bedside patient report

Bedside report is an evidence-based practice; it is described extensively in the literature as a strategy to improve communication, and ultimately patient care. The literature overwhelmingly supports that bedside report increases patient outcomes and patient and nurse satisfaction by establishing trust, enhancing communication, and facilitating information sharing with nurses, patients, and their families; thus, patients feel that they are actively involved in their care [2,3]. The literature suggests that there is a link between bedside report and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, specifically, the communication dimension. The communication dimension for patient satisfaction includes patient communication with nurses and other providers delivering care. Patients feel that the staff were respectful to them and worked better as a team when they participated in the plan of care.

Full Answer

Why is bedside report so important?

Nurses have raised some concerns when it comes to BSR, namely:

• unknown visitors or family in the room
• disclosure of new diagnoses or lab information that a healthcare provider hasn't yet discussed with patient
• patient sleeping
• patient unable to participate due to cognitive or sensory limitations
• questions from patient that need lengthy clarification, increasing report time

More items...

What is bedside report?

What is Bedside Shift Report?

• Contact information
• Illness assessment, including severity
• Patient summary
• To-do action list
• Contingency plans
• Allergy list
• Code status
• Medication list
• Dated laboratory tests
• Dated vital signs

Why is bedside shift report?

Shift report, when completed at the patient bedside, allows the nurse to visualize and assess the patient and the environment, as well as communicate with and involve the patient in the plan of care. Bedside shift report (BSR) enables accurate and timely communication between nurses, includes the patient in care, and is paramount to the delivery of safe, high quality care.

What is bedside shift report?

• Nurse Bedside Shift Report: What is it? ...
• Bedside Shift Report Checklist -- Checklist that highlights the elements required to complete bedside shift report. ...
• Nurse Bedside Shift Report Training -- Slides and talking points used to train nurses to conduct a bedside shift report and to help them understand how to engage patients and ...

What is included in a bedside report?

Bedside benefits Shift change was included in The Joint Commission's 2009 National Patient Safety Goals, which requires that shift hand-offs must include up-to-date information about the care, treatment, current condition, and recent or anticipated changes in the patient.

How do I write a good bedside report?

5 Best Practices For an Effective Bedside Shift ReportShift Reports Should be Done at the Bedside. ... A Great Bedside Report Sets the Tone for the Shift. ... Be Mindful of Patient Privacy. ... Benefits of a Great Shift Report. ... Ask The Oncoming Nurse “What Other Information Can I Provide For You?

What is the purpose of bedside report?

Bedside shift reports are viewed as an opportunity to reduce errors and important to ensure communication between nurses and communication. Models of bedside report incorporating the patient into the triad have been shown to increase patient engagement and enhance caregiver support and education.

Why do nurses report bedside?

Bedside shift report (BSR) enables accurate and timely communication between nurses, includes the patient in care, and is paramount to the delivery of safe, high quality care.

How do you write a nursing patient report?

How to write a nursing progress noteGather subjective evidence. After you record the date, time and both you and your patient's name, begin your nursing progress note by requesting information from the patient. ... Record objective information. ... Record your assessment. ... Detail a care plan. ... Include your interventions.

How do you give a good report?

1:2020:45How to Give a Nursing Shift Report - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd what I do with my report should sheet. At the end of the day I always tread it so tip alwaysMoreAnd what I do with my report should sheet. At the end of the day I always tread it so tip always shred your report sheet whenever you're done giving a report you don't want to stick it in your locker.

Do patients like bedside report?

The evidence based research reviewed unanimously concludes that conducting bedside reporting leads to increased patient safety, patient satisfaction, and nurse satisfaction.

Does bedside reporting increased patient safety?

The evidence based research reviewed unanimously concludes that conducting bedside reporting leads to increased patient safety, patient satisfaction, and nurse satisfaction. Nurses communicate with patients, patient families, healthcare providers, and other axillary departments constantly during a shift.

What should be included in a nursing report?

What to cover in your nurse-to-nurse handoff reportThe patient's name and age.The patient's code status.Any isolation precautions.The patient's admitting diagnosis, including the most relevant parts of their history and other diagnoses.Important or abnormal findings for all body systems:More items...•

How does a bedside shift report help?

Systematic literature review studies point out that implementing nurse bedside shift report can improve the patient experience with care as related to nurse communication.8,9 ,11For example, Mardis and colleagues conducted a systematic literature review of 41 articles related to the use of bedside shift report and concluded that 49% of the reviewed literature identified an increase in patient experience with care as a self-reported outcome, whereas only 2% of the reviewed studies identified patient complaints with this practice.11Sherman and associates also found patient advantages in relation to nurse bedside shift report, such as patients being more informed about and engaged in their care, improved nurse-patient relationship, and improvement in overall patient satisfaction.8

What is a nurse bedside shift report?

Nurse bedside shift report, or handoff, has been defined in the literature as a process of exchanging vital patient information, responsibility, and accountability between the off-going and oncoming nurses in an effort to ensure safe continuity of care and the delivery of best clinical practices.2 -6There are different types of nursing reports described in the literature, but the four main types are: a written report, a tape-recorded report, a verbal face-to-face report conducted in a private setting, and face-to-face bedside handoff.3,4,7,8

What is the knowledge phase in nursing?

The knowledge phase is defined as the time when bedside handoff is introduced to the nursing unit(s) and organization, and the following interventions take place: leadership support and commitment, relationship building, staff meetings, and nursing education.4,15,17,18-20,27Providing education can take the form of a journal club, formal training in bedside shift report practice through written and video materials, educational sessions that offer case scenarios based on nursing feedback, staff communication skill development training, and mandatory continuing education and annual performance competencies.2,9,11,16-18,20,27

What is a nurse bedside handoff?

The only nursing report method that involves patients, their family members, and both the off-going and the oncoming nurses is face-to-face bedside handoff.3This type of nursing report is conducted at the patient's bedside and has different variations. In broad terms, nurse bedside shift report can be classified into two categories: “blended” and face-to-face bedside handoffs.8,10The “blended” bedside shift report can be defined as a nursing handoff composed of two parts: Half of the report is written or conducted in a face-to-face approach in a private setting and the other half of the report is conducted face-to-face at the patient's bedside. The face-to-face nurse bedside shift report is solely conducted at the patient's bedside.8

What are the five steps of Everett Rogers' bedside shift report?

The concepts that have been used in the literature for achieving acceptance and sustainability of nurse bedside shift report follow Everett Rogers' five-step approach to adoption of innovations: knowledge, persuasion, decision, implementation, and confirmation. 28

What are the disadvantages of bedside shift?

These included difficulties understanding the report and medical jargon, tiredness as a result of information being repeated multiple times, lack of privacy, anxiety over incorrect information or too much information, and inconsistency with how the nurse bedside shift report was conducted.8,22,23

Why don't nurses do bedside shifts?

Studies also reported a number of reasons why some nurses don't prefer bedside shift report, including that they may have little awareness of and skills with engaging in a patient-centered approach to care, and that they may feel uncomfortable talking in front of patients and intimidated if patients ask questions for which they don't have answers. 7,24They may also be afraid to unintentionally disclose medical information unknown to the patient and may have concerns about violating patients' privacy.9,21But the main nursing disadvantage in relation to bedside shift report that's been reported in the literature is longer change-of-shift report time as a result of patients interrupting nurses during the process.8

Why are nurses always on the same page during the report?

Nurses are always on the same page during the report because they're both looking at the same information at the same time. 12. The patient benefits from BSR too.

How did BSR save a patient's life?

Federwisch gives an example of how BSR saved a patient's life at one facility. 9 A postoperative patient prescribed patient-controlled analgesia was given an antiemetic at 1910 just before change of shift. When two nurses entered her room at 1920 for the BSR, her respiratory rate had dropped to 6 breaths/minute. One nurse stayed in the room while the other obtained and administered naloxone as per protocol. The patient quickly recovered without complications. Had the nurses been engaged in traditional shift report away from the patient, the result could have been tragic.

What is BSR in nursing?

By definition, BSR is the change-of-shift report between the offgoing nurse and the oncoming nurse that takes place at the bedside. This makes patients a part of the process in the delivery of their care.

What is BSR in healthcare?

The Agency for Healthcare Research and Quality (AHRQ) defines BSR as “an opportunity to make sure there is effective communication between patients and families and nursing staff.” It also states that one of the rationales for BSR is the creation of an environment where patients, families, clinicians, and hospital staff work together to improve the quality and safety of care. 7 Research has shown that when patients are that third voice engaging in decisions that impact their health, measurable improvement in safety and quality result. 8

Why is BSR important in nursing?

Because nurses are the first line of defense when it comes to patient safety, BSR is an integral part of the care plan. The nurse is accountable for the communication that occurs during the change-of-shift report.

How many people died from BSR in 2010?

According to the Inspector General Office, Health and Human Services Department, less-than-competent hospital care contributed to the deaths of 180,000 Medicare patients in 2010. However, the real number may be higher: According to one estimate, between 210,000 and 440,000 patients who go to ...

Why should time be set aside before or after BSR?

If the patient wants complete privacy during this time, the nurse can courteously ask family and friends to leave to allow interaction between nurse and patient. In addition, time should be set aside before or after BSR for the sharing of sensitive information that hasn't been told to the patient with the oncoming nurse.

Why do nurses use BSR?

But research also shows that BSR helps decrease the frequency of both sentinel events and medication errors that could harm patients. When handoff occurs at the bedside, both nurses have the opportunity to review medications, check pump rates, and discuss patient allergies and potential adverse drug reactions. Additionally, oncoming nurses learn about any changes to physical assessment findings or the plan of care and can review the patient’s health history with both the departing nurse and the patient.

What is centralized report?

Centralized reports, from the patient perspective. Most patients want to be part of their healthcare experience. But many complain that report occurring away from the bedside makes them feel alone, like they’re just another cog in the healthcare wheel.

Why is BSR important?

Effective communication is a key driver to improvements in the delivery of high quality patient care and patient safety. BSR is the perfect time to develop the nurse-patient relationship, building trust and confidence in care. The nurse-patient relationship is strengthened when patients are free to ask questions about their care, share information about their personal medical history and needs, and take an active role in the planning and decision making process.

Where is a BSR carried out?

In many facilities, bedside shift report (BSR) is carried out behind closed doors, either at the nurse’s station or in a private office. Some healthcare organizations even allow nurses to record their reports for the next shift to listen to later. But a growing body of research indicates that shift report away from the bedside isn’t ideal for safe, ...

Can you decline BSR?

Even though BSR has big benefits for patients, you may still worry about discussing sensitive medical information in front of the patient and any other people that may be in the room, like visitors. After all, HIPAA violations are no laughing matter. But your patient always has the right to decline participation in BSR, and they can ask visitors to give you privacy while the report is given. In fact, encouraging your patient to say “no” to BSR if they aren’t comfortable is empowering and helps your patient trust you even more.

Is it safe to shift a report away from the bedside?

But a growing body of research indicates that shift report away from the bedside isn’t ideal for safe, effective patient care. Patients don’t feel included when report is centralized, and errors leading to patient harm are more likely to occur.

Can you use BSR in a nursing facility?

Implementing BSR in your facility isn’t impossible, but you need the support of nursing leadership and your fellow teammates. It’s simple to adapt the SBAR handoff method to bedside reporting using the same process as you would for centralized reporting. Tools like dry erase boards can be used to communicate essential information at the bedside, like nurses’ names, daily patient care goals, medication allergies, or falls risks.

Why are Word and PowerPoint files provided to hospitals?

Word and PowerPoint files are provided so that hospitals can tailor them for their organizations.

Why is patient engagement important in healthcare?

Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.

Why do nurses shift?

Nurse shift changes require the successful transfer of information between nurses to prevent adverse events and medical errors. Patients and families can play a role to make sure these transitions in care are safe and effective.

Why is a checklist important for patient safety?

The checklist also can serve as an effective barrier to prevent HACs and other patient harm events.

What is the purpose of adding an assessment and communication checklist to the BSR?

Through an analysis of our patient safety event and outcomes data, CHS nursing leaders determined that adding an assessment and communication checklist to the BSR would enhance patient safety. The increased focus by all stakeholders on HACs guided the first version of the HAC Addendum checklist. Conditions covered in the assessment included hospital-acquired infections, central line–associated bloodstream infections, catheter-associated urinary tract infections, falls, and pressure injuries. A companion “Guidelines for Use” document was developed to provide further expectations, details, and resources to ensure consistent comprehension and use of the checklist.

What is the BSR checklist?

The checklist created to accompany the BSR enables a consistent and thorough assessment of patient needs and concerns, helps nurses assess multiple safety and quality triggers, and ensures patients and their families are prepared for care during and after hospitalization . Chief nursing officers and clinical nurses regularly review and evaluate the assessment tool and make revisions as needed, and its effective use is part of the nursing staff competency assessment. Because the deployment of the Patient Safety Assessment tool was so successful, CHS continues to initiate implementation of other clinical tools based on high reliability principles.

When is the BSR used in CHS?

CHS has been using the BSR since 2010. Rather than giving shift report outside the patient’s room, nurses going on and off shift meet at the patient’s bedside to review the care plan and discuss procedure, test, and medication updates. A study by Williams found that the BSR, which is used on many nursing units across the United States, is one of the most important elements of safe patient care.

How many hospitals are there in CHSPSC?

As of December 31, 2018, CHSPSC, LLC, along with CHS consists of 113 hospitals in 20 states; the organization also includes ambulatory care centers, urgent care centers, and physician clinics. In 2012, CHS developed a component Patient Safety Organization (CHS PSO, LLC – AHRQ, PO122) to improve the safety and quality of patient care and embarked on a journey to achieve zero patient harm events by becoming a high-reliability organization (HRO). By studying the origin of patient safety events and understanding the level of harm they caused, the CHS executive team established safety as one of the organization’s core values. CHS partnered with HPI Press Ganey to deploy proven leadership methods and human-error prevention behaviors.