J Korean Clin Nurs Res.  2021 Apr;27(1):66-76. 10.22650/JKCNR.2021.27.1.66.

Performance, Perception, and Influencing Contexts of Intentional Rounding

Affiliations
  • 1Unit Manager, Department of Nursing, Samsung Medical Center, Seoul, Korea
  • 2Chief Nursing Officer, Department of Nursing, Samsung Medical Center, Seoul, Korea
  • 3Advanced Practice Nurse, Department of Nursing, Samsung Medical Center, Seoul, Korea
  • 4Team Manager, Department of Nursing, Samsung Medical Center, Seoul, Korea

Abstract

Purpose
This descriptive study aimed to explore the performance, nurses' perception, and influencing contexts of intentional rounding (IR), and to identify the factors influencing the performance of IR.
Methods
498 questionnaire responses were collected from clinical nurses with more than six months of work experiences in general wards performing IR in a general hospital.
Results
The mean scores of the performance, nurses' perception, and influencing contexts of IR were 3.81(±0.68), 3.46(±0.42), and 3.79(±0.51) out of 5.00, respectively. There were significant differences in performance (F=20.51, p<.001) and nurses' perception (F=4.96, p=.001) based on the work department. There were significant differences in the influencing contexts based on age (F=6.02, p=.003) and the length of clinical experience in the ward (F=3.36, p=.010). Performance and nurses’ perception(r=.42, p<.001), performance and influencing contexts (r=.46, p<.001), and nurses' perception and influencing contexts (r=.58, p<.001) showed a statistically positive correlation. Work unit (F=10.45, p<.001), nurses' perception of the benefits to patients (F=-2.46, p=.014) and to nurses (F=4.34, p<.001), and influencing contexts at the individual (F=7.77, p<.001) and department levels (F=2.99, p=.003) were found to be significant factors on the performance of IR.
Conclusion
It is necessary to support the education programs and active participation of nurses in their role as leaders to raise their awareness regarding the benefits of IR. Furthermore, there is a need to adapt the IR protocol according to the unique characteristics of each unit and evaluate the effectiveness.

Keyword

Nursing Care; Clinical Rounds; Work Performance; Perception; Sociological Factors
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