Expert advice

Intentional rounding: does it ensure consistency or hinder individualised patient care?

How the structured rounds system works in practice, plus what it means for compassionate care

How the structured ward round system works in practice, plus what it means for compassionate care

What is intentional rounding?

Intentional rounding (IR) is a structured nursing intervention, usually carried out every 1-2 hours.

The aim is to address the fundamental elements of nursing care through a regular bedside ward round to check on patients, using a standardised protocol and documentation.

IR is also known as hourly rounding, proactive patient rounds, comfort rounds or rounds with intent to care. The process is implemented primarily in the UK, Australia and the US.

How was it developed?

IR was developed in 2007 in the US by the Studer Group, a private


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