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Intentional Rounding With Certified Nursing Assistants in Long-Term Care: A Pilot Project.

Authors
  • Jenko, Mimi
  • Panjwani, Yasmin
  • Buck, Harleah G
Type
Published Article
Journal
Journal of gerontological nursing
Publication Date
Jun 01, 2019
Volume
45
Issue
6
Pages
15–21
Identifiers
DOI: 10.3928/00989134-20190328-01
PMID: 30985906
Source
Medline
Language
English
License
Unknown

Abstract

Intentional rounding (IR) is a strategy used by predominately acute care nursing staff to proactively address patients' needs at regular and consistent intervals. The current project piloted the use of IR with certified nursing assistants (CNAs) on a 60-bed unit of a 120-bed skilled nursing facility (SNF). Using a pre/post intervention design and the Plan-Do-Study-Act (PDSA) framework, the authors measured knowledge of IR's "4Ps" (potty, position, possessions, and pain) and the incidence of falls and lost possessions. Uptake of IR over 10 weeks of implementation and CNAs' perceptions of intervention were also assessed. The pilot showed positive outcomes for each of the five aims. Data suggest that IR was well received by CNAs and changed practice patterns regarding quality, safety, and satisfaction. Based on these findings, replication of this project in other SNFs is recommended, given the current small and underpowered study. [Journal of Gerontological Nursing, 45(6), 15-21.]. Copyright 2019, SLACK Incorporated.

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