21 hours ago Standardizing bedside reporting is one step toward improving communication between nurses, patients, and their families. : A pilot bedside shift report process was developed on a medical/surgical ... >> Go To The Portal
The objective of this study was to determine if standardizing shift report improves patient satisfaction with nursing communication. Patient surveys taken after discharge from the hospital show that patients perceive nursing communication during their stay could be improved.
The majority of the studies on nurse bedside shift report that discuss patient experience with care have limitations.
There was a rise in patient satisfaction in nursing communication to 87.6%, an increase from 75% in the previous 6 months. This score did not meet the goal of 90%, but did show that this practice change did impact this particular area of patient satisfaction. This process was instituted organization-wide.
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.
Bedside shift reporting is a form of communication used by nurses to communicate with each other regarding the patient plan of care. Although bedside shift reporting is required by The Joint Commission and is a required hospital policy, there are inconsistencies in the emergency room nurses performing the task. The purpose of this study was to describe emergency room nurses’ views on bedside shift reporting. A qualitative research study was conducted using a semi-structured interview process. Colaizzi’s data collection and analysis strategy were used to determine emerging themes. Peplau’s interpersonal relations and Benner’s novice to expert theories were used to help guide this study. Fifteen emergency room nurses were interviewed, and seven themes emerged from the data collected. Three themes, nurse accountability, nurse introduction, and patient involvement were identified as benefits of bedside shift reporting. Four themes, bedside shift report not done, emergency room situations, emergency room environment, and time factors were identified as challenges of bedside shift reporting. The study helped to determine the need for additional educational opportunities for the emergency room nurses, emergency department, and the organization to increase the consistency of the reporting process.
Bedside handover is one of nursing care activities which involve patient during nurse-patient interaction a side of patient’s bed between change shift. Patient may inquire all they want to know about their health condition, complaining and request for nursing care. However, the bedside handover often ineffectively run when a group of nurse hand in the nursing care plan for the following nurses shift. This study aimed to describe bedside handover activities based on patient’s perspective in inpatient ward at one military hospital at Jember. This research used a quantitative approach with a descriptive survey design. There were 100 respondents recruited in this study using purposive sampling technique with criteria the patients had received nursing care at least two days in the inpatient ward. Data were collected using bedside report item survey questionnaire to measure bedside handover based on patient perception. The results showed the median of bedside handover was 33 (min-max = 10-40), indicated that the bedside handover from patient’s point of view was in good category. Basically, the nurses have implemented the bedside handover, however there are problems occurred during its’ implementation such as, high burden of nurse’s work, limited time, lack of understanding and awareness regarding bedside handover. Patients have right to receive holistic nursing care, and it is the responsibility of nurses to provide excellent service including the action of bedside handover. Nursing manager should evaluate and supervise the bedside handover for all nurses routinely.
Background Clinical handover is the transfer of relevant and important information and responsibility for patient care from one healthcare provider to another. An effective clinical handover is determined by the transition of critical information and the continuity of quality care for the patient. In the inpatient settings, bedside clinical handover mainly occurs during shift changes (morning to afternoon shift, afternoon to night shift and night to morning shift). Bedside clinical handover can take place in a cohort room of up to six patients or a single-bedded room with only one patient. Various nurses in the nursing hierarchy are involved in the handover, each contributing to ensure patients’ safety and continuity of quality care. Aim To explore nurses’ perceptions of bedside clinical handover in an inpatient acute-care ward in Singapore. Methodology An interpretive, descriptive, qualitative study was conducted using focus group interviews with semi-structured questions. The interviews were conducted with 20 nurses from an acute-care hospital in Singapore. The interviews were audiotaped and transcribed verbatim. Data collected were analyzed using thematic analysis. Results Nurses described that bedside clinical handover could potentially compromise patient’s confidentiality and that the patient and/or their family members and the environment were sources of constant interruptions and distractions. Bedside clinical handover also acted as a platform for communication amongst nurses and between nurses and patients. Conclusion This study provided an insight into nurses’ perceptions of bedside clinical handover and offered a foundation for nurses to improve the handover process.
Communication is a vital element in the health care setup. National Patient Safety Goals 2018 proposed by The Joint Commission highlights the importance of communication among the caregivers. Breakdown in communication was the leading cause of sentinel events reported to the Joint Commission in the United States of America between 1995 and 2006. Majority of the errors can be prevented if the 'Handoff' or 'handing over' communication is up to the standard. A handoff is a transfer and acceptance of patient care responsibility achieved through effective communication. It is a realtime process of passing patient specific information from one caregiver to another or from one team of caregivers to another for the purpose of ensuring the continuity and safety of the patient's care. Handoff process includes exchanging of information, transferring the responsibility of care and preparing the team to take over, and ensuring the continuity of care. Handoff need not be only during the change of shift, it can be even during stepping down or stepping up of a patient, transferring for any procedures, transferring between units, or facilities and discharge. The potential barriers in implementing the effective handoff communication includes resistance of caregivers to change, time constraints, cost constraints, low health literacy, poor staffing, cultural and language differences, failed leadership, and lack of information technology infrastructure. Nursing handoff can be enhanced by incorporating technology.
Background: Shift report is one of the most important factors in patient care to ensure the oncoming nurse can properly care for the patient. Situation, Background, Assessment, and Recommendation (SBAR) is a communication tool that enables the safe transfer of pertinent information to ensure the best quality of care is provided. Communication is one of the key components of bedside nursing practice. Communication ensures that medical errors are avoided, while patient safety and the quality of care are not affected during a patient’s stay.Purpose: The purpose of this study was to compare the risks and benefits of bedside shift report (BSR) versus traditional shift report (TSR).Method: For a proper evidence-based review, the studies were precisely analyzed, and systematically pieced using the top four tiers of evidence hierarchy.Findings: While bedside shift report has been implemented within inpatient settings, it is not always being utilized properly. Upon conclusion of the literature review, evidence supports using bedside shift report to reduce medical errors, safety risks, and improve the quality of care.
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is the first publicly reported nationwide survey to evaluate and compare hospitals. Increasing patient satisfaction is an important goal as it aims to achieve a more effective and efficient healthcare delivery system. In this study, we develop and apply an integrative, data-driven approach to identify clinical risk factors that associate with patient satisfaction outcomes. Methods: We included 1,771 unique adult patients who completed the HCAHPS survey and were discharged from the inpatient Medicine service from 2010 to 2012. We collected 266 clinical features including patient demographics, lab measurements, medications, disease categories, and procedures. We developed and applied a data-driven approach to identify risk factors that associate with patient satisfaction outcomes. Findings: We identify 102 significant risk factors associating with 18 surveyed questions. The most significantly recurrent clinical risk factors were: self-evaluation of health, education level, Asian, White, treatment in BMT oncology division, being prescribed a new medication. Patients who were prescribed pregabalin were less satisfied particularly in relation to communication with nurses and pain management. Explanation of medication usage was associated with communication with nurses (q = 0.001); however, explanation of medication side effects was associated with communication with doctors (q = 0.003). Overall hospital rating was associated with hospital environment, communication with doctors, and communication about medicines. However, patient likelihood to recommend hospital was associated with hospital environment, communication about medicines, pain management, and communication with nurse. Conclusions: Our study identified a number of putatively novel clinical risk factors for patient satisfaction that suggest new opportunities to better understand and manage patient satisfaction. Hospitals can use a data-driven approach to identify clinical risk factors for poor patient satisfaction to support development of specific interventions to improve patients' experience of care.
Miscommunication is a large contributing factor to hospital sentinel events. Communication with nurses is a component of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey not only assesses patient satisfaction but also impacts how hospitals are reimbursed. A literature review reveals that nursing bedside shift positively impacts patient satisfaction and nurse communication. There is limited research on how to implement bedside report as well as what to include during report. A pilot study evaluated an educational intervention and its impact on nurses' compliance with bedside report. The study also evaluated whether bedside report compliance affected HCAHPS scores. A test of independent proportions showed that overall compliance scores increased significantly from period 1 (46%) to period 3 (81%), z = 2.23, P = -.017, one-tailed. HCAHPS scores for nursing communication went from 69.9% in quarter 1 of 2015 to 73.8% in quarter 4 of 2016, but there was no statistically significant change.
A pilot bedside shift report process was developed on a medical/surgical intermediate care unit to improve patient satisfaction scores in the area of “nurse communicated well,” with the goal of reaching 90% satisfaction rates , which increased from 76% and 78%. Peplau’s interpersonal relations theory was used in the adoption of this practice. This theory is based on the idea that the nurse-patient relationship is therapeutic and that it is crucial for nurses to assess, plan, and put context behind the care delivered to their patients. Lewin’s Change Theory and the tenets of unfreezing, moving, and refreezing were crucial to the implementation of this practice change.
Standardizing bedside reporting is one step toward improving communication between nurses, patients, and their families.
A pilot bedside shift report process was developed on a medical/surgical intermediate care unit to improve patient satisfaction scores in the area of "nurse communicated well ," with the goal of reaching 90% satisfaction rates , which increased from 76% and 78%. Peplau's interpersonal relations theory was used in the adoption of this practice. This theory is based on the idea that the nurse-patient relationship is therapeutic and that it is crucial for nurses to assess, plan, and put context behind the care delivered to their patients. Lewin's Change Theory and the tenets of unfreezing, moving, and refreezing were crucial to the implementation of this practice change.
Standardizing bedside reporting is one step toward improving communication between nurses, patients, and their families.
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
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
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
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
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
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
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
Bedside reporting also allowed for increased mentoring opportunities between nursing staff. By visualizing the patient and equipment during the report time, nurses were prompted to ask questions based on the current patient situation. Patients were encouraged to participate in the report process, thereby gaining a better understanding of the plan of care and verifying information. This patient-centered and transparent approach helped foster an environment of trust, mutual respect, and understanding.
Additionally, bedside report cultivates an environment for mentoring relationships to develop among nursing staff and creates relationships of mutual respect. Nurses are able to visualize patients and implement safety checks at the start of their shift, reducing the length of time they spend at the nurses' station and away from the bedside. This facilitates a smoother workflow and improves the reporting process. Lastly, HCAHPS scores have shown that bedside shift report has had a positive impact on patients' perception of effective communication.
Communication between caregivers is an important aspect of patient care. Consistent and accurate exchange of patient information is imperative to maintain patient focus and promote a culture of safety and trust. The American Nurses Association estimates that 80% of serious medical errors involve miscommunication between caregivers ...
Bedside Shift Report: A Way to Improve Patient and Family Satisfaction with Nursing Care
to collect data to understand patient satisfaction with nursing care and communication. The
Poor communication during the handoff process contributes to approximately 30% of
delivery and communication, the evidence-based approach of the BSH process shows
satisfaction within the organization. The HCAPS survey fails to recognize unit specific patient