bedside report and patient satisfaction

Bedside shift reporting process improves patient safety and satisfaction. “The results in terms of patient satisfaction were almost immediate. Scores have reached the highest level in the department’s history, mirroring experiences of other ED bedside report models across the country,” Pearce says.

Full Answer

Why is bedside reporting important?

• “…improves time, and overall patient safety”
• “… we were able to address a neuro status that had changed from report to the bedside”
• “I like it and we may want to expand and do NIH at bedside at BSR”
• “…it is nice to have eyes on all my patients and we can check orders are done.”

Does bedside report reduce falls?

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 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.

How are hospitals improving patient satisfaction?

Implement These Solutions

1. Meet Expectations. Understand what patients expect of their visit; some patients are looking for information, while others need assurance or a specific action.
2. Devote Quality Time. Patient satisfaction rates are directly related to the length of one-on-one time physicians spend with a patient during each visit.
3. Improve Appearances. ...
4. Raise Perceptions. ...

More items...

How does bedside report improve patient outcomes?

It puts patients at the center of communication and permits them to collaborate and participate in their own recovery. Bedside reporting encourages teamwork and accountability of staff and is safer for the patient because it increases the quality of hospital care.

What is the importance 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.

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.

What are the benefits of bedside handover?

A real safety benefit of bedside handover is the fact that visualising the patient may prompt nurses to recall important information that should be handed over and it may also trigger oncoming staff to ask additional questions. Further, patients have the opportunity to clarify content.

What is a bedside report?

By definition, a 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 care.

How do I improve my bedside handover?

Yet a simple strategy to improve communication is to bring the report to the patient's bedside. This facilitates earlier connection between the oncoming nurse and the patient and presents an opportunity for the patient to ask questions and clarify information with both nurses.

What makes a good nurse report?

It should include the patient's medical history, current medication, allergies, pain levels and pain management plan, and discharge instructions. Providing these sorts of details about your patient in your end of shift report decreases the risk of an oncoming nurse putting the patient in danger.

What is bedside report nursing?

Bedside shift reports are the essential transmission of patient information between incoming and outgoing nurses in a patient care setting. This nursing communication provides for the continuity of safe and effective medical care and prevents medical errors.

Why bedside handover is an expectation in contemporary care?

Bedside handover is based on patient-centred care, where patients participate in communicating relevant and timely information for care planning. Patient input reduces care fragmentation, miscommunication-related adverse events, readmissions, duplication of services and enhances satisfaction and continuity of care.

Abstract

Concerns that bedside presentation (BsP) rounds could make patients uncomfortable led many residency programs to move daily rounds outside the patients’ room (OsPR). We performed a prospective quasi-experimental controlled study measuring the effect of these two approaches on patient satisfaction.

Introduction

Time dedicated to ward rounds (between 3 and 12 minutes per patient) varies according to the clinical setting [ 1 ]. In any case, these rounds constitute an important part of the healthcare team workday [ 2 ].

Methods

This is a prospective quasi-experimental controlled study conducted at a 96-bed university based general medical rehabilitation ward comprising 8 units of 12 patients each with a mean of 2.4 patients/room.

Results

Ninety consecutive patients for the pilot phase were included between May and June 2012 and 180 consecutive patients for the controlled study were included between December 2012 and March 2013. All of them gave their signed informed consent to participate in the study.

Discussion

This pragmatic study showed that when assigned to conduct rounds as usual, healthcare teams perform a vast majority of visits in the hallway and only few visits at the patient’s bedside. Yet, when requested to conduct bedside rounds, they change their usual clinical practice and the number of visits at the patient’s bedside significantly increases.

Conclusion

Bedside visits are an essential part of inpatient care that contributes to increased patient satisfaction with better family involvement, care coordination and transition of care. However, bedside visits can also be associated with worse scores on certain items such as trust in nurses and hospital recommendation.

Acknowledgments

We would like to thank each hospital ward that participated in our trial and are grateful for their confidence in our project team.

Moving Shift Report to the Bedside: An Evidence-Based Quality Improvement Project

Edward R. McAllen, Jr., DNP, MBA, BSN, BA, RN Kimberly Stephens, DNP, MSN, RN, DNP Brenda Swanson-Biearman, DNP, MPH, RN Kimberly Kerr, MSN, RN Kimberly Whiteman, DNP, MSN, RN, CCRN-K

Abstract

A Midwestern, 532-bed, acute care, tertiary, Magnet® designated teaching hospital identified concerns about fall rates and patient and nurse satisfaction scores. Research has shown that the implementation of bedside report has increased patient safety and patient and nurse satisfaction.

Background

A team of nursing administrators, directors, staff nurses, and a patient representative was assembled to review the literature and make recommendations for practice changes. A Midwestern, 532-bed, acute care, tertiary, Magnet® designated teaching hospital identified that fall rates were above the national average.

Literature Review

The team completed a literature review based upon the following PICO question: Does the implementation of BSR as compared to standard shift report at the nurses’ station increase patient safety and patient and nurse satisfaction? The practice of shift report at the bedside is not a new concept and is well documented in the literature.

Methods

The team completed a gap analysis to determine evidence-based best practices for shift report as compared to the current practice. Written approval to conduct the quality improvement project was obtained from the university and hospital institutional review boards (IRB).

Measures

Audits A BSR audit tool was implemented to assure compliance to the BSR process, including verifying that report was completed at the bedside; introducing the oncoming nurse; scripting in ISBARQ; updating the white board; and reviewing care.

Data Analysis

The software SPSS (IBM Inc., Chicago, IL, USA) version 22 was utilized to complete the data evaluation process. The analysis of patient satisfaction results was measured using independent samples t- test (two-tailed) to determine statistical significance of the data.