Hourly rounding: challenges with implementation of an evidence-based process

J Nurs Care Qual. Jan-Mar 2012;27(1):13-9. doi: 10.1097/NCQ.0b013e318227d7dd.


Introduction of an evidence-based practice change, such as hourly rounding, can be difficult in the hospital setting. This study used ethnographic methods to examine problems with the implementation of hourly rounding on 2 similar inpatient units at our hospital. Results indicate that careful planning, communication, implementation, and evaluation are required for successful implementation of a nursing practice change.

MeSH terms

  • Attitude of Health Personnel
  • Evidence-Based Nursing / organization & administration*
  • Hospital Units / organization & administration
  • Humans
  • Nursing Care / methods*
  • Nursing Evaluation Research
  • Nursing Methodology Research
  • Nursing Process / organization & administration*
  • Nursing Staff, Hospital / psychology
  • Quality of Health Care
  • Workflow*