Surfacing and addressing hospitalized patients’ needs: Proactive nurse rounding as a tool

Jad Al Danaf, Bickey H. Chang, Mohammad Shaear, Kristine M. Johnson, Sandra Miller, Lynda Nester, Amy W. Williams, Hanan J. Aboumatar

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Aims: This paper reports on rounding interventions employed at high performing hospitals, and provides three case studies on how proactive nurse rounding was successfully implemented to improve patient-centredness. Background: Proactive nurse rounding is a popular form of rounding that has shown promise for improving patient outcomes, yet, little evidence exists on how to implement it successfully. Methods: We identified high-performing hospitals in the domains of staff responsiveness and nurse communications in the Hospital Consumer Assessment of Health Providers and Systems survey nationally, and conducted case studies at three of these hospitals exploring their implementation of proactive nurse rounding. We partnered with leaders from these hospitals to describe the associated challenges and lessons learned. Results: Twenty-six high performing hospitals in the domains of staff responsiveness and/or nurse communication were identified. The majority of nursing units reported proactive nurse rounding as their main rounding intervention (96%). Conclusions: Proactive rounding interventions are a feasible approach to help surface and address hospitalized patients’ needs in a timely manner. Implications for Nursing Management: The information and tools provided in this paper build upon the learning from high performing hospitals’ experiences and are useful to nurse leaders in their efforts to improve the patient-centeredness in the hospital.

Original languageEnglish (US)
Pages (from-to)540-547
Number of pages8
JournalJournal of nursing management
Issue number5
StatePublished - Jul 2018


  • hospitalized patients
  • hourly rounding
  • improvement tools
  • patient-centred care
  • proactive rounds

ASJC Scopus subject areas

  • Leadership and Management


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