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Hourly Rounding: Challenges With Implementation of an Evidence-Based Process

Deitrick, Lynn M. PhD, RN; Baker, Kathy MPH, RN; Paxton, Hannah MPH, RN; Flores, Michelle BSN, RN; Swavely, Deborah MSN, RN

doi: 10.1097/NCQ.0b013e318227d7dd
Articles

Introduction of an evidence-based practice change, such as hourly rounding, can be difficult in the hospital setting. This study used ethnographic methods to examine problems with the implementation of hourly rounding on 2 similar inpatient units at our hospital. Results indicate that careful planning, communication, implementation, and evaluation are required for successful implementation of a nursing practice change.

Division of Community Health and Health Studies, Lehigh Valley Health Network, Allentown, Pennsylvania.

Correspondence: Lynn M. Deitrick, PhD, RN, Division of Community Health and Health Studies, Lehigh Valley Health Network, 1628 W Chew St, PO Box 7017, Allentown, PA 18105 (Lynn.Deitrick@lvhn.org).

The authors declare no conflict of interest.

Accepted for publication: June 9, 2011.

Published online before print: July 5, 2011.

© 2012 Lippincott Williams & Wilkins, Inc.