Effect of Structured Frequent Nursing Rounds on 结构频繁的护理对.pptVIP

Effect of Structured Frequent Nursing Rounds on 结构频繁的护理对.ppt

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Questions???? Effect of Structured Frequent Nursing Rounds on Patient Satisfaction, Safety, and Call Light Usage Aimee Cloyd, ASN,RN Nurse Supervisor Leisa Kelly, MS, APRN, CEN Clinical Nurse Specialist Objective To relate the effects of a structured rounding program to patient outcomes. Evidence Based Practice Support for the Project A research study was published in AJN in 2006 describing the results of a multi-facility research study to measure the effectiveness of frequent nursing rounds This research study supported the EBP we implemented at our institution Background Information Press Ganey measures patient satisfaction on a random group of patients discharged from our facility Patient satisfaction within the medical division consistently ranged below the 90th percentile Patient falls were higher than the national benchmark Staff viewed call light usage as an ongoing interruption into our day The Medicine Division saw this research study as a potential solution to improve outcomes EBP Team The divisional director, nurse managers, and members of the unit based council worked together with the CNS to develop the model for the project Processes discussed in the original study design were replicated Development of the Call Light Log Call light log had been used previous to this project; however, the purpose of the call was changed from a write in box to a check box to provide categorical data Included patient room number Call back time Whether the need was met Purpose of the call Development of the Rounding Log A rounding log was developed to act as a visual reminder to staff Staff was to initial each time they entered the room Log was duplicated, and later laminated for durability Development of the Rounds Request Form A rounds request form was develop to communicate patient needs to the nurse when the CNA or CSR rounded Non-licensed personnel documented the patient need on a form Communicated to the nurse at the end of their rounding session Development of

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