14 hours ago Purpose: The purpose of this study was to explore nurse, patient, and family perceptions about change-of-shift bedside report in the pediatric setting and to describe specific safety concerns that were identified during change-of-shift handoff. Design and methods: An exploratory-descriptive qualitative study designed to elicit nurse, patient, and family experience with … >> Go To The Portal
The majority of the studies on nurse bedside shift report that discuss patient experience with care have limitations.
Nurse bedside shift report implementation handbook. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf.
DOI: 10.1097/HCM.0000000000000125 Abstract Concerns about patient bedside change-of-shift reporting at a community hospital in northern Indiana stimulated the development of this qualitative phenomenological study.
Similarly, in other bedside report studies, patients and families have noted that their encouraged participation reduces anxiety and makes them feel as though they are active members of the healthcare team ( Laws & Amato, 2010; Maxson et al., 2012; McMurray, Chaboyer, Wallis, Johnson, & Gehrke, 2011 ).
Most participants indicated that the bedside report process made them feel more at ease as it kept everyone “on the same page.” Several patients and family members verbalized a perception of thoroughness and transparency. When asking about corrections or clarifications during bedside report, participants stated that they have had to mention, clarify, or correct information related to medications, diagnosis, and history. There were no identified mentions of inaccurate or false information. Some patients and families described hearing unexpected or upsetting information for the first time during bedside report. New diagnosis and unexpected surgery are a few examples.
When nurses were asked if they have ever identified a safety concern during bedside report, the following topics were repeatedly mentioned: missing safety equipment, missing orders, and issues relating to pain, dressings, medications, intravenous access, and diagnosis. Many nurses also stated that patients and families made corrections related to their history, diagnoses, medications, new orders, and activities of daily living.
The patient and family participants did not express any perceptions of barriers. When asked if they received education about bedside report during their hospital stay, 46% percent of the participants indicated that they were educated on bedside report. Only 21% stated that they understood their actual role in the bedside report process. Furthermore, 14% reported that fatigue played a factor in understanding bedside report and the role in which they play during the report process.
Nurse participants identified several barriers to conducting bedside report. The most commonly described barrier was that bedside report is time-consuming. Another barrier frequently discussed by nurses is the belief that patients and families do not want to be bothered. When asked about barriers to educating patients and families about bedside report, most nurses responded that there is too much information to provide; thus, bedside report was often left out during orientation. Additionally, some nurses stated that they simply forgot to provide bedside report education to patients and families.
An exploratory-descriptive qualitative study designed to elicit nurse, patient, and family experience with change-of-shift bedside report was utilized for this study. Interviews were conducted and reviewed to identify common themes.
The purpose of this study was to explore nurse, patient, and family perceptions about change-of-shift bedside report in the pediatric setting and to describe specific safety concerns that were identified during change-of-shift handoff.
Study participants found that bedside report promotes patient safety and is the preferred form of change-of-shift handoff communication. Additionally, participants stated there is increased accountability and increased transparency as everyone involved in bedside report is “on the same page.”.
An exploratory-descriptive qualitative study designed to elicit nurse, patient, and family experience with change-of-shift bedside report was utilized for this study. Interviews were conducted and reviewed to identify common themes.
The purpose of this study was to explore nurse, patient, and family perceptions about change-of-shift bedside report in the pediatric setting and to describe specific safety concerns that were identified during change-of-shift handoff.
Study participants found that bedside report promotes patient safety and is the preferred form of change-of-shift handoff communication. Additionally, participants stated there is increased accountability and increased transparency as everyone involved in bedside report is “on the same page.”.