Rounding on employees is helpful to solicit input and promote retention when the work environment is running smoothly and all associates have the information, resources and support they need. But when the world is turned upside down, as it is now from the COVID-19 pandemic, connecting with employees is no longer a “nicety” but possibly a life-saving touch point.

In 2008, I was approached by a free-standing acute care rehabilitation hospital to assist them along their initial journey to nursing excellence. In 2013, I celebrated with them as they received their ANCC Magnet Recognition Program™ designation. As I reflect on the five years that I worked with them, I don’t know if I taught them or they taught me. I was humbled at my lack of knowledge about rehabilitation care and the vital role of nursing in this interprofessional collaborative practice.

Providing routine, meaningful touchpoints with employees through rounding can result in higher employee satisfaction and retention, but only if the structures, processes, and outcomes of rounding efforts are well-defined and monitored. Conducting “howdy” rounds that don’t explore core problems or respond to key issues can be more detrimental than helpful.  

The admission of a loved one into a critical care area can put a family into “crisis” mode, especially when a hospital stay is unexpected. Until the status of the patient is known, the priorities for the patient and family revolve around two areas – information and support. Family members at the bedside are often tasked to keep the extended family and friends informed about the situation or to field multiple calls from those with well-meaning intentions.  This is not a time to ask the family how your team is doing.