Nursing Practice Of The Acute Care Arena

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Evidence Summary
With the majority of available evidence pointing towards care in other areas of the acute care arena, there remains sufficient data to support the practice of intentional rounding on a pre-determined schedule in emergency care settings. All of the examples given in the Evidence Critique support rounding as a means of increasing patient satisfaction. In the Lyons, et al., report from the Australian Nursing and Midwifery Journal it is reported that patient satisfaction is equated to the perception of prompt attention to patient needs, helpfulness, and communication skills (Lyons, et al., 2015). Because patient-centered care in every area of any healthcare facility is the goal, this aspect will be reviewed as each of the
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Akin the evidence presented previously, the Mitchell et al. study published in the Journal of Nursing Administration was not done in an emergency care setting. However, it addresses the effect of hourly rounding on patient satisfaction with nursing care and discusses implications for administration in this nursing practice. This study delves into the obvious fact that satisfaction scores drive reimbursement and hospital ratings. Per the information, purposeful rounds can improve patient satisfaction but “to date this has not been systematically examined.” This study suggests an inconsistent methodology has been used for testing and that only moderate evidence has been found that demonstrates an enhanced perception along with lessened incidence of falls and call light usage. Information contained within also states the willingness of most administrative units to accept this methodology as truth and work toward positive patient satisfaction scoring (Mitchell et al., 2014).
Despite the fact that the studies previously mentioned were not carried out in an emergency care setting, the results are translatable as emergency departments care for similar patients, in many cases more acutely ill and on a shorter-term basis. Furthermore, often the groups studied are “frequent” emergency care area patients. One such study,
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