Improving Bedside Nurse Reporting

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

Evidence also supports that bedside shift reporting is financially beneficial for staff nurses and nursing management. The average report time is significantly decreased from an average of 45 minutes to 29 minutes (Gregory, et al., 2014). This reduces overtime and saves hospitals money. Nurses’ satisfaction is improved because they get to end their shift on time. They get to proceed with shift report more quickly, with fewer distractions and in real time (when compared with writing or recording report). Increase in nursing satisfaction reduces turn over and, once again, saves hospitals money (Gregory, et al., 2014).

The shift report is an integral component of patient care due to the fact that it advances patient safety and maintains continuity of care. Shift reporting promotes best practices through communication among nursing staff, therefore, promoting professional socialization. Furthermore, shift report influences staff retention and quality of patient care by improving informational, social and organizational functions. The expertise and knowledge in shift reporting can be used to promote interdependence and teamwork. When compared to traditional reporting, bedside shift reporting has such advantages as enhancing time management, social interaction, peer support and procedural training. Shift reports taken and given at the bedside benefit patients as well. Many patients have expressed improved satisfaction and nursing accountability with bedside shift reports. For instance, an orthopedic unit manager, who dropped the traditional staffroom reporting and handover and replaced it with a patient-led system, reported increased patient satisfaction because her patients felt that they were in control.

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

Registered nurses monitor records and report changes in patient’s symptoms. RN’s have to check vital signs, diets and physical activities on their patients daily. RN’s have to observe patients and monitor their overall health daily in some cases every few hours. They authoritatively inform individuals, families, and health groups on inculcation for patients. RN’s coordinates with other health care professionals to customize care plans for patients. Registered Nurses prepare patients for treatments and examinations. RN’s supervise other healthcare personnel such as an LVN (License Vocational Nurses) and CNA (Certified Nurse Assistants).

Communication breakdown is among the leading cause of medical errors such as gaps in health care, incomplete or missing information, and medication errors. Most importantly, communication supports the foundation of patient care. According to The Joint Commission (formerly Joint Commission for Accreditation of Healthcare Organizations [JCAHO]) improved communication among nurses during shift changes reduces injuries due to medical errors by 30 percent. So, hand-off reporting during shift change is a critical process that is crucial in protecting a patient’s safety. Throughout the hand-off report, it is vital to provide accurate, up-to- date and pertinent information to the oncoming nurse. An estimate of 80 percent of the most serious medical

Communication is very important when it comes to the information that nurses are given when treating a patient. If there is not good communication between nurses, especially between shifts and handoffs, consequences can happen, including the possibility of a sentinel event. According to Yoost and Crawford, 70% of the sentinel events that happened in 2005 were due to communication breakdown, with communication breakdowns during handoffs being the reason behind 50% of these events (p.137). There are different ways that nurses can handoff information to another nurse, with bedside report being one of the ways that is suggested to reduce the amount of communication errors. This paper will explain what makes bedside report safer for the patients

This section tools? Provides an overview of the tools includes in this strategy included Blank incudes in this strategy Bed side Shift Report What is it how can help you get involved? information Inform the patient and family and family about the bedside shift report is and how they can take part is and how they can take Give to patient on the day of admission, this handbook explains what bedside shift report is, during bedside shift report • Ferment 1-page handout Tool 3 Nurse Format: Bedside Shift Report Training prepare nurses to conduct nurses shift report. Slides and “talking points to train nurses to conduct a bedside

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.

Gone are the days of taped change of shift reports or written communications between nurses for hand off. The Centers for Medicare and Medicaid (CMM) have recently linked quality of care to payments. The hospital value-based purchasing program now adjusts the reimbursement hospitals receive on several key concepts including the patient experience. Patient satisfaction accounts for 30% of the total performance scores (Centers for Medicare & Medicaid Services [CMM], 2015). General medicine consistently receives low scores on communication with patients. The purpose of this paper is to find solutions to the patient perceived lack of communication by reviewing the current process of bedside reporting during shift changes and find the appropriate change theory to reverse the current findings.

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

To transform health care successfully, nurses must be focused in improving quality of care. There are many reports that reveal evidence of quality deficiencies of the healthcare system, as well as, many systems and processes that guide quality improvement efforts.

Sand-Jecklin and Sherman (2014) did a quantitative assessment of patient and nurse outcomes of bedside nursing report. Seven medical-surgical units in a large university hospital implemented a blend of recorded and bedside nursing report. Outcomes monitored included patient and nursing satisfaction patient falls, nursing overtime and medication errors. A standardized survey with Likert-type response options was collected from a convenience sample of 157 patients at post three months and 154 at 13-month post. Nursing survey gathered form 98 at three-months and 54 at 13 months. Nurses listened to a recorded patient report which prior to bedside shift report. This format allows for private discussion of any issues that may not be appropriate

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

The adoption of clinical information systems is one way that healthcare organizations are making an effort to improve patient safety, provide a means to exemplify regulatory compliance, and facilitate exchange of patient information between care providers (Kirkley & Stein, 2004; Nadzam, 2009). To achieve this goal, Barnes-Jewish Hospital (BJH) recently implemented a new CPOE/clinical documentation system. One of the objectives of the new system was to give bedside clinicians a standardized electronic tool, known as the Clinical Summary, for bedside shift hand-off reporting. Soon after go-live, it was identified that the standard nursing Clinical Summary did not meet