title: Hourly rounding implementation: a multisite description of structures, processes, and outcomes.
abstract: OBJECTIVE
  This study identifies structures, processes, and outcomes associated with hourly nurse rounding.
  
  
  BACKGROUND
  Literature supports that nurse rounding every 1 to 2 hours affects quality outcomes. Evidence is lacking regarding the process of successful implementation.
  
  
  METHODS
  Using an action research design, project leads implementing hourly rounding at 11 Southern California hospitals agreed to recorded telephone interviews. Transcribed interviews underwent content analysis.
  
  
  RESULTS
  Analysis revealed 15 major themes. Structure themes include use of rounding behaviors described through an acronym and collaborative phone call. Processes include a library of tools to use incorporating both patient and staff feedback. Patient satisfaction and patient perception of being well cared for are 2 common outcome themes.
  
  
  CONCLUSIONS
  This study provides evidence that frequent reevaluation of structures and processes promote achievement of desired outcomes in relation to hourly rounding. The authors recommend abandonment of routinization and adoption of flexibility to sustain successful implementation of hourly rounding.
authors.affiliation: Southern California Kaiser Permanente Regional Nursing Research Program, Pasadena, California 91188, USA. June.L.Rondinelli@kp.org
authors.forename: June
authors.initials: J
authors.lastname: Rondinelli
authors.forename: Margaret
authors.initials: M
authors.lastname: Ecker
authors.forename: Cecelia
authors.initials: C
authors.lastname: Crawford
authors.forename: Connie
authors.initials: C
authors.lastname: Seelinger
authors.forename: Anna
authors.initials: A
authors.lastname: Omery
mesh_terms: D001291:Attitude of Health Personnel; D002140:California; D003266:Continuity of Patient Care / Q000458:organization & administration*; D006284:Health Plan Implementation; D006801:Humans; D009732:Nursing Care / Q000458:organization & administration*; D010043:Outcome and Process Assessment, Health Care; D061214:Patient Safety; D017060:Patient Satisfaction; D058996:Quality Improvement