Date of Graduation

Spring 5-19-2017

Document Type

Project

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Elena Capella, EdD, MSN, MPA, RN, CNL, CPHQ, LNCC

Second Advisor

Elizabeth Gifford,

Abstract

The focus of this CNL project is quality improvement using high quality hourly rounds to achieve improved patient satisfaction and communication with nurses. It was determined by reviewing survey results that patient satisfaction and nurse communication is below National levels. Data shows that rounds are not being done well on a medical unit before the improvement project. It is proven that patients receive and perceive higher quality care and communication with increased nurse presence at the bedside. The population of the medical unit has high numbers of confused/dementia, and dual-diagnosis patients. It was determined that the unit would benefit from improved rounding and proof of the actual rounding with education on patient-centered rounds and a bedside checklist to document practice. At the time of implementation, the hospital had a crisis which monopolized all teaching, changes, and focus in order to continue operations. The CNL project was permitted to continue with a limited number of patients and only when the CNL intern was present on the unit. The bedside rounding tool was used with positive results aligned to the evidence used to support the project. Patients were able to indicate that rounds were being done regularly. The nursing relevance of patient-centered rounding is that it supports the significance of caring that takes place at the bedside by fostering trust and accountability. It can be assumed that use of this tool in similar microsystems would achieve positive outcomes similar to these outcomes.

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