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Effects of Nursing Rounds on Patients Fall Rates

This study has been completed.
Information provided by (Responsible Party):
Melanie Kalman, State University of New York - Upstate Medical University Identifier:
First received: March 3, 2008
Last updated: June 4, 2015
Last verified: March 2008

The purpose of this study is to determine the effects of hourly rounding on patient falls, patient satisfaction, and patient call light usage. This is a replication of research which determined that hourly rounds conducted by nursing personnel decreased patient falls and call light usage and increased patient satisfaction. The study design is quasi- experimental. One unit will be used as its own control (4S). On this unit, hourly nursing rounds will be implemented by Registered Nurses, Licensed Practical Nurses, and Nursing Assistants. A second unit, 6S, will maintain current practices and data from this unit will be used to determine if there are any hospital-wide fluctuations for fall rates, patient satisfaction, or call light usage. Data for patient falls, patient satisfaction, call light usage, and reasons for call light use will be collected on both units using fall rate reports, patient satisfaction survey data, and the call light system.

Falls among hospital patients are a persistent problem, with 2.3 to 7 falls occurring in U.S. hospitals every 1000 patient days. Approximately 30-48% percent of these falls result in injury and 5 to 10 percent of them result in serious injury. Fall related deaths occurred at a rate of 46.2 per 100,000 in 2003. Hospital falls affect both young and old patients and many of them occur when the patient is alone or involved in elimination-related activities. Falls that result in injury may lead to an extended hospitalization and increased costs. Patients who fall and sustain injury are reported to have hospital charges of more than $4,200 higher than patients who do not fall. Hourly nursing rounds have been shown to decrease falls by 52%.

Hospitalized patients often require assistance with basic self-care tasks, such as using the toilet, ambulating, and eating; they ask for assistance by using the call light. Therefore, a patient's level of satisfaction with nursing care depends principally upon the patient's perception of how well the nursing staff has been able to meet his or her needs. The call light can be a lifeline for hospitalized patients, but it can also impose considerable demands on nurses' time. Several studies have documented the unfavorable effects of patients' frequent use of call lights on the effectiveness of patient-care management on inpatient units, which may already be compromised by staffing shortages.


Study Type: Observational
Official Title: Effects of Nursing Rounds on Patients Fall Rates, Satisfaction, and Call Light Use in an In-patient Medical Surgical Unit

Resource links provided by NLM:

Further study details as provided by Melanie Kalman, State University of New York - Upstate Medical University:

Primary Outcome Measures:
  • Correlate the effects of hourly nursing rounds, if any, to patient falls and call light use. [ Time Frame: 1 year ]

Secondary Outcome Measures:
  • Determine if there are any changes in patient satisfaction levels [ Time Frame: 12 months ]

Estimated Enrollment: 300
Study Start Date: January 2007
Study Completion Date: March 2008
Primary Completion Date: March 2008 (Final data collection date for primary outcome measure)
  Show Detailed Description


Ages Eligible for Study:   18 Years to 89 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
In patients on 2 units: an Oncology/OBGYN unit and an Orthopedic/Neurology unit.

Inclusion Criteria:

  • All subjects 18 years and over admitted to 4 South (Oncology/OBGYN) or 6 South (Orthopedic/Neurology) at Hospital during the twelve month study will be included as research subjects.

Exclusion Criteria:

  • Any patient not admitted to 4 South or 6 South at Hospital will be excluded from the study.
  • Patients under the age of 18 years are not admitted to these units.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00632944

Sponsors and Collaborators
State University of New York - Upstate Medical University
Principal Investigator: Melanie Kalman, RN PhD SUNY UMU
  More Information

Responsible Party: Melanie Kalman, Dr Melanie Kalman, State University of New York - Upstate Medical University Identifier: NCT00632944     History of Changes
Other Study ID Numbers: 5529
Study First Received: March 3, 2008
Last Updated: June 4, 2015 processed this record on September 20, 2017