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call bell is asked to respond. If the staff member In 2018, while continuing to embed the practices In closing, remember to make all your “moments”
cannot assist the patient with his/her request, the implemented this year, the PPR team is moving into with patients and families count. Purposeful
expectation is that he/she will fi nd a member of the the next phase of rounding culture development. proactive rounding aff ords staff the opportunity to
nursing staff to help the patient. Engagement of the family is an integral part of make the most of their interactions with patients.
purposeful proactive rounding and improving the Anticipating patient’s needs and honoring the
The use of standardized key words and phrases help patient experience. Each site has chosen a unit to commitment to return on a regular basis helps
patients and families understand what purposeful participate in a Family Engagement Pilot. There will to build trust, which is the foundation of any
rounding is and recognize when it is occurring. be three components to the pilot. First, the Nurse relationship. Never forget that the people in the
Some examples include “I’m here to round”, “Is there Manager, Assistant Nurse Manager and one of the beds are much more than patients. They are
anything else I can do for you”, and “We will back Rounding Champions will meet with fi ve patients individuals with histories, stories, and diverse life
in an hour to check on you”. Purposeful proactive per month to discuss their experience on the unit. experiences. Engaging and building a connection
rounding helps to relieve patient’s anxiety about They will ask for advice on what was done well and with each other can have a profound impact on both
having their needs and concerns addressed in a what the opportunities for improvement are, as well the patient and caregiver.
timely manner by staff (Halm, 2009). Purposeful as suggestions on how to make any improvements.
proactive rounding is an evidence based strategy Second, staff members will be asked to fi nd out two
that has been shown to impact quality, safety, staff facts about one of their patients that have nothing
satisfaction and patient experience by decreasing to do with their illness. They will also be asked to
call light use, decreasing falls, and increasing patient share something about themselves with the patient.
satisfaction and likelihood to recommend the This sharing will help to form a connection between
hospital (Kessler,et.al, 2012). the patient and the staff . Third, the patient and
family will be invited to share pictures and stories to
The use of visual cues helps to engage staff , patients help us to get to know the patient beyond medical
and families. The Purposeful Rounding Steering issues. The family will be given drawing paper and
Committee issued a visual cue challenge to the sites. can affi x photos, write words or phrases, or draw
Each site was asked to engage the unit Collaborative whatever they would like us to know about the
Care Councils in the creation of a visual cue about patient. The fi nished product will be hung on the
the 5 Ps of Rounding. The number and manner wall opposite the patient’s bed so everyone entering
in which the cues would be used was left to the the room to care for the patient can see it. Our
discretion of the sites. Some samples of visual cues goal is to have staff see the person in the bed for
that were produced include Five Peas in a Pod, Five who they really are and to discover the roles and
Puzzle Pieces, a Five Petal Flower, Five Helping Hands, accomplishments of the patient’s life out of
and a Five Car Ferris Wheel. the hospital.
References
Halm, M.A. (2009). Hourly Rounds: What Does the Evidence Indicate, American Journal of Critical Care, 18, pp581-584.
Kessler, B., Claude-Gutekunst, M., Donchez, A.M. (2012). Dries, R.F., & Snyder, M.M. The Merry-Go-Round of Patient Rounding: Assure
Your Patients Get the Brass Ring, MED-SURG Nursing, 21(4), pp240-245.
Mitchell, M.D., Lavenberg, J.G.., Trotta, R.L., & Umscheid, C.A. (2014). Hourly Rounding to Improve Nursing Responsiveness:
A Systematic Review. Journal of Nursing Administration, 44(9), pp 462-472.
36 Northwell Health The Rounds • Volume 1, 2018 37
