Journal Club
Open Access Article

Round and Round We Go: Rounding Strategies to Impact Exemplary Professional Practice

Nicole Reimer

Laura Herbener

rounding, collaborative rounds, patient rounds, executive rounds, safety rounds, lean methods
CJON 2014, 18(6), 654-660. DOI: 10.1188/14.CJON.18-06AP

The literature demonstrates that diverse rounding methods have been shown to positively impact a wide variety of quality and safety outcomes, as well as patient and staff satisfaction. Rather than adopting one or two of these strategies, the concepts and recommendations from the literature associated with rounding have formed the foundation for an academic, community, Magnet® hospital to implement a compendium of rounding efforts: patient rounds, interdisciplinary collaborative rounds, daily clinical rounds by the unit educator and daily rounds by the unit manager, quarterly unit rounds by senior nursing managers, and safety rounds by senior executives. This article details each of these methodologies as implemented on a 26-bed hematology/oncology unit. Positive outcomes perceived to be associated with the rounds have been achieved for patient, employee, and physician satisfaction, as well as clinical quality indicators.

Jump to a section


    Bourgault, A. M., King, M. M., Hart, P., Campbell, M. J., Swartz, S., & Lou, M. (2008). Circle of excellence: Does regular rounding by nursing associates boost patient satisfaction? Nursing Management, 39(11), 18-24. doi:10.1097/01.NUMA.0000340814.83152.35
    Campbell, D. A., Jr., & Thompson, M. (2007). Patient safety rounds: Description of an inexpensive but important strategy to improve the safety culture. American Journal of Medical Quality, 22, 26-33. doi:10.1177/1062860606295619
    Culley, T. (2008). Reduce call light frequency with hourly rounds. Nursing Management, 39(3), 50-52. doi:10.1097/01.NUMA.0000313098.19766.d0
    Deitrick, L. M., Baker, K., Paxton, H., Flores, M., & Swavely, D. (2012). Hourly rounding: Challenges with implementation of an evidence-based process. Journal of Nursing Care Quality, 27, 13-19. doi:10.1097/NCQ.0b013e318227d7dd
    Edwards, C. (2008). Using interdisciplinary shared governance and patient rounds to increase patient safety. Medsurg Nursing, 17, 255-257.
    Ford, B. M. (2010). Hourly rounding: A strategy to improve patient satisfaction scores. Medsurg Nursing, 19, 188-191.
    Frankel, A., Grillo, S., Pittman, M., Thomas, E. J., Horowitz, L., Page, M., & Sexton, B. (2008). Revealing and resolving patient safety defect: The impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Health Services Research, 43, 2050-2066. doi:10.1111/j.1475-6773.2008.00878.x
    Gardner, G., Woollett, K., Daly, N., & Richardson, B. (2009). Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: A pilot study. International Journal of Nursing Practice, 15, 287-293. doi:10.1111/j.1440-172X .2009.01753.x
    Frankel, A. (2011). Patient safety leadership WalkRounds™. Retrieved from
    Leighty, J. (2007). Hourly rounding dims call lights: A nationwide study sparks protocol to improve nursing efficiency and patient satisfaction. Nursing Spectrum, 18(25), 8-9.
    Meade, C., Bursell, A., & Ketelsen, L. (2006). Effects of nursing rounds on patients' call light use, satisfaction, and safety. American Journal of Nursing, 106(9), 58-70.
    Perry, B. (2008). Why exemplary oncology nurses seem to avoid compassion fatigue. Canadian Oncology Nursing Journal, 18(2), 87-99.
    Reimer, N. (2013). Creating moments that matter: Strategies to combat compassion fatigue. Clinical Journal of Oncology Nursing, 17, 581-582. doi:10.1188/13.CJON.581-582
    Segal, S., & Mason, D. J. (1998). The art and science of teaching rounds: A strategy for staff development. Journal for Nurses in Staff Development, 14(3), 127-136.
    Shook, J. (2008). Managing to learn: Using the A3 management process to solve problems, gain agreement, mentor and lead. Cambridge, MA: Lean Enterprise Institute.
    Studer, Q., Robinson, B. C., & Cook, K. (2010). The HCAHPS handbook: Hardwire your hospital for pay-for-performance success. Gulf Breeze, FL: Fire Starter Publishing.
    Tea, C., Ellison, M., & Feghali, F. (2008). Proactive patient rounding to increase customer service and satisfaction on an orthopaedic unit. Orthopaedic Nursing, 27, 233-240. doi:10.1097/01.NOR.0000330305.45361.45
    Vazirani, S., Hays, R. D., Shapiro, M. F., & Cowan, M. (2005). Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. American Journal of Critical Care, 14, 71-77.
    Weisgram, B., & Raymond, S. (2008). Using evidence-based nursing rounds to improve patient outcomes. Medsurg Nursing, 17, 429-430.