Ethical and professional concerns in research utilisation Intentional rounding in the United Kingdom

Intentional rounding, a process involving the performance of regular checks on all patients following a standardised protocol, is being introduced widely in the United Kingdom. The process has been promoted by the Prime Minister and publicised by the Chief Nursing Officer at the Department of Health...

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Bibliographic Details
Published inNursing ethics Vol. 20; no. 7; pp. 784 - 797
Main Author Snelling, Paul C
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.11.2013
SAGE PUBLICATIONS, INC
Subjects
Ethical conduct
Ethics
Evidence-Based Medicine - ethics
Evidence-Based Medicine - legislation & jurisprudence
Evidence-Based Medicine - standards
Health services
Humans
Justification
Nursing
Nursing care
Nursing Care - ethics
Nursing Care - standards
Politics
Prime ministers
Promotion
Quality of care
State Medicine - ethics
State Medicine - legislation & jurisprudence
State Medicine - standards
Teaching Rounds - ethics
Teaching Rounds - legislation & jurisprudence
Teaching Rounds - standards
United Kingdom
United Kingdom > UK
United States > US
England
research utilisation
politics
professional autonomy
Intentional rounding
Studer Group
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Summary:Intentional rounding, a process involving the performance of regular checks on all patients following a standardised protocol, is being introduced widely in the United Kingdom. The process has been promoted by the Prime Minister and publicised by the Chief Nursing Officer at the Department of Health as well as by influential think tanks and individual National Health Service organisations. An evidence base is offered in justification. This article subjects the evidence base to critical scrutiny concluding that it consists of poor quality studies and serial misreporting of findings and a failure to consider wider concerns, including transference of evidence to differing health-care systems, and the conflation of perception and quality of care. Political promotion and wide implementation of intentional rounding despite the flimsy and questionable evidence base raise questions about the use of evidence in ethical nursing practice and the status of nursing as an autonomous profession.
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ISSN:0969-7330
1477-0989
1477-0989
DOI:10.1177/0969733013478306