This Week's Assignment: Step 2 Project Purpose Statement

This Weeks Assignment Is Step 2 Project Purpose Statement Backgrou

This week's assignment is STEP 2 – Project Purpose Statement, Background & Significance and PICOt Formatted Clinical Project Question. The student will answer the items below in a Word doc and submit to the assignment link. Provide a title that conveys or describes the assignment. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project.

Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes. PICOt formatted Clinical Project Questions – Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project. References – Cite references using APA 6th ed format. 5 pages. my PICO formatted project question is Question : On a medical-surgical hospital unit (P), how does implementing hourly nursing rounding (I), compared to no scheduled rounding (C), affect patient safety (O), within 6 months of implementing (T)?

Paper For Above instruction

Introduction

Patient safety remains a paramount concern within hospital settings, especially on medical-surgical units where the risk of adverse events can be high. This project aims to investigate the impact of hourly nursing rounding on patient safety, an intervention that has garnered attention for its potential to reduce falls, improve patient satisfaction, and enhance overall care quality. The purpose of this project is to evaluate whether implementing hourly rounding practices can significantly improve patient safety outcomes within a six-month period, thereby contributing valuable insights to nursing practice and healthcare management.

Background and Significance

Patient safety challenges in hospital settings continue to be a critical concern globally. According to the Agency for Healthcare Research and Quality (AHRQ), hospital-acquired conditions such as falls, pressure ulcers, and medication errors pose significant risks to patient health and incur substantial healthcare costs (AHRQ, 2020). Among these, falls are particularly prevalent on medical-surgical units and can lead to serious injuries, longer hospital stays, and increased morbidity (Oliver et al., 2010). Interventions such as hourly rounding have been proposed to mitigate these risks by proactively addressing patient needs, thereby reducing fall incidence and enhancing safety (Sullivan et al., 2012). This approach is innovative because it emphasizes structured, consistent patient engagement, which has been associated with improved communication and patient satisfaction. Despite evidence supporting hourly rounding, there is a need for further research in specific clinical settings to establish its efficacy definitively.

Potential Impact of the Project

If successful, this project could demonstrate that hourly nursing rounding significantly reduces patient falls and related adverse events within a six-month timeframe. This improvement would not only enhance patient safety but also decrease hospital costs associated with fall-related injuries and complications. Furthermore, the project could influence hospital policies to incorporate structured rounding practices routinely, fostering a culture of safety. Improving patient safety outcomes aligns with broader healthcare goals of quality improvement, caregiver accountability, and patient-centered care, ultimately leading to better health outcomes and increased patient satisfaction (Doran et al., 2013). Implementing evidence-based practices like hourly rounding can serve as a model for other units and healthcare institutions aiming to reduce preventable harm.

PICOt Clinical Question

In a medical-surgical hospital unit (P), how does implementing hourly nursing rounding (I), compared to no scheduled rounding (C), affect patient safety (O), within 6 months of implementing (T)?

References

  • Agency for Healthcare Research and Quality. (2020). Patient Safety and Quality Improvement Data. https://www.ahrq.gov/patient-safety/resources/resources/index.html
  • Oliver, D., Healey, F., & Haines, T. P. (2010). Falls in hospital: A review of the evidence. The Australian & New Zealand Journal of Public Health, 34(S1), S36–S40.
  • Doran, D. M., et al. (2013). Implementing patient safety initiatives: A review of existing evidence. Journal of Nursing Care Quality, 28(2), 112–118.
  • Sullivan, C., et al. (2012). The impact of hourly rounding on patient falls. Journal of Nursing Management, 20(4), 491-498.
  • American Hospital Association. (2020). Hospital statistics. AHA Publishing.
  • Stein, J., et al. (2015). Effectiveness of structured rounding on reducing falls: A systematic review. International Journal for Quality in Health Care, 27(4), 307–324.
  • Scherer, A., et al. (2018). Innovations in nursing practice: Hourly rounding. Nursing Outlook, 66(3), 260–267.
  • Krueger, R., & Purtill, S. (2017). Strategies for improving patient safety through structured rounding. Clinical Nurse Specialist, 31(6), 288–295.
  • Gillespie, L. D., et al. (2012). Interventions for preventing falls in hospitals. Cochrane Database of Systematic Reviews, (9), CD005465.
  • Mittal, S., et al. (2015). Impact of nursing rounds on patient satisfaction and safety outcomes. Journal of Nursing Care Quality, 30(2), 137–143.

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