Effects of Nurses Rounds on Patients Call Light Use Satisfaction and Safety

In: Other Topics

Submitted By 2011nannynine
Words 2370
Pages 10
A Critique of the Literature
Effects of Nursing Rounds: on patients’ Call Light Use, Satisfaction and Safety.
Introduction: The findings of this article will critically review the methods of research, population, systems and data used to obtain results regarding this study. This evaluation of the outcome would determine whether or not there was a need to change the nursing management of patient care. The study would determine if patients were happy with their care and if the rate of falls were minimised. In the health care setting, the call light is an important communication tool for the nursing staff and patients especially in an emergency situation.
Title: The title clearly summarises the content of this Journal article which suggests there was either a qualitative or quantitative designed research data used to conclude the findings. There was limited context which was not clearly defined (Meade et al.2006, p 58).
Abstract: This is succinct, meaning the writer has been brief and precise with the back ground information about the research article. This covered the objectives, methods, results and conclusion. The aim or purpose was to collect information from a small population to obtain the results of; effectiveness of nurses’ rounds, patients’ safety and satisfaction. From this, the information would provide a clear view if there was reduction to falls and the nurses’ call light returned to its purposeful use.
Background:…...

Similar Documents

Nursing Overtime and Patient Safety

...Nursing Overtime and Adverse Effects Blima Marcus Hunter College Abstract This paper will explore the topic of nursing overtime and its effect on adverse events and errors in the workplace. The prevalence of mandatory and voluntary overtime is high. Nursing shortages combined with the aging baby boomer population means more work for health care workers, and nurses bear the brunt of this reality. There is some legislation in place to restrict mandatory overtime, but research suggests that overtime hours have not decreased since those policies were created. Furthermore, voluntary overtime is unregulated, with many nurses exceeding the recommended 40-hour workweek. Studies have shown that exceeding recommended hours results in workplace injuries to nurses, increased burnout and lower retention of nurses, and poorer outcomes for patients, including early readmission, medication errors, falls and nosocomial infections. More regulation may be necessary to reduce the hours worked by nurses. Advanced practice registered nurses are in a position to advocate for stricter policies in their facilities, and to implement strategies that would reduce overtime hours worked in their facilities, for example by increasing staffing. Nurse managers can ensure that their nurses doing overtime take the recommended breaks and do not exceed the recommended number of hours worked per week. Nursing Overtime and Adverse Effects Mandatory overtime is defined as employer-imposed work time in......

Words: 3346 - Pages: 14

Nurses Questionaire on Perception of Hourly Rounds to Prevent Falls

...Running Head: Hourly Rounds and Patient Falls 1 Keeping patients safe while they are in the hospital is a priority to all members of the healthcare team. Patient falls contribute to a greater length of stay for the patient and contribute to increased injuries and longer periods of time before they can regain independence. It can also result in them being out of work longer than anticipated. "The average hospital stays for patients who fall is 12.3 days longer, and injuries from falls lead to a 61 percent increase in patient care costs" (American Nurse Today, March, 2011) Nationally, hospitals are now being threatened with the possibility of not being reimbursed for injuries resulting from falls. Two nursing students at the Massachusetts College of Pharmacy and Health Sciences researched the need for hourly rounding to prevent patient falls and injury. While the reason for falls may vary, one way proposed to reduce patient falls was hourly nursing rounds on the patients. Armed with The Joint Commissions' National Safety Goals and the nurse's concern over the safety of their patients, a decision was made that hourly rounding should be implemented and that this would decrease the number of falls. Specific questions identified were: Is there a difference between......

Words: 586 - Pages: 3

Hourly Rounds Reduces Patients

...Hourly Rounds Reduces Patients’ Frequent Call Lights and Improves Safety. Christian Oyibe NURS 8103 Evidence Based Practice. Governors State University Professor Somi Nagaraj, MSN, DNP. June 5, 2013. Introduction The nurse call light is an important tool in which patients used to get the attention of nurses during hospitalization. It is one of the many means by which patients can exercise control of their health care. It is done to seek the nurses’ attention for help during inpatient hospitalization. The ideal situation is that when the patient pushes the call light, the nurse or the staff will be there to find out what assistance the patient needs. However, when these calls are made by patients, and there were delays in response time, this will in turn lead to frustration in most cases, and the patient will attempt activities that threatened their safety, thereby leading to falls and other safety issues. In most inpatient hospital or other health care facilities, call lights are made by residents or patients who need bathroom or bedpan assistance. The problem......

Words: 2171 - Pages: 9

Patient Safety

...Patient Safety The night flow team had picked up a woman in her late 60s with a history of diverticulosis presenting to the ED with bleeding from the rectum.  She was scheduled for colonoscopy the next day and orders were placed for NPO (nothing by mouth) after midnight and GoLytely (bowel cleanser) to be finished within three hours before midnight. As a third year medical student, I picked up this patient the morning of her colonoscopy.  She was in mild distress after a difficult night.  She had not been given a bed-side commode and was told to just get up to use the restroom despite her risk for falls; the patient had debilitating arthritis, needed a walker to ambulate, and was morbidly obese  Given the difficulty in physical maneuvering, she decided not to complete all of her GoLytely. In addition, she spent the night NPO without IV fluid replacement and was feeling light-headed by morning.  The patient expressed her difficulties to me that morning during my pre-rounds, stating in tears how poorly she was treated and how judged she felt because of her morbid obesity.  She had no intention of returning to our medical center after her current visit.  The Internal Medicine (IM) team – including the attending physician, residents, and medical students including myself – addressed the patient’s concerns during rounds by apologizing for the failures of her care and advising her to get a hold of the floor supervisor in order to reach her attending physician in times of......

Words: 713 - Pages: 3

Patient Safety

...Abstract Patient safety and Medical errors are one of the major concerns of healthcare industry. Our group decided to throw more light on the present situation of this issue. In this paper we have given a clear picture about the types of errors, how these errors occur and towards the end we have discussed on how to prevent these errors. The implementation of the actions to prevent errors discussed in our paper will help in improving and reducing them. In doing so, we can be leaders in an effort to provide the best care possible to all Americans. We have also discussed about the importance of patient safety. Reducing errors and improving how we respond to error is but a subset of the all-important issue of quality of care.   TABLE OF CONTENTS Introduction ……………………………………………………………………………... 5 Regulatory Authority……………………………………………………………………. 5 Patient safety ……………………………………………………………………………. 6 Medical Errors ………………………………………………………………………….. 7 Why medical errors occur? .............................................................................................. 8 When errors are not reported ………………………………………………………….. 8 Types of Medical Errors ………………………………………………………………… 9 Sentinel Events ……………………………………………………………………….. 9 Diagnosis or evaluation ………………………………………………………………. 9 Medical decision-making …………………………………………………………… 10 Treatment and medication …………………………………….…………………..… 10 Dispensing ……………………………………………………………………………11 Procedural......

Words: 3792 - Pages: 16

Patient Safety Workshop

...Patient Safety Workshop Learning From Error PATIENT SAFETY WORKSHOP LEARNING FROM ERROR WHO Library Cataloguing-in-Publication Data Patient safety workshop: learning from error. Includes CD-ROM 1.Patient care - standards. 2.Medical errors - standards. 3.Patient rights. 4.Health facilities - standards. 5.Health Management and Planning. I.World Health Organization. ISBN 978 92 4 159902 3 (NLM Classification: WX 167) This publication is a reprint of material originally distributed as WHO/IER/PSP/2008.09. © World Health Organization 2010 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific......

Words: 9127 - Pages: 37

Patient Safety

...Patient Safety in a Home Care setting 1 Kimberly Casimier Chamberlain College of Nursing Instructor: Pamela Morgan September 27,2014 Patient Safety in a Home Care setting 2 Introduction Thousands of deaths are caused and could have been prevented if patient safety measures would have been taken. It is very important improve patient safety compliance to prevent things like surgeries being done on the wrong site, medication errors, health care acquired infections, falls, and diagnostic errors. Patient safety not only takes place in the hospital, doctors office, and rehab/nursing home facilities, but it also takes place in the home care setting. The Speak Up home care brochure is geared to inform that patient on what to speak up about in the home care setting and if the patient speaks up and the nurse of healthcare worker complies, more errors can be prevented. The home care brochure really gives that patient many options of questions to ask the nurse or healthcare working during their home care. It empowers that patient and hopefully helps them know what they are entitled to as a patient as far as home care, questions they should ask if they are concerned and for information purposes, and I hopefully helps the patient to not......

Words: 1293 - Pages: 6

Patient Satisfaction

...Linking Patient Satisfaction with Nursing Care ------------------------------------------------- Abstract ------------------------------------------------- This paper explores the linking of patient satisfaction with nursing care from three measurement instruments to include the BERNCA (Basel Extent of Rationing of Nursing Care) scale for rationing of care, the RPPE (Revised Professional Practice Environment) scale to explore nurses’ perceptions of their work environment and the Patient Satisfaction scale. This article suggests that there is a correlation between the variables among the organization and environment, care rationing and patient satisfaction that influence patient outcomes. (Papastavrou, Andreou, Tsangari, and Merkouris, 2014). It defines that rationing of nursing care appears as an organizational difficulty, associated with the way nurses perceive environmental constraints of practicing their profession and it is linked with patient outcomes such as patient satisfaction from nursing care. (Papastravrou, et al, 2014). ------------------------------------------------- ------------------------------------------------- Keywords: Nursing care, Rationing, Patient satisfaction, Professional environment ......

Words: 576 - Pages: 3

Patient Safety

...Patient Safety Project Week Six Dawn Frizell NURS/588 Linda Horton University of Phoenix Patient Safety Project Week Six Executive Summary One out of five falls results in major injuries such as fractures and head trauma. Medical cost for such falls are $34 billion yearly, and hospital cost account for two-thirds of the total of falls (CDC, 2013). Along with this information, hospital losses from falls occurring as inpatients have lost millions of dollars in revenue. Many of these fall can be avoided, and can also decrease extended inpatient care along with decrease profit loss. A process must be developed here at Davis Healthcare System (DHS), in response to patient falls, injuries and profit loss. In the Mission and Vision statement at the DHS, it states several key words: high-quality care, safety, innovation, patient-centered care, and that is the reasons that we must initiate the quality improvement plan immediately. Safety deals with lack of harm to the patient and Quality is an effective, efficient and focused direction that to get to safety. Our team of experts in quality improvement will use our mission, tools, communication along with collaborating with the patients to get to the root and cause of this problem. There are several ways to accomplish this goal, 1). Purchasing an item called Radio Frequency......

Words: 3184 - Pages: 13

The Culture of Patient Safety

...using the lower estimate, preventable medical errors in hospitals exceed attributable deaths to such feared threats as motor-vehicle wrecks, breast cancer, and AIDS. Medical errors can be defined as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim. Among the problems that commonly occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. High error rates with serious consequences are most likely to occur in intensive care units, operating rooms, and emergency departments. Beyond their cost in human lives, preventable medical errors exact other significant tolls. They have been estimated to result in total costs (in­ cluding the expense of additional care necessitated by the errors, lost income and household productivity, and disability) of between $17 billion and $29 billion per year in hospitals nationwide. Errors also are costly in terms of loss of trust in the health care system by patients and diminished satisfaction by both patients and health professionals. Patients who experience a long hospi­ tal stay or disability as a result of errors pay with physical and psychological discomfort. Health professionals pay with loss of morale and frustration at not being able to provide the best care possible. Society bears the cost of......

Words: 3171 - Pages: 13

Nurses Perception of Patient Rounding

...Critique: Nurses’ Perception of Patient Rounding by K. Neville, K. Lake, D. LeMunyon, D. Paul, K. Whitmore Introduction to Nursing Research February 19, 2012 Research Critique: Nurses’ Perception of Patient Rounding by K. Neville, K. Lake, D. LeMunyon, D. Paul, K. Whitmore Hourly rounding may be described as the purposeful checking of assigned patients at regular intervals. When rounding on patients, nursing staff do so with the intent of checking the “4P’s”- pain, position, potty (the need to toilet), and proximity of personal items and safety measures (call light, phone, side rails etc.) (Halm, 2009 pg 581). Evidence reveals that when doing purposeful patient rounding, falls decreased, use of call lights decreased, and patient satisfaction scores increased. However, the majority of studies did not include evaluate nurses’ the perception of whether hourly rounding would benefit their own practice. So while hourly rounding may increase patient safety and satisfaction outcomes; this study evaluates whether hourly rounding will increase or decrease nursing job satisfaction and what factors may influence their views. Somerset Medical Center (SMC), a 350-bed medical center located in New Jersey implemented hourly rounding over a six-month trial period, which proved to increase patient satisfaction and perception of pain management while decreasing the fall rate and use of call light. However, the postproject did not include an evaluation of the nurses’......

Words: 913 - Pages: 4

Call Lights

...Introduction to Nursing Research Introduction The article relationship between call light use and response time and inpatient falls in acute care settings purpose was to determine if faster response time to call light use was effective in reducing the amount of patient falls by allowing more faster response time as reported by Huey-Ming Tzeng and Change-Yi Yin (2009. Hospital inpatient falls consistently comprise the largest single category of reported accidental falls (Joint Commission 2005). Patients may fall unintentionally while going to the bathroom, while on pain medication, or while trying to get off their beds. Call lights are used by patients when needing go to the bathroom, needing assistance getting off their bed, or while walking on pain medication. When a nurse is not available in time, the patient will attempt to perform these acts alone, therefore, increasing their risk of falling. Background The purpose of the study is to determine whether the call light use rate and the average call light response time contribute to the fall and injurious fall rates in acute care settings (Huey-Ming Tzeng and Change-Yi Yin, 2009). Patients and their family members will utilize the call lights when they have a need that has not been met yet. Once the call lights is utilized, the response time is the amount of time it takes for the nurse to respond the patient or patients family members need. This study took place in a Michigan community hospital and data......

Words: 843 - Pages: 4

Nursing Interventions for Patient Safety

...Interventions for Patient Safety Nursing Interventions for Patient Safety The evolution of nursing is one that is rich in history and clinical practices and has existed for hundreds of years for health care issues. This author has work experiences from 1978 to 1996 as a nurse and nursing consultant in long term care and has a personal interest in how the use of restraints has evolved to a patient focused and caring approach that has reduced the rates of restraint use and patient injuries. Nursing evidence based practices for patient safety evolves from current technological advances, research and nursing theory. The purpose of this paper is to address how nursing clinical practices evolved for the use of patient restraints in health care facilities. Identification and Discussion of Health Care Issue The Centers for Medicare & Medicaid Services (CMS) defines a physical restraint as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” (U.S. Department of Health and Human Services, 2001). Physical force can be human, mechanical devices, or a combination. Some Items that can be used to physically restrain people include bed side rails, waist belts, vests or jackets, hand mitts, arm and leg restraints. This author has witnessed wheel chairs being tied to hallways handrails; patients......

Words: 2118 - Pages: 9

Effects of Nursing Rounds on Patients’ Call Light Use, Satisfaction, and Safety Introduction to Nursing Research

...Effects of Nursing Rounds on Patients’ Call light Use, Satisfaction, and Safety Introduction to Nursing Research Effects of Nursing Rounds This is a critique study on “effects of nursing rounds on patients’ call light use, satisfaction, and safety by Christine Meade, PHD, Amy Bursell, PHD and Lyn Ketelsen MBA,RN(2006)”outline as quasi-experimental research design. The author states in this article about patient’s frequent usage of call light in the hospital. Frequent call light usage seems to be an ongoing problem in the hospital setting.  This study was to determine how to reduce the call light use and burn out staff, also increase patient satisfaction and safety. Protection of Human Participants. The Benefits of the study was to increase patient’s level of satisfaction in nursing care, improve patient safety, and reduce fall rate and reducing call light.  Researcher assessed “humanistic” and “concrete” behaviors.  Author found every one or two hour nursing rounds can reduce call light usage, reduce fall rate and improve patient satisfaction and safety. There wasn’t any informed consent used in this study.  This was a nonrandom assignment of the hospital units. One and two hour rounding was approved by chief nursing officer and nurse manager. Researcher used a quasi-experimental nonequivalent group’s design study.  Because of this design researchers need help from the nursing officers. Nursing units were asked several times to change the......

Words: 996 - Pages: 4

Use of Information Technology to Improve Patient Safety and Quality of Nursing Care

...Use of Information Technology to Improve Patient Safety and Quality of Nursing Care Introduction We are in a great evolution in the way we are gathering data, gaining information, and increasing our knowledge to provide our patients’ with safe quality care. Without information technology (IT) in today’s healthcare industry, it would be impossible to delivery high quality care. The purpose of this paper is to explore data accuracy & safety, data integrity, and the contributions of IT. Data Accuracy and Safety One of the biggest obstacles to interoperability among information systems is the vast amount of medical terms used to describe the same concept. One strategy that is being implemented in IT to increase data accuracy and safety is to ensure that all electronic health records (EHRs) in all hospitals share common standards for data, classifications, coding systems (Qamar, R., Kola, J.S., & Rector, A.L., 2007). The aim is to standardize medical vocabulary to reduce differing interpretation of information and errors resulting from the traditional paper records. This is an accomplishment that groups have been working on for the last decade. The health IT Standards committee has endorsed a single set of vocabulary standards and a single guide for putting them in place for each area of quality reporting measures (Mosquera, 2011). Two work groups, The Systemized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) and The Logical Observation Identifiers Names and......

Words: 1098 - Pages: 5