NEW CPP Residency project

PICO: In an inpatient, Rehab unit, what is the effect of hourly rounding on patient experience compared to not rounding Increase CAHPS(patient experience) scores in rehab patients -* Brosinski C, Riddell A. Incorporating Hourly Rounding to Increase Emergency Department Patient Satisfaction: A Quality Improvement Approach. J Emerg Nurs. 2020 Jul;46(4):511-517. doi: 10.1016/j.jen.2019.08.004. Epub 2020 Mar 24. PMID: 32220393. * Kline, M., & McNett, M. (2019). The impact of daily executive rounding on patient satisfaction scores. Nurse Leader, 17(5), 440-444. -*Delisle, D. R., Dajani, J., & Overton, L. (2021). An integrated model to accelerate patient satisfaction improvement. American Journal of Medical Quality, 1062860620953213. -*Gormley, D. K., Costanzo, A. J., Goetz, J., Israel, J., Hill-Clark, J., Pritchard, T., & Staubach, K. (2019). Impact of nurse-led interprofessional rounding on patient experience. Nursing Clinics, 54(1), 115-126. -*Stapleton, E., Frane, N., Lentz, J., Yngstrom, K., Healy, C., Cohn, R., & Katsigiorgis, G. (2019). Impact of a resident-guided rounding initiative on the hospital consumer assessment of healthcare providers and systems survey scores in orthopaedic surgery inpatients. JAAOS Global Research & Reviews, 3(4). *Ram, M. S., John, J., & John, S. (2019). Purposeful hourly rounding by nurses: A best practice implementation project. International Journal of Nursing Care, 7(2), 16-19. -*Gliner, M., Dorris, J., Aiyelawo, K., Morris, E., Hurdle-Rabb, D., & Frazier, C. (2022). Patient falls, nurse communication, and nurse hourly rounding in acute care: Linking patient experience and outcomes. Journal of Public Health Management and Practice, 28(2), E467-E470. Research Article/Author(s)/Year Methods Results Level of evidence Kline, M., & McNett, M. (2019). The impact of daily executive rounding on patient satisfaction scores. Nurse Leader, 17(5), 440-444. This study, approved by the health system's institutional review board, aimed to enhance patient experience through daily executive rounding in an academic, urban health system. Utilizing a prospective, 2-group design, it included all adult patients admitted to the academic medical center over four months, who voluntarily completed HCAHPS surveys. Executive rounds were conducted using an electronic application, and resulting satisfaction data were compared between those who received and did not receive executive rounding during their hospital stay. During the study involving 882 patients, a total of 1370 executive rounds were conducted, resulting in 1127 events across 1163 patient encounters. Complete data were available for 882 encounters, with demographic similarities between rounding and non-rounding groups. While mean scores for HCAHPS items were slightly higher for the rounding group, only the item assessing how well the healthcare team worked together showed statistically significant differences. Level III Evidence from a single well-designed controlled trials without randomization (aka quasi-experimental studies) OR a systematic review of a complete BOE (integrative review of higher and lower evidence) OR mixed methods intervention studies. Also, it’s from a well-designed case series, with preferably, post-test, and pre-test comparison within subjects but without a control group. Stapleton, E., Frane, N., Lentz, J., Yngstrom, K., Healy, C., Cohn, R., & Katsigiorgis, G. (2019). Impact of a resident-guided rounding initiative on the hospital consumer assessment of healthcare providers and systems survey scores in orthopaedic surgery inpatients. JAAOS Global Research & Reviews, 3(4). This Institutional Review Board-approved study implemented a structured rounding protocol for orthopedic surgical patients at a specific community hospital. Conducted over a 12-month period, the study compared HCAHPS survey results before and after the intervention, involving orthopedic surgery residents performing daily morning rounds and an additional evening round. The study used statistical analyses, including chi-square tests and Mann-Whitney U tests, to evaluate the impact on patient satisfaction scores, comparing results with control hospitals and considering national database percentiles. After implementing...