Faculty of Health Sciences, Fundamentals of Nursing Department, Karadeniz Technical University, Trabzon, Turkey.
Department of Medical Sciences, Udine University, Udine, Italy.
J Adv Nurs. 2023 Mar;79(3):896-909. doi: 10.1111/jan.15307. Epub 2022 May 24.
To summarize the evidence available on Nurse Manager Intentional Rounding (NMIR) describing the main characteristics and methodological quality of studies available, the features of rounding and the outcomes as measured to date.
A systematic review.
Electronic databases, including MEDLINE-EBSCHOST, PubMed, CINAHL, Scopus, Cochrane, Clinicalkey, ScienceDirect, OVID, Sage Journals and Web of Science, were searched up to June 2021.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guideline was used to summarize methods and report findings. The Joanna Briggs Institute Critical Appraisal tools were used to evaluate the methodology quality of the studies included.
Seven studies were included with pre-post-test (n = 3), longitudinal, two-group post-tests, quasi-experimental, and retrospective study designs (n = 1, respectively). In five studies, the nurse managers were trained to conduct the rounding, which was shaped according to three main features: a structured (n = 4), a semi-structured (n = 1) and an unstructured rounding (n = 2) delivered from high (twice a day 7/7) to low intensity (once a day, 5/7). Two main outcomes have been measured to date, the patient satisfaction and some aspects related to the care quality. Five studies reported that the satisfaction scores of patients who received rounding were significantly higher than that perceived by patients not receiving rounding. About the other aspects of the quality of care, two studies documented significant improvements as a consequence of the NMIR (e.g. information accessibility, discharge instructions, coordination of care after discharge).
Studies available report in general a low methodological quality, mainly due to their pragmatic nature as quality improvement projects. Therefore, transforming this field of research by establishing a methodological rigour and a theoretical foundation in both interventions and outcomes and by designing experimental approaches, might expand the evidence available on the effects of nurse managers intentional rounding.
总结现有的关于护士长有意查房（NMIR）的证据，描述现有研究的主要特征和方法学质量、查房的特点以及迄今为止测量的结果。
系统评价。
电子数据库，包括 MEDLINE-EBSCHOST、PubMed、CINAHL、Scopus、Cochrane、Clinicalkey、ScienceDirect、OVID、Sage Journals 和 Web of Science，检索截至 2021 年 6 月。
使用循证医学系统评价和荟萃分析报告标准声明指南总结方法并报告结果。使用 Joanna Briggs 研究所批判性评价工具评价纳入研究的方法学质量。
纳入了 7 项研究，包括预前后测（n=3）、纵向、两组后测、准实验和回顾性研究设计（n=1，分别）。在 5 项研究中，对护士长进行了培训以进行查房，查房形式有三种主要特征：结构化（n=4）、半结构化（n=1）和非结构化查房（n=2），查房强度从高（每天 7/7，两次）到低（每天 5/7，一次）。迄今为止，已经测量了两个主要结果，患者满意度和一些与护理质量相关的方面。五项研究报告称，接受查房的患者的满意度评分明显高于未接受查房的患者。关于护理质量的其他方面，两项研究记录了 NMIR 的显著改善（例如，信息可及性、出院指导、出院后护理协调）。
现有研究的方法学质量普遍较低，主要是由于它们作为质量改进项目的务实性质。因此，通过在干预措施和结果方面建立方法学严谨性和理论基础，并设计实验方法，可能会扩展关于护士长有意查房效果的现有证据。
