Bedside Report Nursing

End of shift reports between nurses has been an important process in clinical nursing practice. Allowing nurses to exchange vital patient information to ensure continuity of care and patient safety. Therefore, the chance of potential communication gaps causing an error is high. According to the Joint Commission, communication is the primary cause of medical errors, with handoffs accounting for 80% of these errors [ (Zhani, 2012) ]. The most commonly practiced model of report takes place in the staff room, at the nurses’ station, or other locations away

Our last study is by Olson-sitki, Weitzel, and Glisson (2013), that performs a case study that discusses the transitions and outcomes from recorded reporting to bedside reporting using a defined process. A strength of this study is that it is a case study. This means that they performed the study themselves and are not relying on information obtained from other studies they did not conduct themselves (Olson-Sitki, Weitzel, & Glisson, 2013, p.25). Another strength of this article was that there was a video designed to demonstrate how bedside report should be performed, written guidelines given to nurses, and a to-do list informing nurses on what needs to be included

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,

The importance of an ethical basis for nursing practice has been emphasized in recent years. Ethics programs that work with VBP improves patient outcomes (Bailes et al., 2014). Beneficence is incorporated in the clinical practices of the strategic plan on improving communication, developing a policy protocol for administration of pneumonia vaccine in ED, and creating strategies to decrease CHF readmission rate. Bedside report will be implemented as a new strategy to improve the communication and care to the patient.

Evidence based practice has shown bedside reporting has enhanced nursing and patient satisfaction while allowing more direct time with patients. It has also helped reduce report time, increase patient satisfaction and allowed nurses to build trust with patients while involving them in their care.

Bedside reporting has the primary function of sharing patient information between nurses, as they change shifts. The nurse ending their shift would report all the changes that have occurred in the state of the patient and all measures which have been taken for the respective patient. This information would be transmitted to the nurse commencing her shift, who would then write and further transmit all patient information occurring during their shift, to the nurse coming to replace them.

In every profession there are changes that propel how tasks are done; nursing is no stranger to this. One of the biggest changes that have come into nursing’s daily events is how report hand-offs are being done. Gone are the days of taped report that each off going nurse must tape about each patient and the oncoming nurse must listen to. Nurses are now being encouraged to move their report to the bedside, in front of the patient (Trossman, 2007). It is very important to know how this can affect the patient and even the nurse’s schedule. With every change, there are positives and negatives that can finalize the decision to keep or forego

Bedside report has also become a critical component to maintain patient safety. In the past nurses would give hand off report at the nurse’s station, leaving their patients alone. This time frame has proven to be when the majority of sentinel events occurred, such as falls (Ofori-Atta, J., 2014). Bedside report keeps patients involved in their care and reduces the risk of errors in communication between nurses and maintains patient

“The strategy of the Nurse Bedside Shift Report is to help ensure the safe handoff of care between nurses by involving the patient and family. The patient defines who their family is and who can take part in bedside shift report (AHRQ, 2014).” Implementing bedside shift report will ensure that the patient will feel included in their plan of care, as well as keep the patient, family, and nurses informed of any changes to the patient’s treatment or condition. As stated in the Nurse Bedside Shift Report Implementation Handbook (NBSRIH), “shift report happens at the patient’s bedside.

Change of shift in the nursing profession is unique (Caruso, 2007). Information is transferred between nurses verbally and through written communication. In many facilities shift report from one shift to another involved sitting down and getting all your orders from a caredex and then talking with the previous nurse face to face going over pertinent information regarding their patients. This type of report usually happens in a report room or sometimes in the hallways or other common

1. Briefly describe your interest in the theme of this community. What experiences have led to your interest? (75 to 100 words) I am interested in the Nursing LLC at Florida State University because I am a pre-nursing major. I believe that being a part of the Nursing LLC will allow me to explore the major that I am interested in greater depth.

According to the first step of Lewin’s theory Unfreeze phase is about helping nurses to recognize the need for change and encourage them to think about what the current process of end of shift reporting, what the disadvantages are, and how it can be improved. According to Sand-Jecklin and Sherman (2014), significant percentage of a nurse’s communications occurs during end of shift handoffs, and the safety of the patient can be compromised at this time. Nurses recognized that patient handoffs as a factor regarding near miss incidents. According to the Joint Commission (2011), miscommunication is one of the factors that leading to sentinel patient events, therefore, it is a requirement of Joint Commission National Patient Safety Goals. Nursing handoff report is the time, when responsibility and accountability for the care of a patient would be transferred from one nurse to another. Ineffective handovers, such as when not all required information is provided, can be risky for patients and staffs. According to Novak and Fairchild (2012), the method for delivery of shift report varies among hospitals, units, and nurses. These handoffs occur at busy times with multiple distractions and time constraints. This makes shift-to-shift report a time with high potential for the occurrence of errors related to communication. Reports done away from bedside hinder the patient’s participation in their care, which results in a decrease in patient satisfaction scores.

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

As our healthcare system continues to evolve with the passage and adoption of the Affordable Care Act (Obama Care), new laws and regulations related to medical services reimbursement is also developing. However, disparities continue to exist between medical providers and third-party practitioners such as Advanced Nurse Practitioners(ARNP), leading to a lack of autonomy or independent practice (Woo, & Robinson, 2016). According to (Hain, & Fleck, 2014), many Nurse Practitioners report that payer’s policies have a critical impact in the way they care for patients and negatively reduces their ability practice to their full extent of their clinical expertise and education.

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