10 care dimensions. The highest percent increases in satisfaction scores were related to dimensions of cleanliness/quietness (47.5% increase), overall hospital rating (27.8% increase), would recommend hospital (23.9% increase), communications concerning medication (22.1% increase), and pain management (21.8% increase). The results were translated into visual scorecards for a dashboard view to be presented to stakeholders of the organization. NIIR can change the way nursing care is delivered, from a type of reactionary delivery of care to a proactive, patient-centered focused care. NIIR aligns with the Institute of Medicine goals of supporting patient centered care, keeping the patient informed, encouraging patient participation, and returning control of healthcare choices to the patient. NIIR promotes social change as a new model of nursing care, meeting the patient's needs proactively and improving the patient's overall hospital experience.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3634311; ProQuest document ID: 1613180219. The author still retains copyright.
Repository Posting Date
2020-05-28T15:24:43Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | DNP Capstone Project |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Clinical Practice Guideline(s) |
Research Approach | Quantitative Research |
Keywords | Patient Checks; Satisfaction with Care; Surgical Patient Care |
CINAHL Subject(s) | Quality of Nursing Care; Patient Rounds; Patient Satisfaction; Perioperative Nursing; Quality of Nursing Care--Evaluation |
Degree Information
Grantor | Walden University |
Advisor | Schweickert, Patricia |
Level | DNP |
Year | 2014 |
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