Nurse Leadership Rounding and the Effect on Patient Satisfaction

Brittany Shea Schuller, Gardner-Webb University


The purpose of this study was to determine the effect of nurse leadership rounding on patient satisfaction scores, as measured by Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) scores, in the areas of nurse communication, responsiveness of staff, and overall satisfaction. HCAHPS is a data collection tool measuring patients' perceptions of their hospital experience. HCAHPS provides a national standard for collecting and publicly reporting information that allows comparisons to be made locally, regionally, and nationally. For the organization in this study, top-box scores are utilized to analyze trends in data. Top-Box is the percentage of patients who answered always when questioned during the survey. Data analysis confirmed the hypothesis that patient satisfaction scores in the areas of patient satisfaction, responsiveness of staff, and overall satisfaction would increase after the implementation of nurse leadership rounding. The scores were higher in the after implementation time frame for each question analyzed. Further research on nurse leadership rounding with a larger sample size in multiple organizations across the nation would be valuable to make more generalizable results.