Assessment of Head Nurses' Practice Regarding Nursing Round

Khalil Saleh, Rehab; Faisal Fakhry, Samah; Mohamed Elsayed, Samah; Abd EL-Ghaffar, Galila

doi:10.21608/ejhc.2024.380213

Assessment of Head Nurses' Practice Regarding Nursing Round

Document Type : Original Article

Authors

¹ MS.c., in Nursing Administration, Faculty of Nursing – Ain-Shams University.

² Professor of Nursing Administration, Faculty of Nursing – Ain-Shams University.

³ Assist. Professor of Nursing Administration Faculty of Nursing – Ain-Shams University.

⁴ Lecturer of Nursing Administration- Faculty of Nursing- Ain-Shams University.

10.21608/ejhc.2024.380213

Abstract

Background: Nursing round is integral to the continuity of high quality care. Nursing involvement is crucial to the effectiveness of the nursing process. Aim: This study was aimed at assessing the head nurses practice regarding nursing round. Research design: A descriptive design was used in carrying out this study. Study setting: at Arab Contractors Medical Center. Study subjects: all available head nurses their number was (42). Tools: one tool was used in data collection included nursing round observational checklist for head nurses. Results: The study sample of head nurses whose age ranged between 30 and 58 years, but one (2.4%) being male, and having a bachelor’ degree in nursing. Their experience ranged between 9 and 35 years, with great majority of them (92.9%) were married. Concerning the practice of nursing round preparation as observed among head nurses, some items were observed to be done by all of them (100.0%) such as reviewing shift report, and kardex, at the other extreme, only one (5.6%) of them practiced the items related to other physical assessment tools, and (2.4%) related to the aim and outcome of nursing round. More than half of the items were observed to be done by the majority at the implementation stage of nursing round, reaching 100.0% for the items related to patient condition, recording all details in kardex. Conversely, only a few of them were observed to practice infection control precautions (4.8%), and encouraged patient participation (9.5%). The practice of nursing round termination as observed among head nurses was generally low. Only the item related to patient safety was observed to be done by all of them (100.0%). On the other hand, only three (7.1%) of them practiced the item related to the quality of nursing care. The adequate practice of the three stages observed among the head nurses was very low for the preparation (16.7%) and termination (11.9%) stages, while the majority (83.3%) had adequate practice of the implementation stage. Conclusion: the assessment of the nursing round practice is effective in assessing and improving the deficient practice among the head nurses. Recommendations: the study recommends improvement of the head nurses performance regarding nursing rounds through in-service training program, and more frequent meeting with supervisors. Scheduling fixed times for rounds. Further research is proposed to evaluate the long term positive practice of the nursing round revealed in the present study, and to explore the effectiveness of the nursing round practice in other organizations, as well as on head nurses and patients’ outcomes.