Patient falls present challenges in acute care settings. It was unknown if hourly patient rounding using an electronic whiteboard system (EWS) impacted fall rates on a 16-bed surgical unit in a community hospital in Philadelphia, PA. The clinical questions for this project were what impact does the EWS have on hourly patient rounding and fall rates, and what impact does patient rounding logs have on hourly patient rounding and fall rates. Roy’s adaptation model, capacity building, and Kurt Lewin’s change theory were the theoretical and conceptual frameworks used in this project. Descriptive analyses were used to interpret data from the EWS and patient rounding logs completed on 220 randomly selected patients, in two nursing units, totaling 7,689 patient rounds. A quantitative correlational design determined the impact of the EWS on hourly patient rounding. A chi-square (χ2) test of independence determined the expected and actual numbers of missed and completed patient rounds. The results indicated a statistically significant relationship between the EWS and hourly patient rounding, X 2 = (1, N = 7,689) = 371.3; p = < 0.05. A statistically significant relationship was found between hourly patient rounding completed on dayshift compared to nightshift, X 2 = (1, N = 7,689) = 38.7, p = < 0.05. However, using the EWS did not reduce fall rates on the control unit (n = 7.04). The findings of this project support the use of an EWS to enhance hourly patient rounding and is being considered as a standard of care for the future.
|Commitee:||Edger, Mary Beth|
|School:||Grand Canyon University|
|Department:||Nursing and Health Care|
|School Location:||United States -- Arizona|
|Source:||DAI-B 80/04(E), Dissertation Abstracts International|
|Subjects:||Nursing, Health care management|
|Keywords:||Acute care settings, Hourly patient rounding, Intentional rounding, Patient falls|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be