Dissertation
Daily nurse manager rounding and the impact on patient falls and patient satisfaction
Doctor of Nursing Practice (D.N.P.), Drexel University
Aug 2015
DOI:
https://doi.org/10.17918/etd-6978
Abstract
Background and Purpose: Patients continue to fall despite multimodal multidisciplinary strategies. The purpose of this Doctor of Nursing Practice (DNP) project was to determine if a specified protocol for daily nurse manager rounding impacts patient falls and patient's perception of responsiveness to nursing care. The objective was to evaluate patient falls and satisfaction in the hospital setting before and after the nurse manager rounding intervention. Methods: A retrospective descriptive design was used with non-probability consecutive sampling; December 2014 through February 2015, and March through May 2015 were compared. Participants included adult patients 18 [greater than or equal to] years on two 24-bed medical-surgical units in a community hospital in an urban setting. Data was collected via hospital incident reports for patient falls, and Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) for staff responsiveness. Chi-square test for independence was used to evaluate the distribution in staff responsiveness pre- and post-intervention, while risk ratios were calculated to determine significant change in the incidence of patient falls. Evaluation: For all statistical tests, the level of significance was set at p<0.05. There was no difference in staff responsiveness on either of the units, 6E and 6W (p=.73 and p=.52, respectively). Similarly, the incidence of patient falls on 6E and 6W did not differ significantly between pre- and post-intervention (p=.34 and p=.18, respectively). Clinical Implications and Summary: This study provided a clinically significant impact on reduction in falls and improved responsiveness of staff domain on one unit. Although the study did not demonstrate statistically significant differences in patient falls and staff responsiveness post-intervention, it provided a framework for the customization of a daily manager rounding protocol to address patient safety and patient needs proactively. Further qualitative and quantitative research is needed to evaluate this intervention that has potential for significant safety and quality of life implications.
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Details
- Title
- Daily nurse manager rounding and the impact on patient falls and patient satisfaction
- Creators
- Joanne O'Keefe Miller - DU
- Contributors
- Al Rundio (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6978; 991014632191404721