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How can nurses be engaged in intentional rounding?

  • Comments (2)
  • Article: Dix G et al (2012) Engaging staff with intentional rounding. Nursing Times; 108: 3, 14-16.
  • Author: Greg Dix is director of nursing and governance; Jackee Phillips is junior sister, medical assessment unit; Mark Braide is practice development nurse; all at Taunton and Somerset Foundation Trust.

Key points

  1. Intentional rounding involves nurses checking individual patients at set intervals to assess and manage their fundamental care needs
  2. It places the patient at the heart of the ward routine
  3. IR reduced the frequency of call bell use
  4. Introducing IR requires a cultural change and staff need support to bring in the change
  5. IR has a positive effect on patient experience

Let’s discuss

  • How would you explain intentional rounding to staff at a team meeting?
  • What benefits does intentional rounding offer patients and staff?
  • How would you implement intentional rounding on your ward?
  • What are the barriers to using intentional rounding? How can these be overcome?


  • Comments (2)

Readers' comments (2)

  • Anonymous

    sorry have not read article but key points make me wonder just where we are in nursing.
    i started my training in 1983 when bed rounds etc were done. yes things have moved on and some for the better but not all. what on earth are nurses doing if they are not checking on their patients?? i think we have missed the point. nursing is about the patient at the centre and you should be checking your allocated patients for the shift on a regular basis how can you give report or write up notes if you have no idea what your patients care needs have been.
    i never thought i would be a nurse that harked back to 'when i was a student' or when i was first staffing' but heavens above i am now doing it. i dont think IR is anew concept it is the basis of nursing care!!

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  • Anonymous

    hopefully this won't develop into a tick box exercise or frequent marathon around the ward. each patient needs to feel valued and have the confidence that they are being adequately cared for.

    when going round with a list of parameters to check discretion has to be used to make sure the questions are appropriate to the individual situation of each patient otherwise they will not feel that any interest is being taken in them at all.

    it is very silly, as some have suggested, that all the criteria apply to all patients. those who are independent and do not need help for such things as going to the toilet must not be asked this question and others every hour just for the sake of a list with tick boxes.

    This hourly rounding must not turn into an exercise of patient interrogation. It conjures up an image of junior nurses under pressure to accomplish the round because 'Sister said...' scenario!

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