Show simple item record

dc.contributor.authorHarris, Ruthen
dc.contributor.authorSims, Sarahen
dc.contributor.authorLevenson, Rosen
dc.contributor.authorGourlay, Stephenen
dc.contributor.authorRoss, Fionaen
dc.contributor.authorDavies, Nigelen
dc.contributor.authorBrearley, Sallyen
dc.contributor.authorFavato, Giampieroen
dc.contributor.authorGrant, Roberten
dc.date.accessioned2019-01-25T12:36:33Z
dc.date.available2019-01-25T12:36:33Z
dc.date.issued2017-01-09
dc.identifier.citationHarris R, Sims S, Levenson R, Gourlay S, Ross F, Davies N, Brearley S, Favato G, Grant R (2017) 'What aspects of intentional rounding work in hospital wards, for whom and in what circumstances? A realist evaluation protocol', BMJ Open, 7 (1), pp.e014776-.en
dc.identifier.issn2044-6055
dc.identifier.pmid28069627
dc.identifier.doi10.1136/bmjopen-2016-014776
dc.identifier.urihttp://hdl.handle.net/10547/623089
dc.description.abstractIntentional rounding (IR) is a structured process whereby nurses in hospitals carry out regular checks, usually hourly, with individual patients using a standardised protocol to address issues of positioning, pain, personal needs and placement of items. The widespread implementation of IR across the UK has been driven by the recommendations of the Francis Inquiry although empirical evidence of its effectiveness is poor. This paper presents a protocol of a multimethod study using a realist evaluation approach to investigate the impact and effectiveness of IR in hospital wards on the organisation, delivery and experience of care from the perspective of patients, their family members and staff. The study will be conducted in four phases. Phase 1: theory development using realist synthesis to generate hypotheses about what the mechanisms of IR may be, what particular groups may benefit most or least and what contextual factors might be important to its success or failure which will be tested in subsequent phases of the study. Phase 2: a national survey of all NHS acute trusts to explore how IR is implemented and supported across England. Phase 3: case studies to explore how IR is implemented 'on the ground', including individual interviews with patients, family members and staff, non-participant observation, retrieval of routinely collected patient outcomes and cost analysis. Phase 4: accumulative data analysis across the phases to scrutinise data for patterns of congruence and discordance and develop an overall evaluation of what aspects of IR work, for whom and in what circumstances. The study has been approved by NHS South East Coast-Surrey Research Ethics Committee. Findings will be published in a wide range of outputs targeted at key audiences, including patient and carer organisations, nursing staff and healthcare managers. INTRODUCTION METHODS AND ANALYSIS ETHICS AND DISSEMINATION
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.urlhttps://bmjopen.bmj.com/content/7/1/e014776en
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223681/en
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectnursingen
dc.subjectintentional roundingen
dc.subjectB700 Nursingen
dc.titleWhat aspects of intentional rounding work in hospital wards, for whom and in what circumstances? A realist evaluation protocolen
dc.typeArticleen
dc.contributor.departmentKing's College Londonen
dc.contributor.departmentKingston Universityen
dc.contributor.departmentSt George's, University of Londonen
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalBMJ Openen
dc.identifier.pmcidPMC5223681
dc.date.updated2019-01-25T12:32:22Z
dc.description.noteoa article
html.description.abstractIntentional rounding (IR) is a structured process whereby nurses in hospitals carry out regular checks, usually hourly, with individual patients using a standardised protocol to address issues of positioning, pain, personal needs and placement of items. The widespread implementation of IR across the UK has been driven by the recommendations of the Francis Inquiry although empirical evidence of its effectiveness is poor. This paper presents a protocol of a multimethod study using a realist evaluation approach to investigate the impact and effectiveness of IR in hospital wards on the organisation, delivery and experience of care from the perspective of patients, their family members and staff. The study will be conducted in four phases. Phase 1: theory development using realist synthesis to generate hypotheses about what the mechanisms of IR may be, what particular groups may benefit most or least and what contextual factors might be important to its success or failure which will be tested in subsequent phases of the study. Phase 2: a national survey of all NHS acute trusts to explore how IR is implemented and supported across England. Phase 3: case studies to explore how IR is implemented 'on the ground', including individual interviews with patients, family members and staff, non-participant observation, retrieval of routinely collected patient outcomes and cost analysis. Phase 4: accumulative data analysis across the phases to scrutinise data for patterns of congruence and discordance and develop an overall evaluation of what aspects of IR work, for whom and in what circumstances. The study has been approved by NHS South East Coast-Surrey Research Ethics Committee. Findings will be published in a wide range of outputs targeted at key audiences, including patient and carer organisations, nursing staff and healthcare managers. INTRODUCTION METHODS AND ANALYSIS ETHICS AND DISSEMINATION


Files in this item

Thumbnail
Name:
e014776.full.pdf
Size:
1.326Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

Green - can archive pre-print and post-print or publisher's version/PDF
Except where otherwise noted, this item's license is described as Green - can archive pre-print and post-print or publisher's version/PDF