::written circa. Spring 2015.
With patient-centered care as one of the main scopes of nursing, the idea of hourly rounds is certainly up for a great debate. In a business and fiscally conservative standpoint, it could be argued that hourly rounds are unreasonable. Depending on a facility census, adequately increasing the staff to patient ratio would have to be determined by a fixed budget. The high demand to perform hourly rounds can cause strain on the healthcare team, by increasing the amount of responsibility to each nurse. And as a result, leading to possible increases in errors due to a high stressful environment. However, in efforts to improve, hourly rounds can positively influence patient-care.
“Hourly rounding can proactively address problems before they occur” (Ford, 2010). Whether it is monitoring vital signs, lifting up side rails, or simply clearing out clutter off a floor, hourly rounds can positively impact patient care. Risks for falls, pressure ulcers, and fluctuations in blood pressure, with imagination, can all manifest into emergent cases. In a fiscally conservative standpoint, taking action to decrease any unwanted medical sequelae can keep legal action and medical expenses to a minimum. Thus, hourly rounds show a lot of promise, as a great practice for primary preventative care.
Ford, B. M. (2010). Hourly rounding: A strategy to improve patient satisfaction scores. MEDSURG Nursing, 19(3), 188-191.