Intentional Rounding in Internal Medicine

Study Overview
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Brief Summary
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Each investigator will have to collect data for 50 hospitalized patients in the Internal Medicine wards. If the center is randomized to Intentional Rounding, the staff of nurses and OSS will have to implement the new care strategy.

Detailed Description
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The centers participating in the study are randomized to the Intentional Roundig group and the Control group, in a 1: 1 ratio. In the randomized centers for experimental intervention, a training intervention lasting about 4 hours was conducted by a nurse expert in Intentional Rounding. At the end of the study, training is also scheduled for the Control Centers.

Official Title
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Intentional Rounding in Internal Medicine: a Multicenter, Randomized National Study Studio INTENTO - FADOI.03.2018

Conditions
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Hospitalization

Intervention / Treatment
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* Other: Intentional Rounding


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥ 18 years Signature of informed consent Patients who understand Italian Exclusion Criteria: Patients who deny informed consent

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Cluster randomized
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intentional Rounding<br>In the centers randomized to Intentional Rounding the ward nurses will have to adopt a new proactive care method towards hospitalized patients | Other: Intentional Rounding<br>* A new method of nursing care named Intentional Rounding. The intentional roundings are planned rounds, conducted at regular intervals by nursing staff to anticipate care, comfort, hospitality and psychological needs of hospitalized users.<br>|
| No Intervention: Control<br>In randomized controlled centers, nurses guarantee the standard care provided by the ward | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Falls and new bedsores | Cumulative assessment of the incidence of falls and the appearance of new pressure sores in hospitalized patients in the Internal Medicine wards | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Call lights | Analysis of the impact of the implementation of Intentional Rounding on the call lights by hospitalized patients. The total number of calls to the emergency bell is evaluated. A call light log will be used on which the nurses will report the reason for each call by the patient. | 3 months | 
| Measurement of patient satisfaction with the nursing care received and hospitalization | Assessment of the relationship between implementation of the Intentional Rounding and level of patient satisfaction, defined on the basis of how patients consider the way care is provided useful, effective and advantageous (for patients able to perform this evaluation). The information will be collected through a questionnaire consisting of two questions. The patient will have to evaluate the nursing care and hospitalization, assigning a score from 1 to 7 (where 1 = bad; 7 = excellent). | 3 months | 
| Critical thinking of nurses | Evaluation of the critical thinking of nurses following the implementation of Intentional Rounding in clinical practice, defined as the process that is used by nurses when they have to make a clinical decision and manage daily problems (on a voluntary basis between the participating Centers). Clinical decision making in nursing scale (CDMNS) will be used to evaluate the critical thinking of nurses. For each of the 40 statements, the nurse must think about how she would behave during patient care. There are no right or wrong answers. What matters is his evaluation of how he usually acts in making decisions in clinical reality. The answers can be: Always: what he constantly does every time. Frequently: what he usually does in most cases. Occasionally: what he does a few times. Rarely: what he seldom does. | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nursing