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Intentional rounding is a widely debated topic and, in this article, Nottingham University Hospitals NHS Trust shares its experience and learning from implementing an innovative approach based on the process across 79 wards. The authors look at the need for education and for cultural shift to achieve the best results. The issue of intentional rounding was raised in 2012 by prime minister David Cameron, who responded to a report of failings published by the Parliamentary and Health Service Ombudsman (2011) by announcing that all nurses would be expected to do hourly rounds to improve care. The need for the process has been demonstrated further in the recommendations from the Mid Staffordshire NHS Foundation Trust Public Inquiry (Francis 2013).

INTRODUCTION Internationally validated tools to measure patient-reported health-related quality of life (HRQoL) are available, but efforts to translate and culturally validate such tools in sub-Saharan Africa (SSA) are scarce, particularly among children. METHODS The Patient-Reported Outcomes Measurement Information System 25-item pediatric short form (PROMIS-25) assesses six HRQoL domains-mobility, anxiety, depression, fatigue, peer relationships, and pain interference-by asking four questions per domain. There is a single-item pain intensity item. The PROMIS-25 was translated into Chichewa and validated for use in Malawi using mixed qualitative and quantitative methods. The validity and reliability of the PROMIS-25 was assessed. RESULTS Fifty-four pediatric patients with lymphoma completed the PROMIS-25. Structural validity was supported by interitem correlations and principal component analysis. Reliability of each scale was satisfactory (range alpha = 0.71-0.93). Known group validity testing showed that anemic children had worse fatigue (P = 0.016) and children with poor performance status had worse mobility (P

Intentional rounding is a widely debated topic and, in this article, Nottingham University Hospitals NHS Trust shares its experience and learning from implementing an innovative approach based on the process across 79 wards. The authors look at the need for education and for cultural shift to achieve the best results. The issue of intentional rounding was raised in 2012 by prime minister David Cameron, who responded to a report of failings published by the Parliamentary and Health Service Ombudsman (2011) by announcing that all nurses would be expected to do hourly rounds to improve care. The need for the process has been demonstrated further in the recommendations from the Mid Staffordshire NHS Foundation Trust Public Inquiry (Francis 2013).