• June Rondinelli, Margaret Ecker, Cecelia Crawford, Connie Seelinger, and Anna Omery.
• Southern California Kaiser Permanente Regional Nursing Research Program, Pasadena, California 91188, USA. June.L.Rondinelli@kp.org
• J Nurs Adm. 2012 Jun 1; 42 (6): 326-32.

ObjectiveThis study identifies structures, processes, and outcomes associated with hourly nurse rounding.BackgroundLiterature supports that nurse rounding every 1 to 2 hours affects quality outcomes. Evidence is lacking regarding the process of successful implementation.MethodsUsing an action research design, project leads implementing hourly rounding at 11 Southern California hospitals agreed to recorded telephone interviews. Transcribed interviews underwent content analysis.ResultsAnalysis 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.ConclusionsThis 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.

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