bedside report patient outcome

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

Can bedside shift report improve patient outcomes?

Most importantly, research indicates that bedside shift report, or BSR, can improve patient outcomes. What is Bedside Shift Report? BSR is defined as “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.”

What is the relevance of nursing bedside report to clinical practice?

Relevance to clinical practice: If properly implemented, nursing bedside report can result in improved patient and nursing satisfaction and patient safety outcomes. However, managers should involve staff nurses in the implementation process and continue to monitor consistency in report format as well as satisfaction with the process.

How do I view the text in a bedside shift report?

To see the text, go to Word Options, select Display, and choose the Hidden text box. Bedside Shift Report Checklist -- Checklist that highlights the elements required to complete bedside shift report.

Where can I find nurse-to-nurse bedside shift report implementation handbook?

Nurse bedside shift report implementation handbook. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf. 26. Caruso EM. The evolution of nurse-to-nurse bedside report on a medical-surgical cardiology unit. . 2007;16(1):17–22.

Does bedside report improve patient outcomes?

In Brief. Nurse-to-nurse reporting by the patient's side improves care satisfaction and increases teambuilding among staff. The benefits of bedside reporting include patients' increased knowledge of their condition and treatment, improved patient and family satisfaction, and increased teambuilding between staff.

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.

What should be on a bedside shift report?

According to AHRQ, the critical elements of a BSR are: Introduce the nursing staff, patient, and family to each another. Invite the patient and (with the patient's permission) family to participate. The patient determines who is family and who can participate in the BSR.

Why should nurses do bedside report?

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 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.

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.

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.

How do I write a night duty report?

Tips for an Effective End-of-Shift ReportUse Concise and Specific Language. ... Record Everything. ... Conduct Bedside Reporting as Often as Possible. ... Reserve Time to Answer Questions. ... Review Orders. ... Prioritize Organization. ... The PACE Format. ... Head to Toe.

What information must be included when giving an end of shift 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 a bedside nursing report?

A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. If properly implemented, nursing bedside report can result in improved patient and nursing satisfaction and patient safety outcomes.

Does bedside report increase overtime?

However, there was a decline in nurse perception that report took a reasonable amount of time after bedside report implementation; contrary to these perceptions, there was no significant increase in nurse overtime. Patient falls at shift change decreased substantially after the implementation of bedside report.

Should managers involve staff nurses in the implementation process?

However, managers should involve staff nurses in the implementation process and continue to monitor consistency in report format as well as satisfaction with the proce …. If properly implemented, nursing bedside report can result in improved patient and nursing satisfaction and patient safety outcomes. However, managers should involve staff nurses ...

How does BSR work?

How (and why) BSR works. 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 a SBAR board?

The SBAR communication tool can be adapted for BSR as follows. A dry erase board placed in the patient's line of vision can be used to convey information such as the names of nurses and healthcare providers and to highlight the patient's goal for the day.

How does BSR help nurses?

The advantages for the nurse begin with the efficiency of report, which streamlines all pertinent information and saves nursing time. BSR improves staff's teamwork by giving nurses the opportunity to work together at the bedside, ensuring accountability. Using a standardized format reduces the risk of miscommunication because it overcomes different communication styles. Better communication also helps the oncoming nurse prioritize assignments according to need. The nurse is informed about the patient earlier in the shift because report time is shortened. Nurses are always on the same page during the report because they're both looking at the same information at the same time. 12

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 ...

What is the AHRQ?

The AHRQ has an evidence-based guide to help hospitals work with patients and families to improve quality and safety. This guide has four strategies that help hospitals partner with patients. Strategy 3 states: “The goal of the Nurse Bedside Shift Report strategy is to help ensure the safe handoff of care between nurses by involving the patient and family. The patient defines who their family is and who can take part in bedside shift report.” 7

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.

What is Bedside Shift Report?

BSR is defined as “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.” Although BSR is a relatively new concept, there have been facilities who have performed BSR for almost 40 years.

Bedside Shift Report – the Rewards and Evidence

Though many nurses have concerns when BSR is initiated, most nurses find that BSR is a great way to interact with their coworkers and with their patients as it promotes teamwork and increases patient satisfaction. This is often because of communication – during traditional nursing report, information may be left out or forgotten.

BSR Concerns

Despite its benefits, many nurses have concerns with BSR. For example, BSR can be difficult when the patient is sleeping. The question arises whether to wake the sleeping patient or allow them to continue to rest. This can be amended by discussing BSR with the patient immediately upon admission and asking them their preference.

How to Perform BSR

Each facility will need to implement a BSR that works best for their staff. In order to do this, it is recommended to begin with one unit as a pilot. Starting BSR on a smaller scale allows for staff to determine what works – and what doesn’t.

About The Author

Krystina is a 30-something RN, BSN, CDE who has worked in a variety of nursing disciplines, from telemetry to allergy/immunotherapy to most recently, diabetes education. She is also a writer and has enjoyed expanding her writing career over the past several years. She balances her careers as a nurse and a writer with being a wife and a mother.

What is a nurse leader?

Nurse leaders are responsible for ensuring the success of their team through effective communication, meting quality measures, and improving patient satisfaction. Our organization used innovative ways to increase participation of bedside report. The process that has been described concerning implementing bedside report may give other institutions an example on how bedside report can be implemented. Innovative leaders should encourage and monitor this handoff process to maintain the practice of bedside report hospital wide.

What are the stages of change?

According to the theory, for change to occur three stages need to take place: unfreezing, moving, and refreezing [11]. The unfreezing stage is about recognizing the need for change, building trust, and encouraging participation in the intervention. During the moving stage, the focus is on planning change, initiating change, and revising the process based on feedback. Finally, the refreezing stage involves integrating the change into practice [11].

What are the barriers to bedside reporting?

One barrier associated with bedside report may be related to patient privacy concerns. However, bedside report is already included in the Health Insurance Portability and Accountability Act (HIPAA) [4]. Another barrier may be the length of time associated with bedside report, but the majority of the literature found that report at the bedside took less time [2]. Other barriers of bedside report include fear of waking up patients, that medical jargon may confuse patients or increase anxiety, or that the patient or family may monopolize the conversation during report [6].