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.