Evidence based practice, task 1 Essay

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

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.

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

The significance of the study is to discuss and clarify why bedside reporting is the best method of patient handoff. The benefits associated with this kind of bedside reporting and if implemented, how it will be of help to

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.

With growing concern about patient safety and satisfaction, a change in where shift report is given has been a cause of concern. Traditionally, change-of-shift report is done at the nurses’ station or away from patients. Numerous studies have been conducted on moving the change-of-shift report from the nurses’ station or hallway to the patient’s bedside. An analysis of bedside shift reporting has revealed the benefits of increased patient satisfaction and safety as well as several challenges of implementation of bedside shift reporting.

Verbal communication between the nurses during shift change or simply writing a progress report on the status of the patient does not cater to the needs of the patient, it is a mere communication method that is unreliable and nurse perception of the written report are often molded with bias and does not wholly represent the patient’s holistic health care needs. As dictated by Caruso (2007), “Change of shift signifies a time of carful communication in order to promote patient safety and best practices... [the risk exists of] relaying important information becomes muddled by irrelevant information instead...” (p.17). In essence, implementation of bedside nurse shift report/handover deems to provide the most opportune outcomes and focuses on patient-centered

This systemic review was completed to evaluate articles that discussed nursing handoff. 95 articles met the inclusion criteria and 20 of those articles involved research on nursing handoffs. A Quality Scoring System went on to assess each article with scores ranging from 1 to 16. “Quality assessment scores for the 20 research studies ranged from 2 to 12” (Riesenberg et al, 2010, p. 28). This goes to show us that there is a lack of high-quality articles on the subject matter of nursing handoff. From this article the reader can also learn about barriers and strategies of effective handoff in more depth.

The terms that were searched individually are bedside handover, patients, nurses, ISBAR, SBAR, adult, bedside reporting, clinical handover, registered nurse,

The objective of this case study, qualitative research article is to examine families’ perception of bedside shift-to-shift handover. Themes that were focused on included the family interaction with staff, finding value in bedside reporting, and family understanding of the condition and treatment of the patient with regards to the information during report. The study took place in Australia with 8 family members on a rehabilitation ward. Researchers used observation, field notes and in-depth interviews to report their findings. Observations were done prior to interviews. Observations of families’ interactions occurred in the context of bedside handover. The interviews were taped and in-depth which participants were encouraged to relay

Quantia, I agree patient handoff and report is imperative to positive patient outcomes. I also understand the reality of the actual experience and the many opportunities for distractions and missed communications during this part of patient care. The transferring of patient care must occur numerous times in a patients stay in the hospital or even just in the initial admission stage in the emergency department. For example, patients are transferred from the nurse’s care to various departments including medical imaging and ultimately from the emergency department to the floor for their stay in the hospital. My current organization recently mandated bedside report, nurse to nurse verbal report for all units and also implemented the use of SBARs

This mixed method of study set out to understand the nurses in a neonatal unit viewpoint of bedside handover. Although 22 nurses were invited only 16 responded to be included in the study. The Handover Evaluation Scale (HES) was used to gather data during this study. They focused on quality of information that was shared, nurse to nurse interaction, staff support during report time, and involvement of parents of the neonate during handoff time. The objectives during this study were to determine current practice in conjunction with current policy to understand how handover fulfills the goals of transfer of patient information, staff communication and support, and nurse education while measuring the differences, strengths and weaknesses,

The qualitative methodology helped connect the issue of bedside handover. The method included six focus groups of 30 registered lasting 60 minutes each, and enrolled nurses to focus on bedside handover and interview the nurses to understand if the bedside handover developed their communication skills. The numbers of hospitals and nurses involved were record, and the results for the study determining the bedside handover satisfaction were included, as well. Also, the references included in the article ranged within the five-year limit, and all of which range within the early 2000’s. An Australian study that had been done stated that the weakness of their study included of the following: missing information and lack of patent involvement (Johnson

More research needs to be conducted concerning the correlation of patient outcomes and bedside handover report. Most of the research shows that bedside handover reports

Thank you for your great presentation. I gained a lot of information from the power point and having clear understanding the importance of having a verbal handoff. When I worked as clinical staff nurse at a 26 beds ICU. Similar changes occurred, and the goal of the change was to improve the safety and the outcome of the patient. At the same time, increase patient and family members’ satification of the nursing care.