The Dual Function Of Determining Staff And Patient Perceptions Before And After Implementation Of Bedside Handoffs

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

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,

Nurses must never stop learning and always need to strive to discover better ways to provide care for their patients. One important factor in achieving this goal is involving patients in their own care. This can be established by doing a handoff report at the bedside between nurses. Bedside report has been studied in various settings, and its effectiveness has been proven in the literature. However, more evidence-based research on this topic is needed.

Bedside handover using ISBAR frameworks has proven in promotion of patient satisfaction, especially for the patient’s safety. However, there are some barriers that were identified in the effectiveness of bedside handover. These barriers may involve different factors such as environmental and human.

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

More specifically, the standardized handoff procedure, SOUND, was developed and implemented in this study. This procedure includes five elements, which are Synthesis, Objective Data, Upcoming Tasks, Nursing Input, and Double Check. The quality of pediatric handoffs was evaluated before and after this intervention. Statistically significant improvement of successful handoff percentage was observed post-intervention. This study demonstrates that standardized patient handoff procedure is feasible in pediatric emergency department setting. However, this study was only able to test the completeness of handoff, but unable to relate the effectiveness of the handoffs to clinical outcomes of

This team will utilize a standardized communication handoff tool when reporting changes to the multidisciplinary team members. understand the importance of communicating changes, upon identification in a timely manner in other to improve patient safety and quality of care.

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

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.

It has been proven that bedside handover with ISBAR has provided a safety transition and met patient’s satisfaction that gives more opportunity to clarify information (ACSQHC 2012). Although, bedside handover with ISBAR is strictly implemented, there are difficulties in the application due to ‘changes in complex social practices’ of the nurses that somehow limits its uptake (ACSQHC 2012, cited in Jeffcott, Evans & Cameron 2009). This literature review will provide a background and rationale as to the effectiveness of bedside handover with ISBAR framework in clinical settings; and to identify the common barriers to effective communication in bedside handover.

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.

Abstract: aims and goal – The study conducted with eight family members in one rehab ward in Queensland, Australia, in 2009. It is showing, bedside nursing handover provides an opportunity to the family members to participate and improve the accuracy off handover communication. It also helping them to understand the situation, patient condition, treatment, and feeling like informed.

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

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