The implementation of intentional rounding using participatory action research

Ann Harrington, Sandra Bradley, Lesley Jeffers, Ecushla Linedale, Sue Kelman, Geoffrey Killington

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    20 Citations (Scopus)


    'Intentional'/'hourly rounding' is defined as regular checks of individual patients carried out by health professionals at set intervals rather than a response to a summons via a call bell. Intentional rounding places patients at the heart of the ward routine including the acknowledgement of patient preferences and in anticipation of their needs. The aim of this study was to implement intentional rounding using participatory action research to increase patient care, increase staff productivity and the satisfaction of care provision from both patients and staff. Outcomes of the study revealed a drop in call bell use, no observable threats to patient safety, nursing staff and patient satisfaction with care provision. However, any future studies should consider staff skill mix issues including the needs of newly graduated nursing staff as well as the cognitive status of patients when implementing intentional rounding on acute care wards.

    Original languageEnglish
    Pages (from-to)523-529
    Number of pages7
    JournalInternational Journal of Nursing Practice
    Issue number5
    Publication statusPublished - Oct 2013


    • Hourly rounding
    • Intentional rounding
    • Nursing practice
    • Participatory action research
    • Patient comfort rounds


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