Bedside Nursing Handover

As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing

The authors used participant observation and interview to do this research. I think the method of field work that provided the most insightful information was the method of participant observation. By

In this paper, the definition and description of what a case study is, what are some reasons for using a case study, what are some disadvantages and advantages of this approach? Also included in this paper I will talk about what are some of the ways a researcher can acquire information that can is used for a case study. A case study can be defined as a descriptive account of the behavior, history, and other relevant factors concerning a particular individual (Cozby, Bates, 2012).

The nursing handover was defined in 1969 by Clair and Thrussel as the oral communication of pertinent information about patients. This was supported by Thurgood in 1995 who adopted the view that patient centred care is central to any definition of handover and that it is its primary function.

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

The author undertook an electronic search were used to collect the literature. Three electronic databases were used; Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and PsychInfo. These three databases were chosen as they are often used by nurses, allied health professionals, researchers, students and nurse educators to research their subject area (Aveyard, 2014).

Quantitative data was collected as handovers at three sites were timed pre and post the practice change and this information was analyzed and presented in graphs demonstrating the any differences. Results were tabulated by numbers of patients and staff and average times computed by unit. The mean length of handover with traditional handover was 0.44 hours which deceased to 0.22 hours after the move to bedside handover. Data on the number of adverse patient safety outcomes during handover were gather pre and post implementation and tabulated. Qualitative data collected from nurse interviews, pre implementation of bedside handover indicted that they found the traditional handover to be “difficult and time consuming.” This data was presented in graphs, demonstrating the any differences with in the three sites. Nurses were also asked to estimate the time taken to complete shift handover pre and post implementation. Researchers used a mixed model, descriptive statistics to correlate results and draw conclusions.

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.

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

This is a review of a paper by Sand-Jecklin and Sherman(2014), which uses a quantitative method to compare traditional recorded nursing reports with an approach that uses a combination of recorded and bedside nursing reports.. The paper attempts to provide a quantitative answer to the questions whether bedside nursing reports make a significance difference compared to the traditional practice of recorded

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

The medical field is an ever-changing place. New medications, techniques, and products are coming out every day. With all these new items, there needs to be current clinical evidence that proves the effectiveness of such techniques and products and whether they can benefit a patient. In many settings, nurses tend to use practice traditions that they use on a daily basis as part of a habit. With new evidence, practice tradition interventions no longer support the actions. This is where evidence-based practice comes into play. Evidence-based practice can be broken down into

This section of the article shall address the approach used in the case study, providing explanations of the preferred research method, sample details, variables under examination, data collection

By focusing on overall patient care and satisfaction many areas patients are surveyed on can be improved. Once a performance standard is selected staff must develop a plan for improvement. The first step would be to research as many sources as possible to find the best evidence based practices that would work for the specific facility. This can be divided into two the two categories of direct nursing care and indirect nursing care. Direct nursing care would include implementing hourly rounding, adequate nursing staff and SBAR communication. Indirect nursing care includes availability of technology such as wireless communication, real time locating, wireless monitoring, and electronic medical records. The second step would contain education of the staff on what is to be implemented and why. The why is important for nurses to overcome any barriers that might be encountered. While nursing practice has grown based on evidence Vanhook (2009) explains the greatest barriers to evidence based practice, such as difficulty interpreting findings, limited time, and misunderstanding of research itself, and how to overcome these barriers. With phase one and two completed facilities can move forward with implementation and evaluation.

A case study is a specific instance that is frequently designed to illustrate a more general principle (Nisbet and Watt, 1984). Hitchock and Hughes (1995) further suggest that the case study approach is particularly valuable when the researcher has little control over evens. Case studies strives to portray ‘what it like’ to be a particular situation, to catch up reality and ‘thick description’ (Geertz, 1973) of participants’ lives experiences of, thoughts about and feelings for a situation. They involve looking at a case or phenomenon in its real-life context, usually employing many types of data (Robson, 2002). It is important in case studies for events and situations to be allowed to speak for themselves, rather than to be largely interpreted, evaluated or judged by the researcher. In this respect the case study is akin to the television documentary. Case studies can make theoretical statements, but, like other forms of research and human sciences, these must be supported by the evidence presented.