Intentional rounding – An integrative literature review

Ryan, Liz; Jackson, Debra; Woods, Cindy; Usher, Kim

doi:10.1111/jan.13897

Cited by 30 publications

(46 citation statements)

References 33 publications

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“…In this review, interventions that promoted routine communication activities, like bedside handover appeared to provide intentional and set opportunities for patient engagement in assessment, choice/decision‐making, information‐sharing and goal‐setting dialogue. Bedside handover, intentional rounding and ward rounds are all routine communication activities that provide opportunities for shared dialogue with patients; however, researchers have shown that implementing these activities does not necessarily equate to patient engagement (82–84). Instead, nurses can become task‐orientated during these activities, gaining the information they require from patients without sufficient patient engagement (82–84).…”

Section: Discussionmentioning

confidence: 99%

“…Bedside handover, intentional rounding and ward rounds are all routine communication activities that provide opportunities for shared dialogue with patients; however, researchers have shown that implementing these activities does not necessarily equate to patient engagement (82–84). Instead, nurses can become task‐orientated during these activities, gaining the information they require from patients without sufficient patient engagement (82–84). For routine communication activities to be truly patient‐centred, nurses must incorporate information shared by the patient into the care plan (22).…”

Section: Discussionmentioning

confidence: 99%

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Promoting patient engagement: a scoping review of actions that align with the interactive care model

Tobiano

Jerofke‐Owen

Marshall

2020

Scandinavian Caring Sciences

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Background Conceptual clarity for the term patient engagement is growing. However, there is variability in patient engagement in healthcare, which could be due to the absence of models to guide practice or a myriad of organisational, nurse and patient factors. The recently developed ‘Interactive Care Model’ provides guidance on how to genuinely promote individualised patient engagement. An understanding of how to action this model in nursing is required. Aims The aim of this scoping review was to examine actions in the published scientific literature that align with the Interactive Care Model, in the context of nursing care of hospitalised patients. Data sources In 2018, searches of CINAHL, Cochrane Library, MEDLINE and PsycInfo were undertaken, for literature published between 2008 and 2018. This was followed by citation tracking. Review methods Two researchers screened and selected studies using prespecified criteria. Data were charted into a pre‐established tool and collated and summarised using numerical summaries and deductive content analysis. For content analysis, categories were generated from the ‘Interactive Care Model’. Findings Forty‐three studies were included in the review, 33 noninterventional and 10 interventional studies. Publications on the topic are increasing in number over time, with most conducted in Europe with patient or nurse participants. Forty‐two actions were found in the literature that aligned with the ‘Interactive Care Model’. The actions uncovered differed between intervention and noninterventional studies; in interventional studies actions were formalised. Conclusions This review provides an overview of actions that promote patient engagement and could inform implementation of the Interactive Care Model and the design and testing of patient engagement interventions to support the model. There are opportunities to explore latter phases of the Interactive Care Model to foster patient engagement in self‐management and to motivate patients’ management of healthcare beyond hospitalisation. Further, there is a need to rigorously evaluate patient engagement interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Promoting patient engagement: a scoping review of actions that align with the interactive care model

Tobiano

Jerofke‐Owen

Marshall

2020

Scandinavian Caring Sciences

View full text Add to dashboard Cite

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“…Hourly rounding allows nurses to move from a reactionary to an anticipatory approach to meeting patient needs in a timely fashion (Tea et al, 2008). Previous studies have found that intentional rounding significantly reduces call bell use which gives nursing staff more time to care for their patients and be more responsive when a call bell rings (Meade, Bursell, & Ketelsen, 2006;Mitchell et al, 2014;Ryan et al, 2019).…”

Section: Re Sultsmentioning

confidence: 99%

Nurse and patient satisfaction with intentional rounding in a rural Australian setting

East

Targett

Yeates

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To compare nurse and patient satisfaction with intentional rounding in a rural Australian hospital setting and examine which aspects of care predict satisfaction. Background Intentional rounding is a systematic process used by healthcare professionals to anticipate and address the fundamental needs of hospitalised patients. Despite a wealth of literature about nurse and patient satisfaction with intentional rounding, no studies have compared nurse and patient satisfaction, and little is known about intentional rounding in a rural setting. Design A cross‐sectional study was undertaken with nursing staff and patients at a rural hospital and reported in accordance with STROBE guidelines. Methods Nurses (n = 63) and patients (n = 66) were invited to complete the Patient Satisfaction Survey between April and June 2018. Nurse and patient responses were compared and predictors of nurse and patient satisfaction with intentional rounding care were determined using generalised estimating equation models. Results Both nurses and patients positively rated satisfaction with all aspects of nursing care provided and received through intentional rounding. Nurses' satisfaction with care provided to patients through intentional rounding was predicted by interest in patients' feelings about their care. Patient satisfaction with the care they received whilst hospitalised was predicted by the ability to see a nurse when they needed to, the provision of pain relief when needed, feeling comfortable and safe, and the perception that nurses were interested in their feelings about their care. Conclusion Intentional rounding is a means for nurses to regularly attend to patients' emotional and physical needs, which is central to patients feeling safe and cared for whilst hospitalised. Relevance to clinical practice Intentional rounding practices ensure that patients feel genuinely cared for by nursing staff whilst hospitalised and can improve nurse and patient interactions, satisfaction and outcomes.

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“…One intervention that could be used for both prevention and identification of RTAC in a care bundle is intentional rounding. Intentional rounding is a formal, systematic approach that involves regular checking of individual patients by nursing staff (Ryan, Jackson, Woods, & Usher, 2019). The goals of intentional rounding include anticipating patient needs (e.g., toileting, pain, and comfort), reducing adverse advents (e.g., falls and pressure injury), reducing patient anxieties (Ryan et al, 2019), and strengthening the therapeutic relationships between nursing staff and their patients (Maddigan, Butler, & Davidson, 2019).…”

Section: Preventing Avoidable Rtacmentioning

confidence: 99%

An examination of the nature and characteristics of patients readmitted to acute care from inpatient brain injury rehabilitation

McKechnie

Fisher

Pryor

et al. 2020

Journal of Advanced Nursing

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Aim: To describe the nature of readmission to acute care and identify patient characteristics associated with avoidable readmission to acute care from inpatient brain injury rehabilitation. Design: A retrospective cohort design. Methods: Data prospectively documented between 1 January 2012-31 December 2018 in local clinical and administrative database were used. Patient medical records were accessed when missing data were identified. Descriptive statistics were used to describe the nature of readmission episodes and univariate and multivariable logistic regression were used to identify patient characteristics associated with readmission to acute care. Results: Of the 383 patients admitted for rehabilitation, 83 (22%) experienced readmission to acute care for a total of 171 episodes. Thirty-seven percent of readmission episodes were due to hospital acquired complications and therefore potentially avoidable. Infection accounted for 63% of hospital acquired complications. Patients with an avoidable readmission episode (N = 38) were more likely to have a significantly lower Functional Independence Measure score, be incontinent, have a tracheostomy, require a mobility aid, and be prescribed a dysphagia diet on rehabilitation admission. Patients with a tracheostomy on rehabilitation admission had a 56% probability for an avoidable readmission to acute care. Conclusion: Brain injury rehabilitation patients with an avoidable readmission to acute care were more likely to have a higher burden of care on rehabilitation admission and infection was the leading cause of avoidable readmission episodes. Impact: Research into readmission to acute care in the mixed brain injury inpatient rehabilitation population is limited. In this patient population, readmission to acute care is a contemporary issue that can occur at any time during a patient's rehabilitation admission. This study provides valuable information informing practice change for preventing avoidable readmission episodes. Locally developed policy aimed at | 2587 MCKECHNIE Et al.

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Intentional rounding – An integrative literature review

Cited by 30 publications

References 33 publications

Promoting patient engagement: a scoping review of actions that align with the interactive care model

Promoting patient engagement: a scoping review of actions that align with the interactive care model

Nurse and patient satisfaction with intentional rounding in a rural Australian setting

An examination of the nature and characteristics of patients readmitted to acute care from inpatient brain injury rehabilitation

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