Emergency Nurses Hourly Rounds in a Pediatric Hospital

Purpose Statement

The leaders in nursing have acknowledged the significance of hourly rounding meant to improve the patient’s and staff satisfaction. However, leaders have not yet set the standards that will serve as indicators for the evaluation of their initiatives in the pediatric hospitals. The leaders have been emphasizing to staffs on the significance of becoming proactive while seeking to identify needs of patients. Therefore, the hourly round ensures that the staff does not have to wait until they hear call bells from the patients’ rooms in order to offer them the care and attention that they deserve. However, there are numerous members of staff in the units that have not yet understood the purpose of hourly rounding.

According to Gardner, Woollett, Daly & Richardson (2009), in 2007, the regional network established the issue of hourly rounding to the inpatient units. As the initiative of hourly rounding commenced, it initially was acknowledged by the staff members. There was other integration of the initiative to the patient care unit that followed later. The integration was successful in their unit work flow thus leading to serious acknowledgement. However, there were some other care units that have not successfully implemented hourly rounding. The study also identifies the problems experienced during the process of implementation of hourly rounding.

The study explores the effect of emergency nurses hourly rounds on clients satisfaction in a pediatric hospital. It also involved the elaboration on the barriers that hinders the integration of the hourly rounds process on the units. It also relates to unsuccessful efforts in facilitating the satisfaction among the patients. Therefore, the study will focus on providing the relevant details that can offer the information for facilitating the implementation of the Hourly rounds process in pediatric hospitals.

The study also seeks to elaborate on current hourly round materials at the network. This is through indicating the steps involved in the hourly rounding process in order to address the patients’ needs effectively and required environment. The study also aims at elaborating on the log sheet for hourly rounding and the importance of hanging it at the patients’ room door after the completion of the rounding. The study also provides the observation related to units of study through confirming that movements by the nurses in an out of patient’s rooms are due to call bells. The call bells involved relate to an alert for the task to be performed thus increasing the frequency of trips into and out of the patients’ rooms (Meade, Bursell, & Ketelsen, 2006).

The study will focus on identifying problems experienced during daily operation by nurses when attending to their patients. This will also involve finding ways to solve problems by applying hourly rounds. This study also will apply methods aimed at examining barriers involved in the implementation process of hourly rounding. The study will indicate planning, communication, and evaluation needed for successful implementation.

Conclusively, study seeks to explore various issues in relation to hourly rounds that ensure patients’ satisfaction. The study will mainly focus on the effects of the hourly rounds on the satisfaction. This will be through focusing on the satisfaction in relation to services provided by emergency department staff for the patient’s care. Therefore, there will be relevant that be derived from the analysis of data in this study in order to assist in building establishing a substantial discussion of the results. This will in turn contribute to having the desired conclusion hence giving significant recommendation.


Gardner G, Woollett K, Daly N, & Richardson B. (2009). Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: a pilot study. International Journal of Nursing Practice. Malden, MA: Blackwell Publishers.

Meade CM, Bursell AL, & Ketelsen L. (2006). Effects of nursing rounds: on patients’ call light use, satisfaction, and safety. Hamilton: Decker Publishing Inc.