Writer’s choiceo Research to Evidence-Based Practice

Annotated Bibliography
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Annotated Bibliography
Article 1: ‘Caring around the Clock’: A new approach to intentional rounding
In “‘Caring around the Clock’: A new approach to intentional rounding,” Marie Hutchings, Paula Ward, and Kerry Bloodworth present the outcomes of a qualitative study to ascertain the value of the ‘caring around the clock’ program. In fact, the authors concede that although the program has received support from logical and scientific processes, it faces challenges concerning the need for a cultural shift and education among stakeholders to facilitate its full application and acceptance. Of importance is the fact that the government recognizes that there is a need for all nurses to do hourly rounds in response to the need for improving care outcomes. Using the evidence offered in the article, policy makers, and nurses can refine the ‘caring around the clock’ program for increased effectiveness in improving medical care outcomes. Also, such an awareness would guarantee superior general medical care results and efficient use of medical resources. Overall, the article acknowledges that hourly rounding facilitates nurses’ interactions with patients to preempt worsening of medical situations. Thus, the journal article addresses the assessment of ‘caring around the clock’ program, identification of its inadequacies and recommendation of how best to address the weaknesses through education and cultural shift. It becomes evident that the journal article is intent on identifying the best strategies for improving the outcomes of ‘caring around the clock’ program and ensuring that maximum benefits are realized to include fall prevention in inpatient settings.

The authors acknowledged that regular rounds by medical personnel kept a close eye on patients and made it possible to prevent them from falling while anticipating their needs. Also, they improve trust and satisfaction. As a consequence, the article evaluates how best to improve the outcomes for ‘caring around the clock’ program, with particular emphasis on increasing knowledge and cultural shift in addressing the problem. The implication is that the article would be very useful in identifying how best to improve the provision of nursing services.
Article 2: Bedside Nursing Handover: Patients’ opinions
Bedside nursing handover: Patients’ opinions by Sai Lu, Debra Kerr, and Louise McKinlay addresses the problem that medical facilities face in achieving patient-centered care. In this case, they concede that clinical handovers are a regular occurrence in hospital settings, but that the process does not facilitate continuity of care. They explain that this is the result of a breakdown in communication, whereby the stakeholder’s inability to express their needs causes the patients to realize adverse outcomes. Also, they point out that the problem is pervasive, with recommendations for addressing the problem calling for the extensive inclusion of patients in the communication process as key stakeholders. Having established that there are calls for patients to be included in the handover communication process to ensure positive outcomes for the patients, the authors noted that this had not been put into practice, particularly during nursing handovers. In this respect, the research noted that there was the limited inclusion of patients during the handover process, despite there being evidence to show that such an inclusion would facilitate patient-centered care, improve patients’ satisfaction levels, and enhance the handover quality. Besides that, the authors identified the viewpoint from which the study was advanced as that of policy makers’ intent on care outcomes and patients’ satisfaction levels. This was facilitated by applying a deductive approach that entailed using the research objective as a guide. The generalizability is that there is a correlation between patients inclusion in the bedside handover and positive outcomes as well as higher satisfaction levels. Conducting the literature review was a strategy for making an explicit assertion – that patients would welcome their inclusion and participation in the nurses’ handover process since it empowered them through active participation in the process. The information contained in the article is useful for improving nursing care provision.

References
Hutchings, M., Ward, P., & Bloodworth, K. (2013). ‘Caring around the clock’: A new approach to intentional rounding. Nursing Management – UK, 20(5), 24-30.
Lu, S., Kerr, D. & McKinlay, L. (2014). Bedside Nursing Handover: Patients’ opinions. International Journal of Nursing Practice, 20, 451–459.