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What are the benefits of ward-level leadership rounding?

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 Article: Hutchings M (2012) Caring around the Clock: rounding in practice. Nursing Times; 108: 49, 12-14.

Hourly rounding can reduce patients’ use of call buzzers, improve patient satisfaction and reduce incidence of falls but there is little evidence on how best to implement it.

The system of hourly rounding or intentional rounding has negative connotations; for many staff it is viewed as prescriptive and insinuates that care is inadequate. After reading this article outline why the concept of Caring around the Clock is different.

5 Key Points

  1. Observation of practice and inspiring leadership create the conditions for innovations to flourish
  2. The focus of Caring around the Clock is to make interactions between patients and staff meaningful
  3. Ward leaders should be visible and seek daily feedback from patients using elements of appreciative enquiry
  4. Leadership rounding enables ward leaders to use a coaching style with staff to strive for continuous improvement in patient care
  5. Positive real-time feedback from patients is meaningful to staff

Let’s discuss

  • Using the Caring around the Clock approach how do nurses decide when to revisit visit their patients?
  • What are the benefits of ward-level leadership rounding?
  • How can senior leader rounding help overcome barriers in delivering high quality care?
  • How would you engage staff with the concept of Nursing around the Clock?
  • What are your views on the use of staff recognition boards to highlight positive feedback from patients?
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