NSG 498 University of Phoenix Hourly Rounding on In Patient Presentation

User Generated

fnz2011

Health Medical

NSG 498

University of Phoenix

NSG

Description

Gather as much information about your selected problem as possible. Consider both qualitative and quantitative data. For example:

  • Leader and peer interviews
  • Patient/customer surveys
  • Quality improvement (QI) reports from the facility
  • Benchmarking studies/baseline data. If baseline data is available:
  • What are the goals?
  • Are current practices meeting the organizational goals?
  • Are the prescribed practices followed?

Apply any relevant key quality improvement tools to your problem.

Review and aggregate the information you collected on the selected problem.

Determine the level of risk and frequency of the problem. This will provide you with the scope and significance of the problem.

Format your assignment as one of the following:

  • 12- to 14slide presentation

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Explanation & Answer

Attached. Please let me know if you have any questions or need revisions.

Hourly Rounding on in Patient ICU
1. Introduction


Acknowledging that pressure injury incidents continue to be a hindrance in the ICU.



Hourly rounding is the practice of making purposefully scheduled visits to hospitalized
patients' rooms.



Hourly rounding is an essential component of reducing pressure injuries in the ICU.

Pressure injury incidents continue to hinder positive patient outcomes in the ICU. They lead to
more extended stays in the hospital, increase the risks of illness and death, and patient expenses.
It is crucial for healthcare practitioners and specifically nurses, to ensure that they develop the
most appropriate strategies to reduce this. The strategy identified in this presentation is hourly
rounding. It refers to the practice of making purposefully scheduled visits to the rooms of
hospitalized patients (Medina & Merozier, 2020). Nurses and assistive personnel can fulfill this
role and perform nursing interventions every hour, such as adjusting the patient position to
prevent pressure ulcers.
2. Information Gathering


Information from the nurse leaders



Pressure ulcers are a significant complaint by families of patients in the ICU.



The nurse leaders note that while there may be hourly rounds in the healthcare facility, they
are inefficient.



The lack of efficiency as a result of the low patient-nurse ratio

The data collection for this research started with interviews with the nurse leaders. The nurse
leaders in the healthcare facility acknowledge that there has been a myriad of complaints from
the families of patients in ICU on the problem of pressure ulcers. The complaints revolve around

the patients having to heal the pressure ulcers once they are out of the ICU, lengthening their
hospital stays. The nurse leaders note that this often comes from the shortage of nurses. Thus,
even if they do the hourly rounds, they are not usually purposeful. The nurses will rarely use the
5P's of hourly rounding, which is essential to ensuring positive patient outcomes.
3. Information Gathering Cont.


Peer interviews



Fellow nurses agree that the healthcare facility faces severe pressure ulcers in the ICU.



The peers note that 2 out of every eight patients will be forced to extend their length of stay
in the hospital after leaving the ICU to treat the pressure ulcers.

The peer interviews also showed that pressure ulcers were a severe problem in the healthcare
facility. The nurses noted that two out of every eight patients who stayed in the ICU would most
likely extend their hospital stay because of the pressure ulcers. The nurses also acknowledged
that this is a significant source of patient dissatisfaction. However, they also noted that the heavy
workload sometimes prevents them from effectively performing their hourly rounds.
4. Information Gathering Cont.


Patient/customer surveys



Most of the information from this group of stakeholders was acquired from patient families.



Most families believed that it was the nurses' fault that their loved ones had pressure ulcers.



The patients in the ICU but were consciou...


Anonymous
I was having a hard time with this subject, and this was a great help.

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