A Brief Note On Preventive Medicine And Autonomy

In looking at another hospital’s experience, Riley Hospital for Children in Indianapolis was able to decrease their lag between shifts by 45 minutes (Trossman). The article also goes on to state that children’s families felt that “call lights were not being answered promptly, and couldn’t get the nurses attention if their child needed a pain pill or other care” (Trossman). During report time, the healthcare staff can be far more engrossed in that part of their day rather than the call lights or a patients needs hoping that the nurse’s aides could take care of the issue until report time is over. Having the nurse at the bedside far sooner could show patients and their families that the on-coming nurse is readily available. Bedside reporting doesn’t seem to be a new concept even though the research is fairly new. In an article from 1978, Pepper states “bedside report ensures better continuity of care by being more accurate and more complete than the conference report”. This is true in many ways, for example, how often are nurses in a rush to leave from a hectic day and forget about a dressing change or IV bags? If nurses are doing a bedside report rather than the traditional report they would

The emphasis on improving bedside reporting is crucial today, when it is more than ever necessary for the health care institutions to operate at higher efficiency levels. In the absence of bedside reporting, nurses are frustrated as they spend 40 minutes reviewing patient data; patients also get frustrated (Ostermeier and Clair, 2008). Bedside reporting has the ability to improve nurse and patient satisfaction and support the overall quality of the medical act.

The hand over process of communication between nurses to nurses is done with the intention of transferring essential information for safe, and patient centered care. Traditionally, this shift report has been done away from the patient’s bedside, at the nurse’s station, or other place like staff’s room. In addition, the shift report used to be delivered through audio recording of the patient’s information. These reporting mechanisms did not include face-to-face reporting of the patient information, nor involvement of patient. Therefore, information regarding the patient’s care was not shared with the patient, leaving them out of his/her own care plan. Recent studies and development of Patient Centered Care Philosophy have challenged this belief of giving a report away from the patient. Tan (2015) said, “Shift report must not only be restricted in nurse to nurse communication, but it must involve patients as the recipients of care” (p. 1). Incorporating the patient into the end of shift report is essential for providing patient centered care and patient satisfaction. Nurses at the St Jude Medical center in the acute in-patient rehabilitation unit are not exceptional. Most of the end of the shift report between nurses are still done away from the patient. Aim of this paper is to make a change in the work place, which is the process of giving end of shift report at the bedside incorporating patient and families in the acute in-patient rehabilitation unit at St Jude Medical

Traditionally, nursing shift-to-shift reports were organized methods of communication between only the oncoming and leaving nurse, designated to a location such as the central nursing station or nook of a hallway. Shift reports can be considered the foundation of how the day is going to plan out because it introduces the patient, diagnoses, complications, medications, consults, upcoming test and the entire plan of care. These reports are full of complicated and vital information and while set in certain locations that are vulnerable to interruptions, such as the nursing station, medical errors and miscommunication are more likely to be made. The Joint Commission’s 2009 and 2010 National Patient Safety Goals (Joint Commission, 2015) included two patient safety standards, first to encourage patients to be involved in their health care plan and second, to implement a standardized communication process for handoff reports between providers. Soon after in 2013, The Agency for Healthcare Research and Quality under the United States Department of Health and Human Services introduced a set of strategies to improve patient engagement along with safety and quality in patient care. Within these strategies the new method of nurse bedside shift report was developed, which suggests nurses to conduct shift-to-shift reports at bedside in the room of each patient, rather than out of the room. The benefits of this new method were

This study evaluated if changing the process of shift handover from traditional form conducted in an off stage area to handover at the bedside could lead to improved safety for patients and cost reductions by shortening the duration of handover. The researchers also examined staff perceptions and satisfaction with the traditional method of handover versus th

The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk.

Bedside reporting involves giving information or a report to the oncoming nurse in the presence of a patient. This method gives the patient an opportunity to ask questions and get clarification regarding his or her care. Bedside reporting increases patient satisfaction, quality of healthcare and nurse-to-nurse responsibility. Hospitals need to design a better handoff process that can easily reduce patient risks and increase patients’ involvement in their care. Emergency rooms shift reports usually take place at the nursing station of every patient care area. The departing nurse gives information verbally to the oncoming shift. Therefore,

Bedside shift reporting, is it necessary? Baker (2010) states that is has its benefits, from patient safety, increased patient involvement and staff teamwork, ownership and accountability.” (Baker, 2010) To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Quality and Safety for bedside reporting. (AHRQ, 2013)

The patient has the right to every aspect of their care and this includes being involved in the change-of-shift bedside report. The purpose of this study is to identify the benefits of bedside report and its impact on patient safety, satisfaction, and quality of care. The participants of this study were randomly selected and of varying ages. The methodology utilized in this study is a qualitative and quantitative research. The results of the study will determine the benefits of incorporating bedside report into nursing care.

The author made a problem statement that bedside nursing report is not persistence in nursing care and there is limited research to investigate. The author’s questions are specifically related to the concern of bedside clinical handover that needs to be addressed in healthcare organization, investigate patients’ opinions to help nurses become aware of patients’ needs and increase their skill in clinical bedside handover practice. Using qualitative research methodology to interview, explore, and observe patients’ experience will help the researchers to answer the research questions. Obviously, exploring the patients’ opinion of bedside nursing handover is a key to recognize patients’ perspective to provide for their needs in order to continue patient safety care and

Nursing theorist, Imogene King’s theory of goal attainment can be applied to bedside reporting. One major concept of King’s theory listed by McEwen & Wills (2011) is nursing; a process of action, reaction, and interaction whereby nurse and client share information about their perceptions in the nursing situation. The nurse and client share specific goals, problems, and concerns and explore means to achieve a goal (p. 163). When mutual goals have been identified, means have been explored, and nurse and client agree on means to achieve goals, transactions will be made, and goals achieved (Lane-Tillerson, 2007). Once the patient’s goal(s) are achieved then

The shift report or handoff is the communication process when responsibility and accountability of care is transferred from one nurse to another at the change of shift with the intention of transferring essential information for safe, and patient-centered care. Traditionally, this shift report has been done at the nurse’s station, or the staff’s room. Usually there is no patient involvement during shift report. Therefore, information regarding the patient’s care was not shared with the patient, leaving them out of their own care plan. However, contemporary studies and development of Patient Centered Care Philosophy have objected this belief of giving a report away from the patient.

However, the purpose of these nurse’s studies showing that, the bedside nurses shift report is the accurate one, because researches showing that, the benefits of bedside reports including increased nurse to nurse responsibility, increases hours of direct care spend with patients, improvements of passing information, relationship between shit, accurateness of report, and amount of patient data convey, provides quality of batter health care and better patient

In NURS 415 I chose to review the concept of bedside shift reporting. At the facility I work at the nurses use this type of handoff and I really do believe it makes a difference with our patients. So, for my senior project I would like to choose the topic on how bedside shift reporting can improve both patient satisfaction and safety. There are a multitude of great reasons why a health care facility should implement bedside reporting and I hope to prove to everyone how great this process is. Please let me know what you all think! Also, I attached a copy of my clinical protocol poster from

In 2014 Dr. Val Jones writes about an experience in which he asked a nurse when shift change occurred so that he could attend and be up to date with how his patients were doing. “She raised her eyebrows to their vertical limit and responded, ‘I haven’t seen a doctor do nursing rounds in 30 years.’ That was one of the saddest things I’d heard in a long time.” When he talks to his colleagues about this he states “Most of my colleagues say they don’t round with nurses because they ‘don’t have time for that stuff’ or that they can ‘flag down a nurse when there’s an issue’ without needing scheduled communication.” Communication deficits can be overcome and an easy solution, when utilized, can be highly beneficial for the staff and especially for the patients. “I believe that rounding with nurses can actually save time, reduce medical errors, and head off developing problems at earlier stages (e.g., wound infections, intestinal obstructions, delirium, over/under medication and unwanted medication side effects)” (Jones, MD, 2014). Dr. Val Jones provides some solutions he believes may allow time for communicating with nurses. This may diminish communication deficits when utilized. Some facilities record change of shift report if the doctor does not