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E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
Journal of Nursing and Health Studies
ISSN: 2574-2825
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Nursing Diagnosis & Midwifery 2018
Page 23
S
ecurity Forces Hospital Program Makkah (SFHM) – Male Surgical Unit (MSU) is a unit with 31 bed capacity and situated on the 4
th
floor of the
SFHM building on the Eastern side. The client of the unit are adult male patients with Medical-Surgical cases specifically needed for Vascular,
Orthopedic, Urology, ENT, Ophthalmology, General Surgery, and all types of surgical management and treatment.
During the earlymonths after the commencement of the hospital in 2013, the SFHMadministration received complaints from the patients regarding
the health care services provided to them. In order to improve patients’ satisfaction, the quality of services and patient experience; the project team
proposed to implement the Purposeful Hourly Rounding Project at MSU as Pilot Phase, and then the project was generalized to all inpatients.
The implementation of Purposely Hourly Rounding (PHR) Systemwas commenced by our SFHMDirector General Advisor and Executive Director of
Nursing Affairs. It was adopted from the Hourly Rounding Supplement – Best Practice at Sacred Heart Hospital, Pensacola, Florida, United States
and Sultan Bin Abdulaziz Humanitarian City, Riyadh, Saudi Arabia.
PHR by definition is the process of caring for patients round the clock of the assigned nursing staff in in-patient units through checking on an hourly
basis for day shift and once every 2 hours for night shift. Day shift visits start from 6am until 10pm, while the night shift covers 10pm up to 6am.
Aside from the usual routine of nurses, the Patient Rounding System emphasizes the importance of Therapeutic Nurse-Patient Relationship,
support patient centered care, promote safety and surveillance mechanism, anticipate needs proactively, and structuring the nursing process.
Every nurse must always introduce him/herself to the patient, explaining the scope and limitation of care and the importance of the patient’s
participation in the Rounding System. Thus, these uphold overall patient satisfaction and pain-free hospital experience.
Significantly, with the immediate attention given by the nurses, prominent impacts on patient safety and satisfaction after the application of the
Rounding Systemwere observed. Furthermore, there were no reports of patient fall and pressure ulcer, less patient call or call bell observed unless
urgent attention, and most of the time patient did not interrupt nurses unnecessarily and wait for the next nurses’ visit. Additionally, patients can
recognize their primary nurse, and finally, good patient-nurse interpersonal relation was seen.
Pre PHR System
Post PHR System
Patient Satisfaction
8.30
8.83
Patient Call Bell (3 months)
3076
1679
Drop of call bell: 55%
Nursing Quality Project: Making a
Difference by Rounding Implementation
of Purposeful Hourly Rounds (PHR) at
Security Forces Hospital – Makkah
Raiza Jaafar Jumah
Security Forces Hospital, Saudi Arabia
Raiza Jumah, J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-010