Qualitative Nursing Study on Hourly Rounding Term Paper

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Nursing Study on Hourly Rounding

Qualitative nursing Study on Hourly Rounding

Similarities and difference to other quantitative articles

Similar to other qualitative papers, ethnographic researchers target the inclusion and representation of the views and observations of the subjects. The questions in qualitative and ethnographic researchers try to focus on the understanding of the subjects in their engagements in the day-to-day experiences. It is the interests of qualitative and ethnographic researchers to seek the relative positions and evaluations of the subjects about the subject matter (Green, Dixon, & Zaharlick, 2002).

Qualitative and ethnographic researchers obtain guidance on implementation and design in conducting their study from the theoretical orientations. These orientations include data collections tools -- interviews, artifacts, participant observation -- and data analysis measures (Green et al., 2002). Theoretical guides also direct on measures of entering the field, data to collect, the relevant literature to retain, necessary records to make and period to take in the field (LoBiondo-Wood & Haber, 2013). Guidance in the relationship to uphold with the participants is also given by theoretical orientations in both qualitative and ethnographic research conducts.

The use and analysis of artifacts in qualitative and ethnographic research is seen across the board. These artifacts are explored and used to produce data on the group's operations and specific outcomes. In the case of hospitals medical information on patients provide artifacts on the patients' conditions and allow for the analysis of their conditions. In essence, the artifacts provide qualitative information that is only available through other means other than interviews and observations (LoBiondo-Wood & Haber, 2013).

Components of the qualitative process

Statement of the Phenomenon of Interest

The study was undertaken to investigate the change in practice in nursing by introducing hourly rounding in hospitals. The purpose for the study is to access the challenges in implementing the new hourly practice in hospitals using two inpatient hospitals as the study groups. To facilitate in the assessment the study' interests a number of variables were identified to act as guides.

The qualitative method used allows for a thorough examination of the implementation of the hourly rounding in hospitals. Since the qualitative method focus in on the recipient group, the outcome will be more objective to the study's purposes. The researchers will also be in a position to obtain first-hand information relating to the study and interpret the information collected to reflect the needs of the study.

The ethnographic research is undertaken to evaluate the phenomenon of concern in their natural settings. The philosophical underpinnings of the study are to acquire undistorted information on how the new practice is being implemented. It will allow the researcher to interpret the observations in relations to the phenomenon's occurrence in the natural setting. Additionally the research is guided by collecting information in the raw form thereby ensuring minimal distortions on data occur prior to its further interpretations.


The study seeks to provide an insight on the implementation of hospital hourly rounding. This study will give guidance as the implementation of the new practice and show the contribution and inadequacies resulting from the practice. The appropriateness of the practice and measures to fine tune towards desirable results will result from the study.

The study will advise hospital administrators and guide them in arriving at the ideal implementation procedures of the new practice of hospital hourly rounding. Hospital nursing staff will obtain guidance on the delivery of a new practice with an understanding on the desirable outcome. The nursing profession will benefit from the study by getting deeper measures of ensuring their patients comfort and facilitating their recovery.


The data collection method used is compatible to the purposes of the research since the researcher used interviews and data log to obtain relevant information. The nursing staff's information log sheet comprises of questions that attended to acquisition of information on their hourly rounding. The data log sheet gave information on the number of bell ring among other relevant information on patient care.

The data collection method is however inadequate in spelling out and guiding the nurses on how to give responses. This is the case where, generalized information is obtained regarding specific inquiries on the phenomenon.

Proving guidance to the nurses involved in the research will facilitate the acquisition of data relevant to the phenomenon. In an ideal situation, the respondents will be in a position to relate to the questions and respond adequately reflecting their observations in a manner that the research needs are met.


The sampling method used in the study is both purposive and random representative sampling methods. The researcher identified appropriate respondents for the study including the registered nurses and the unlicensed nursing staff from both shifts and in each unit. This sampling ensures appropriateness of responses, convenience in data collection and representation of the study's informants. The informants presence in the hospital is expected, and they are aware and part of the implementation process. This implies that it is unlikely for them distort the natural process and cultures in the hospital's environment. The patients and the nurses being the study's key informant satisfy the need for persons with the desirable qualitative information.

Data collection

The study focuses to gather information on how the patient's respond to new practice and their observed contribution. The focus of the observations made is on the practice and the experiences of the patients thus, it suffice to say that the date collection process is on human experiences. A detailed description of measures of information gathering is given to guide the study. The descriptions indicate interviews, nurses' observation notes and data logs are used for data source. The interviews are used to feed information on the nurses' and patients' experiences while the logs are used to infer the results of the process.

The interview information was collected through permission from the respondents and secured in folders accessible to the research team. The study noted that there were occurrences of saturation of information mainly concerning the satisfaction of staff and patients. However, this information failed to provide articulate measures of gains derived from the new practice relating to hospital service provision and patient recovery. The described steps in data analysis are easy to follow and well understood. Procedures for collecting data include structured interview questions, focused group discussions and photography.

Data analysis

Data analysis was conducted by transcribing and coding fielding notes in accordance to the set relative themes and collapsing the themes to idealized thematic categories. In the conduct of research, the researcher remains true to the data and follows the set steps described in data analysis. The credibility, fittingness and audibility of the data is adequately addressed by the researcher use of the study team to transcribe the data, coding and categorizing following guidance from the set themes.


The participants' appreciation of the process as their own is evidenced by their positive response to participate in the study and give information on the process's evaluation. The revealed enthusiasm is through the observed levels of job satisfactions and motivation to work. The required degree to understand to the new practice of hourly rounding in hospitals is not fully internalized thereby, compromising on the complete understanding of the phenomenon.


The readers can easily follow through the though presented by the researcher allowing the reader to understand deeper the phenomenon and the prevailing circumstances. Ideally the researcher gives details on the needs for the research and presents procedures for easy follow by the reader. A systematic research methodology with guiding information is giving in this study.


The fittingness of the findings is applicable in another study since the study's sample is representative and incorporates conditions observable in other hospital settings. The results relayed in the study avoid the use of technical jargons and measures allowing understanding by individuals in…

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