Date of Graduation

Fall 12-18-2015

Document Type

Project

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Joan Mersch, RN-BC, MSN

Second Advisor

Danijela Pavlic, RN, DNP, CNL

Abstract

Purpose: The aim of the study was to identify barriers encountered by registered nurses (RNs) and nursing assistants (NAs) that prevent purposeful (hourly) rounding.

Background: The literature has shown that purposeful rounding improves patient outcomes and safety. However, few studies show the barriers encountered by nursing staff that hinder the purposeful rounding process.

Methods: A pre-post test design was implemented on a 25-bed oncology, urology medical surgical unit with a staff of 38 RNs, 9 NAs, and 4 Unit Secretaries (US). A pre-implementation needs assessment survey was completed by 55% (21/38) of RNs, 33% (3/9) of NAs, and 100% (4/4) of US. It was followed by an intervention in the form of in-services during huddles and a purposeful rounding checklist. A post-intervention survey was completed by 29% (11/38) of RNs, 56% (5/9) of NAs, and 25% (1/4) of US to evaluate the effectiveness of the intervention.

Results: The pre-intervention survey revealed that 86% (18/21) of RNs, 100% (3/3) of NAs, and 100% (4/4) of US believed better RN-NA communication was needed to do purposeful rounding. The post-intervention survey found that 64% (7/11) of RNs and 60% (3/5) of NAs were more likely to communicate with their RN/NA partner about the patient’s comfort and safety needs immediately after a purposeful round.

Recommendations: It is recommended that RN and NA unit champions be designated to role model communication between RNs and NAs during purposeful rounds and that staff use the purposeful rounding checklist in order to improve teamwork and patient care

Comments

For complete list of references and project information, please contact Jo Odias at mbodias@dons.usfca.edu or mbodias1@gmail.com.