The Effect Of Bedside On Patient Safety, Satisfaction, And Quality Of Care Essay

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

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 emphasis on improving bedside reporting is crucial today, when it is more than ever necessary for the health care institutions to operate at higher efficiency levels. In the absence of bedside reporting, nurses are frustrated as they spend 40 minutes reviewing patient data; patients also get frustrated (Ostermeier and Clair, 2008). Bedside reporting has the ability to improve nurse and patient satisfaction and support the overall quality of the medical act.

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

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

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,

Bedside shift reporting, is it necessary? Baker (2010) states that is has its benefits, from patient safety, increased patient involvement and staff teamwork, ownership and accountability.” (Baker, 2010) To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Quality and Safety for bedside reporting. (AHRQ, 2013)

The purpose of this BSR project is to assess the nurse’s performance during their handoff report and develop some strategically possible solutions that may improve a patient quality of care, safety, and satisfaction. Communication plays such an important role between nurses and patients to emphasize that an “Effective workforce planning and policymaking require better data collection and an improved

Purpose: The purpose of this speech is to inform my audience about the importance of safe nurse staffing that can help improve patient satisfaction, decrease patient complications, reduce nurse fatigue, improve nurse retention, decrease patient mortality, and reduce medical and medication error.

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

Nursing handoffs is a type of report between two clinicians that are responsible for patients care and is an important part of transferring patient information (what, how, who and where) from one healthcare provider to another in clinical practice (Smith and Schub, 2014). Ineffective, inconsistent and incongruent communication during these handoffs continues to be a problem and a threat to patient safety. Effective handoffs are instrumental in providing for the successful quality of care that the patient is to receive (Abraham, Kannampallil & Patel, 2013). Medical errors, treatment delays, inappropriate treatment and/or care omissions can happen as a result of miscommunication during handoffs which could potentially lead to patient harm, longer stays, readmissions and/or increased costs.

The author made a problem statement that bedside nursing report is not persistence in nursing care and there is limited research to investigate. The author’s questions are specifically related to the concern of bedside clinical handover that needs to be addressed in healthcare organization, investigate patients’ opinions to help nurses become aware of patients’ needs and increase their skill in clinical bedside handover practice. Using qualitative research methodology to interview, explore, and observe patients’ experience will help the researchers to answer the research questions. Obviously, exploring the patients’ opinion of bedside nursing handover is a key to recognize patients’ perspective to provide for their needs in order to continue patient safety care and

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).

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

The authors recommend that the findings originating from this study can be used as a basis to initiate protocols for implementation of bedside nursing