Effect of Structured Nursing Care Rounds (SNCR) on Satisfaction with Nursing Care and Job Satisfaction Involving Adult Medical Surgical Patients and Nursing Personnel in a Tertiary Care Hospital, Kerala

Abstract

Organized, systematic regular nursing rounds in patient units and nurse presence at the bedside are noteworthy feature of nursing profession, both of which had a starting point from Florence Nightingale, the founder of modern nursing1. This was a pilot study in view of a larger study involved adult patients and nursing personnel of different cadres from six randomly assigned medical surgical wards of a tertiary care hospital in Kerala conducted between December 1, 2015 and Feb 15, 2016. The aim was to relate the effect of engaging nursing personnel with Structured Nursing Care Rounds on satisfaction with nursing care among adult medical surgical inpatients and job satisfaction among nurses. Quasi experimental comparative group pre-test post-test design was used to assess and evaluate the test of change. Patient participants of intervention and control units completed satisfaction questionnaire on the day of discharge. Nursing personnel from participating study wards completed the Nursing Job Satisfaction Scale two weeks prior to SNCR training and after four weeks period during which regular nursing care rounds were implemented in the intervention wards. The differences between pre and post scores were analyzed using independent t-tests. The result of the study showed that patient satisfaction with nursing care rose from 44.61±4.08 (n=60) to 117.63 ±7.59 (n= 52) at 0.001 (p= ≤ 0.001**) level of significance. Mean job satisfaction among nursing personnel improved from 61.03± 2.484 to 116.40±2.485 at 0.001 (p= ≤ 0.001**) level of significance.