Nursing rounds involve a small group of staff members and students visiting patients' bedsides. This allows nursing members to learn about patients' problems and ways to solve them, while providing instructional experiences for students. Nursing rounds have several purposes, such as demonstrating symptoms, comparing patients' reactions, illustrating skilled care, and providing instruction to student nurses. Proper planning of rounds includes consulting students' prior experience, considering clinical material availability, explaining plans to patients, and having post-conferences. Rounds provide natural patient responses and allow students to select patients with specific issues. Conducting rounds well requires careful patient selection and group observation and discussion to diagnose issues and plan care.
2. INTRODUCTION:-
A small group of the staff
members ,not more than five and a leader &
teachers visit the bed sides of the clients nursing
superintendents, ward sisters taking rounds of
hospital wards. it helps the nursing members to
know about all the patients in the wards there
problems & ways of solving.
Nursing rounds is an excursion in to patients
area involving the student learning experiences.
3.
4. Purposes of nursing rounds
1) T0 demonstrate symptoms important in nursing.
2) To clarify terminology used.
3) To compare the clients reaction to disease.
4) To demonstrate the effects of drugs.
5) To explain the plan to the patient.
6) To illustrate skillful nursing care.
7) To compare methods of meeting the needs.
8) Instructional purpose for student nurses.
9) To learn about disease, pattern of care, treatment.
10) To illustrate successful improvisation & to give
opportunity for the use of different application.
5. FACTORS TO BE KEPT IN MIND WHEN
PLANNING NURSING ROUNDS.
To consult students previous clinical experience to
avoid repetition & to add to earlier experience.
Keep in mind the probable value & availability of
clinical material.
Explain the plan to the patient.
Introduce the patient to the group.
Make the patient feel important.
Have a post-conference for summary & further
explanation.
Records the nursing rounds in the ward teaching
records.
6. ADVANTAGES OF NURSING ROUNDS
Response of the Patient is more natural
Students can select patients with specific problems
& plan proper nursing care.
The way of conducting nursing rounds are
a) Patients are selected with nursing problems to
reinforce their theoretical knowledge.
b) The group observes the behaviors of the patient at
the bedside and make proper comments.
-The group observes the equipments & articles
under use.
-The student return to classroom to discuss the
nursing diagnosis & needed nursing care for
patient.
7. SOME EXAMPLES & TYPE OF NURSING
ROUNDS
1) Demonstration of symptoms.
2) To clarify terminology.
a) Herpes simplex.
b) Anemic pallor.
3) Effects of drugs.
a) Allergic reaction.
b) Sedative effect.
4) Skilful nursing care.
a) Progressing improvement of bed sore.
b) Maintenance of adequate fluid intake(oral).
5) Successful improvisation
a) use of a chair as back rest.
DISADVANTAGES
- Requires very careful planning.
- A small group of students can be taken at time
8. PREPARATION BY THE HEAD NURSE
- The head nurse selects the patients before hand
according to time available.
- Rounds not least longer than an hour.
- The head nurse needs to read the patients histories
know the plan for their treatment and it’s results
the patients progress and prognosis, their nursing
care and it’s effectiveness
- Rounds for staff nurse should be held separately
from those of junior students.
- The central figure in nursing round is the patient.
- If the purpose of the round is instructional or
problem solving the patient will be included in the
discussion.
9. METHOD OF CONDUCTING NURSING ROUND’S
- A brief conference at the side of the patient’s room/ward has to
be held.
- Necessary data are given.
- The purpose of the visit to the patient is outlined by the head
nurse, special observation to be made or pointed out at this
time.
- 4-5 patients are selected for instruction.
- The head nurse herself may present the uses or she may ask
the students who are assigned to these patients to answers the
questions of the group or her questions.
- The students are asked to present the cases regarding other
particulars.
- The participants may also be involved such as counting pulse,
respiration, examining the conjunctive, pitting edema etc.
- The patients case sheet can also be utilized with presentation.
- Thank the patient before leaving & tidy up the bed.
10. BIBLIOGRAPHY
1) A text book of nursing education
Author-B T Basavanthappa
Page no-541-543
Edition-2nd
publisher-Jayapee
2) A text book of nursing education
Author-K P Neeraja
Page no-251
Edition –1st
publisher-Jayapee