임상간호사의 의도적 간호순회가 환자의 간호요구와 간호서비스 만족에 미치는 영향
Effects of Clinical Nurse's Intentional Nursing Rounds on Patient Needs and Satisfaction
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Objectives: This study aimed to examine the effects of intentional nursing rounds on patients’ needs and satisfaction. Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. Adult inpatients were recruited from two medical/surgical units at a general hospital in Korea. While the control group (n=37) received standard care, the experimental group (n=39) received structured nursing rounds every two hours during the day and every four hours at night. For data collection, observation logs and self-report questionnaires were used. The collected data were analyzed using Chi-square, independent t-test, paired t-test and repeated measured ANOVA. Results: As time passed, the frequency of patients’ needs for nursing care was significantly reduced in the experimental group. The significant differences between two groups began to emerge from post-intervention day 4. Patient satisfaction on nursing services was significantly increased in the experimental group. In addition, the mean difference between pretest and posttest was significantly larger in the experimental group than in the control group. Conclusions: Systematic and purposeful nursing rounds were effective in addressing patients’ basic needs and in improving patient satisfaction with hospital nursing services. However, more research is needed to determine the influence of intentional nursing rounds on patient safety and nurse satisfaction.
Abstract
Objectives: This study aimed to examine the effects of intentional nursing rounds on patients’ needs and satisfaction. Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. Adult inpatients were recruited from two medical/surgical units at a general hospital in Korea. While the control group (n=37) received standard care, the experimental group (n=39) received structured nursing rounds every two hours during the day and every four hours at night. For data collection, observation logs and self-report questionnaires were used. The collected data were analyzed using Chi-square, independent t-test, paired t-test and repeated measured ANOVA. Results: As time passed, the frequency of patients’ needs for nursing care was significantly reduced in the experimental group. The significant differences between two groups began to emerge from post-intervention day 4. Patient satisfaction on nursing services was significantly increased in the experimental group. In addition, the mean difference between pretest and posttest was significantly larger in the experimental group than in the control group. Conclusions: Systematic and purposeful nursing rounds were effective in addressing patients’ basic needs and in improving patient satisfaction with hospital nursing services. However, more research is needed to determine the influence of intentional nursing rounds on patient safety and nurse satisfaction.
참고문헌 (25)
- Brosey LA, "Effectiveness of structured hourly nurse rounding on patient satisfaction and clinical outcomes", Journal of Nursing Care Quality (2014)[DOI]
- Hutchings M, "Caring around the clock: a new approach to intentional rounding", Nursing Management, 20(5), pp.24~30 (2013)
- Halm MA, "Hourly rounds: what does the evidence indicate?", American Journal of Critical Care, 18(6), pp.581~584 (2009)
- Mitchell MD, "Hourly rounding to improve nursing responsiveness: a systematic review", Journal of Nursing Administration, 44(9), pp.462~472 (2014)
- Meade CM, "Effects of nursing rounds on patients’ call light use, satisfaction, and safety", American Journal of Nursing, 106(9), pp.58~70 (2006)
- Deitrick LM, "Hourly rounding: challenges with implementation of an evidence-based process", Journal of Nursing Care Quality, 27(1), pp.13~19 (2012)
- Deitrick L, "Dance of the call bells: using ethnography to evaluate patient satisfaction with quality of care", Journal of Nursing Care Quality, 21(4), pp.316~324 (2006)
- Ford B, "Hourly rounding: a strategy to improve patient satisfaction scores", MEDSURG Nursing, 19(3), pp.188~191 (2010)
- Tea C, "Proactive patient rounding to increase customer service and satisfaction on an orthopaedic unit", Orthopedic Nursing, 27(4), pp.233~240 (2008)
- "Comprehensive nursing care services expanding to provincial small and medium sized hospitals from next year"[URL]
- Forde-Johnston C, "Intentional rounding: a review of the literature", Nursing Standard, 28(32), pp.37~42 (2014)
- "Best Practices: Sacred Heart Hospital, Pensacola, Florida. Hourly Rounding Supplement" (2007)[URL]
- Travelbee J, "What do we mean by rapport?", American Journal of Nursing, 63(2), pp.68~72 (1963)
- Risser NL, "Development of an instrument to measure patient satisfaction with nurses and nursing care in primary care settings", Nursing Research, 24(1), pp.45~52 (1975)
- Parasuraman A, "SERVQUAL: a multiple item scale for measuring consumer perceptions of service quality", Journal of Retailing, 64(1), pp.12~40 (1998)
- Lee MA, "A study on the differences of perception between consumers and providers about nursing service quality, and the usefulness of tools measuring nursing service quality", Journal of Korean Academy Nursing, 30(5), pp.1121~1132 (2000)
- Cohen JA, "Power primer", Psychological Bulletin, 112(1), pp.155~159 (1992)
- Bourgault AM, "Circle of excellence. Does regular rounding by nursing associates boost patient satisfaction?", Nursing Management, 39(11), pp.18~24 (2008)
- Olrich T, "Hourly rounding:a replication study", MEDSURG Nursing, 21(1), pp.23~36 (2012)
- Dean E, "Regular ward checks raise standards of care", Nursing Management, 19(2), pp.12~16 (2012)
- Tzeng HM, "Perspectives of staff nurses of the reasons for and the nature of patient-initiated call lights: an exploratory survey study in four USA hospitals", BioMed Central Health Services Research, 10, pp.52~ (2010)
- Woodard JL, "Effects of rounding on patient satisfaction and patient safety on a medical-surgical unit", Clinical Nurse Specialist, 23(4), pp.200~206 (2009)
- Torres SM, "Rapid-cycle process reduces patient call bell use, improves patient satisfaction, and anticipates patient's needs", Journal of Nursing Administration, 37(11), pp.480~482 (2007)
- Harrington A, "The implementation of intentional rounding using participatory action research", International Journal of Nursing Practice, 19(5), pp.523~529 (2013)
- Blakley D, "The impact of nurse rounding on patient satisfaction in a medicalsurgical hospital unit", MEDSURG Nursing, 20(6), pp.327~332 (2011)