Background: The determining factors for improvement of health services quality includes nursing services. Furthermore, a method for providing this quality nursing services is professional nursing care model, and comprises nursing round. However, fewer hospitals implement this due to several barriers including lack of knowledge and practices. This study is, therefore, aimed at identifying improvements in quality of nursing care and solving of patient’s problem by frequent nursing rounds.
Design and Method: This study employed a single case report design using exploratory and descriptive methods. A 27-year-old male underwent nephrectomy surgery to treat hydronephrosis. The person still revealed persistent pain in the surgery area even though it has been treated for 3 days. The staff nurses administered nursing round to discuss and solve this problem. The study participation was voluntary, while the involved patient gave the informed consent. The steps of nursing round procedure including preround, round, and post-round were used to solve the problem.
Results: The results indicated that nurses discovered blood clots in the patient’s drain during nursing round. The cause of the persistent pain was revealed and used to determine the intervention modification needed. It was recommended to evacuate the blood clot and followed by appropriate pain management. Furthermore, the problem in the patient with acute pain was resolved.
Conclusions: This study reveals the effectiveness of regular nursing rounds to enhance the outcome of nursing care and indirectly shows an increase in quality of nursing services provided. Therefore, to optimize nursing rounds, the commitment of the nursing management is significant.
Rohita T, Yetti K. [Peningkatan kualitas pelayanan keperawatan melalui ronde dan pendokumentasian].[Article in Indonesian]. Dunia Keperawatan 2017;5:50-5. DOI: https://doi.org/10.20527/dk.v5i1.3641
Muhith A, Nursalam. [Mutu asuhan keperawatan berdasarkan analisis kinerja perawat dan kepuasan perawat dan pasien].[Article in Indonesian]. J Ners 2012;7:47-55.
Wahyuni S, Kanang Y, Syahrul S, et al. [Penerapan Model Asuhan Keperawatan Profesional (MAKP) ].[Article in Indonesian]. Media Karya Kesehatan 2020;3:15-26.
Nursalam N. [Manajemen Keperawatan: Aplikasi dalam Praktik Keperawatan Profesional].[Book in Indonesian]. Jakarta: Salemba Medika; 2015.
Deitrick LM, Baker K, Paxton H, et al. Hourly rounding: challenges with implementation of an evidence-based process. J Nurs Care Qual 2012;27:13-9. DOI: https://doi.org/10.1097/NCQ.0b013e318227d7dd
Francis K, Kurtsev A, Walter D, et al. Nurses’ experiences and perceptions of hourly rounding: A private Australian catholic hospital single case study. Int Arch Nurs Heal Care 2019;5:1-6. DOI: https://doi.org/10.23937/2469-5823/1510125
Negarandeh R, Hooshmand Bahabadi A, et al. Impact of regular nursing rounds on patient satisfaction with nursing care. Asian Nurs Res (Korean Soc Nurs Sci) 2014;8:282-5. DOI: https://doi.org/10.1016/j.anr.2014.10.005
Sari RM, Zainaro MA. [Motivasi Perawat Dan Gaya Kepemimpinan Terhadap Ronde Keperawatan].[Article in Indonesian].Holistik J Kesehat 2018;12:244-52. DOI: https://doi.org/10.33024/hjk.v12i4.38
Stella S. Optimization of nursing management rounds and implementation of discharge planning in Fatmawati Hospital Jakarta. Int J Nurs Heal Serv 2019;2:117-28. DOI: https://doi.org/10.35654/ijnhs.v2i1.80
Wells N, Pasero C, McCaffery M. Improving the quality of care through pain assessment and management. In: Hughes RG, editor. Patient safety and quality: An evidence-based handbook for nurses. Rockville: Agency for Healthcare Research and Quality; 2008.
Strode I, Seimane S, Biksane D. Pain management in nursing practice of intensive care post-operational stage patients. Int J Collab Res Intern Med Public Health 2012;4:892-900.
Joshi GP. Multimodal analgesia techniques and postoperative rehabilitation. Anesthesiol Clin North Am 2005;23:185-202. DOI: https://doi.org/10.1016/j.atc.2004.11.010
Liu SS, Carpenter RL, Mackey DC, et al. Effects of perioperative analgesic technique on rate of recovery after colon surgery. Anesthesiology 1995;83:757-65. DOI: https://doi.org/10.1097/00000542-199510000-00015
Williams M, Milner QJW. Postoperative analgesia following renal transplantation – Current practice in the UK. Anaesthesia 2003;58:712-3. DOI: https://doi.org/10.1046/j.1365-2044.2003.32661.x
Nikolajsen L, Sørensen HC, Jensen TS, et al. Chronic pain following Caesarean section. Acta Anaesthesiol Scand 2004;48:111-6. DOI: https://doi.org/10.1111/j.1399-6576.2004.00271.x
Soliman HM, Mélot C, Vincent JL. Sedative and analgestic practice in the intensive care unit: The results of a European survey. Br J Anaesth 2001;87:186-92. DOI: https://doi.org/10.1093/bja/87.2.186
Luo K, Shi W, Chen Y, et al. A method for monitoring the working states of drainage tubes based on the principle of capacitance sensing. Sensors 2020;20:2087. DOI: https://doi.org/10.3390/s20072087
Ho SWL, Chua ITH. A rare case of a blood clot masquerading as a retained surgical drain. Ann Transl Med 2016;4:463. DOI: https://doi.org/10.21037/atm.2016.12.22
Meyerson JM. A brief history of two common surgical drains. Ann Plast Surg 2016;77:4-5. DOI: https://doi.org/10.1097/SAP.0000000000000734
Fabry D. Hourly rounding: Perspectives and perceptions of the frontline nursing staff. J Nurs Manag. 2015;23:200-10. DOI: https://doi.org/10.1111/jonm.12114
Whitehead DK, Weiss SA, Tappen RM. Essentials of nursing leadership and management. Philadelpia: F.A. Davis Company; 2010.
Shin N, Park J. The effect of intentional nursing rounds based on the care model on patients’ perceived nursing quality and their satisfaction with nursing services. Asian Nurs Res (Korean Soc Nurs Sci) 2018;12:203-8. DOI: https://doi.org/10.1016/j.anr.2018.08.003
Jennings FL, Mitchell M. Intensive care nurses’ perceptions of inter specialty trauma nursing rounds to improve trauma patient care – A quality improvement project. Intensive Crit Care Nurs 2017;40:35-43. DOI: https://doi.org/10.1016/j.iccn.2017.01.002
Agustina V, Agustian D, Ibrahim F. [Hubungan Tingkat Pengetahuan dengan Sikap Perawat dalam Pelaksanaan Ronde Keperawatan Di Ruang Aster dan ICCU RSUD dr. Doris Sylvanus].[Article in Indonesian]. Din Kesehatan 2016;7:236-40.
Siahaan JV, Siagian A, Bukit EK.[ Pengaruh Pelatihan Ronde Keperawatan Terhdap Kinerja Perawat Dalam Asuhan Keperawatan Di RS Royal Prima Medan].[Article in Indonesian]. Jumantik 2017;3:1-15.
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