Nurse manager intentional rounding and outcomes: Findings of a systematic review

Abstract

Aim To summarize the evidence available on Nurse Manager Intentional Rounding (NMIR) describing the main characteristics and methodological quality of studies available, the features of rounding and the outcomes as measured to date. Design A systematic review. Data Sources Electronic databases, including MEDLINE‐EBSCHOST, PubMed, CINAHL, Scopus, Cochrane, Clinicalkey, ScienceDirect, OVID, Sage Journals and Web of Science, were searched up to June 2021. Review Methods The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement guideline was used to summarize methods and report findings. The Joanna Briggs Institute Critical Appraisal tools were used to evaluate the methodology quality of the studies included. Results Seven studies were included with pre‐post‐test (n = 3), longitudinal, two‐group post‐tests, quasi‐experimental, and retrospective study designs (n = 1, respectively). In five studies, the nurse managers were trained to conduct the rounding, which was shaped according to three main features: a structured (n = 4), a semi‐structured (n = 1) and an unstructured rounding (n = 2) delivered from high (twice a day 7/7) to low intensity (once a day, 5/7). Two main outcomes have been measured to date, the patient satisfaction and some aspects related to the care quality. Five studies reported that the satisfaction scores of patients who received rounding were significantly higher than that perceived by patients not receiving rounding. About the other aspects of the quality of care, two studies documented significant improvements as a consequence of the NMIR (e.g. information accessibility, discharge instructions, coordination of care after discharge). Conclusion Studies available report in general a low methodological quality, mainly due to their pragmatic nature as quality improvement projects. Therefore, transforming this field of research by establishing a methodological rigour and a theoretical foundation in both interventions and outcomes and by designing experimental approaches, might expand the evidence available on the effects of nurse managers intentional rounding.

Care call requests and inpatient beds modernization: Is there any link? A prospective observational study in the oncological setting

“…In the organizational context, using a call bell for assistance is considered a leading cause of interruption of nursing work (D'antonio et al., 2014). In this case, rounding is a nursing organizational methodology that, as shown in several previous studies, can lead to a decrease in requests for assistance as well as an increase in patient satisfaction and safety (Bayram et al., 2022; Christiansen et al., 2018; Kelley, 2017; Manderscheid, 2022).…”

“…The patient-initiated care calls represent, from a care perspective, a lifeline for hospitalized patients (Bayram et al, 2022;Kalman, 2008).…”

“…The patient‐initiated care calls represent, from a care perspective, a lifeline for hospitalized patients (Bayram et al., 2022; Kalman, 2008). Studying its most frequent reasons for use could have positive implications in terms of patient satisfaction, the safety of care and correct healthcare personnel‐to‐patient ratio (Althobaiti, 2019; Mitchell et al., 2014).…”

Sustaining healthy work environments

“…The standard of effective decision-making can be fostered by ensuring nurses are present and engaged in care decisions though both interprofessional and nurse leader rounds. 16,17 In healthcare's highly demanding environments, engaging nurses in decisions about patient care, unit culture, and organizational initiatives is essential, both to the quality of those decisions and as recognition of nurses' valuable and unique perspective. A systematic review found that including nurses in decisions fostered improved patient outcomes, engagement, and professional accountability.…”

“…Ensuring that individual voices are heard within a team is crucial to successful collaboration and subsequent decisions. The standard of effective decision-making can be fostered by ensuring nurses are present and engaged in care decisions though both interprofessional and nurse leader rounds 16,17. In healthcare's highly demanding environments, engaging nurses in decisions about patient care, unit culture, and organizational initiatives is essential, both to the quality of those decisions and as recognition of nurses' valuable and unique perspective.…”