Hypernatremia as the Initial Presentation of Osmotic Demyelination Syndrome: A Rare Case with Favorable Neurological Outcome.

Intentional rounding (IR) refers to a structured and proactive nursing practice involving purposeful, regular bedside visits aimed at assessing patients’ clinical status, addressing fundamental care needs, ensuring safety, and enhancing the quality of care [, ]. Previous studies have reported that IR is generally associated with improved patient perceptions of care, enhanced feelings of safety, reduced incidence of inpatient falls, and improved nurse satisfaction, suggesting its potential value as a patient‐centered nursing intervention [–]. Importantly, the underlying mechanism of IR is thought to lie in increased nurse–patient interaction and anticipatory care, rather than reactive task‐based nursing []. In China, inpatient nursing care is delivered within a nationally mandated tiered nursing system issued by the National Health Commission (NHC). Patients are classified into four nursing levels—special care, Level 1 care, Level 2 care, and Level 3 care—based on clinical condition and self‐care ability. Each level corresponds to a prescribed minimum rounding frequency, ranging from continuous close observation (special care) to hourly (Level 1), two‐hourly (Level 2), and three‐hourly (Level 3) IR []. Its main objective is to optimize the allocation of limited nursing resources by matching the intensity of care to the needs of patients, thereby standardizing nursing practices. In tertiary general hospitals, the majority of inpatients are typically assigned to Level 1 or Level 2 care, while only a small proportion receive special care, resulting in substantial variation in mandated rounding frequency across patient groups. Despite the widespread adoption of tiered IR, evidence regarding its real‐world implementation quality and effectiveness remains limited. High nursing workloads, competing clinical demands, and an overemphasis on documentation rather than the content of rounding may undermine the intended benefits of IR, potentially leading to missed care opportunities and compromised patient safety [–].