quantitative assessment of patient and nurse outcomes of bedside nursing report implementation

by Eveline Baumbach 10 min read

A quantitative assessment of patient and nurse outcomes of …

14 hours ago Aims and objectives: To quantify quantitative outcomes of a practice change to a blended form of bedside nursing report. Background: The literature identifies several benefits of bedside nursing shift report. However, published studies have not adequately quantified outcomes related to this process change, having either small or unreported sample sizes or not testing for statistical significance. >> Go To The Portal


Quantitative assessment of the impact of the mixed bedside report is essential because most nurses’ communications happen at the bedside. According to literature, the bedside nursing report is beneficial as it informs patients, improves patient satisfaction, enhances patient involvement, and improves nurse teamwork.

Full Answer

How effective is nursing bedside report implementation?

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.

Can We quantify quantitative outcomes of a blended form of bedside nursing?

To quantify quantitative outcomes of a practice change to a blended form of bedside nursing report. The literature identifies several benefits of bedside nursing shift report.

Do nurse bedside shift studies on patient experience with care report limitations?

The majority of the studies on nurse bedside shift report that discuss patient experience with care have limitations.

How many hospital units implemented a blend of recorded and bedside nursing?

Seven medical-surgical units in a large university hospital implemented a blend of recorded and bedside nursing report. Outcomes monitored included patient and nursing satisfaction, patient falls, nursing overtime and medication errors.

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How do you implement bedside reporting?

Acknowledge: Greet the patient and any other family or healthcare team members who are participating in your patient handoff at the bedside. Introduce: Introduce yourself and the oncoming nurse to the patient. Allow the patient and/or designee an opportunity to introduce themselves as well.

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 should be included in a nurse-to-nurse 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...•

What is bedside shift report in nursing?

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.

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.

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.

How do I report a nursing assessment?

The following are comprehensive steps to write a nursing assessment report.Collect Information. ... Focused assessment. ... Analyze the patient's information. ... Comment on your sources of information. ... Decide on the patient issues.

What questions should a nurse consider when receiving a report?

Questions to Ask During Nursing Report:Does that patient have any family?Who is the patient's primary contact if something was to happen?Does the patient have any type of testing that they must be NPO for?Does the patient need assistance eating, showering, or using the bathroom?More items...

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.

What is the bedside nurse's role in communication of clinical findings?

Nursing bedside report allows both the oncoming and outgoing nurses to assess the patients, examine for any patient safety errors, and allows the patients to be a part of their plan of care.

How did nursing perceptions of report improve?

Nursing perceptions of report were significantly improved in the areas of patient safety and involvement in care and nurse accountability postimplementation. However, there was a decline in nurse perception that report took a reasonable amount of time after bedside report implementation; contrary to these perceptions, ...

Is bedside nursing shift report statistically significant?

The literature identifies several benefits of bedside nursing shift report. However, published studies have not adequately quantified outcomes related to this process change, having either small or unreported sample sizes or not testing for statistical significance.

How effective is bedside nursing handover?

ABSTRACT INTRODUCTION: Bedside nursing handover may be an efficient way to achieve quality nursing outcomes, supporting the personalization of care. Recent literature attests to how bedside nursing handover is perceived by cardiac patents, but the experience of nurses participating in these handovers is largely unknown. The aim of this study is to explore nurses’ experiences after the implementation of bedside nursing handover in an Italian cardiac surgical ward. METHOD: A qualitative descriptive research approach was used to respond to the study aim, and the data was collected using two focus groups. RESULTS: The main themes that were identified revolved around improving nursing care, greater professionalism, effective relationships, consequences for the patient, and obstacles to change. Moreover, we found that nurses perceive bedside nursing handover to be effective in promoting patient-centred care. The nurses in our study also felt that any difficulties with the implementation of a bedside nursing handover protocol (e.g. confidentiality) should be addressed through continued nursing education. CONCLUSIONS: This study provides a valuable insight into nurses’ perceptions of bedside nursing handover in a single cardiac surgery setting in Italy and is the first qualitative investigation from this perspective. Further research may help to elucidate the impact of bedside nursing handover on clinical and organisational outcomes. Keywords: Care; Cardiac Surgery; Focus Group; Handover; Nursing; Qualitative Research; Personalization

Why is blended bedside report important?

Blended bedside report increases peer-to-peer accountability among nurses, improves communication between nurses as well as patients, and promotes patient safety. Despite the literature that documents bedside report is best, a practical guide to initiating this process in a hospital setting is lacking.

What is the role of a nurse executive?

Nurse executives are tasked with helping direct-care nurses connect with patients to improve care experiences. Connecting with patients in compassionate ways to alleviate inherent patient suffering and prevent avoidable suffering is key to improving the patient experience.

What is bedside handover?

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.

What is the purpose of a systematic review?

Purpose: The purpose of this systematic review was to determine the impact of person-centered interventions on patient outcomes in an acute care setting. Methods: The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eligible interventions included person-centered interventions that address at least one of these outcomes: pressure ulcer, accidental falls, medication errors, and/or cross infection. Results: The review showed that there is a paucity of evidence supporting the use of person-centered interventions in reducing patient falls. For the other outcomes, existing research provides an insufficient evidence base on which to draw conclusions. Conclusions: Theory of person-centeredness is still in its ascendency. Poor evidence may also be the result of quantitative research designs that are insufficient in studying the impact of a person-centered approach. We postulate that use of mixed-methods designs is beneficial and would give a clearer picture of the impact of person-centered interventions.

What is NHEB in nursing?

This pilot study evaluates a Nursing Handoff Educational Bundle (NHEB) for a cohort of Accelerated Bachelor of Science (ABS) nursing students. The Evidence-Based Bundle consists of an educational workshop, a standardized handoff format, clinical faculty education, and structured, formative evaluation of student handoffs. This study was implemented during Adult Health clinical experiences conducted at four different University-affiliated healthcare institutions in the Northeastern United States. Methods: A pre-test, post-test design was used with a convenience sample of 28 ABS nursing students. Fourteen students who received the NHEB were compared to a similar group (n = 14) who were not exposed. Student handoffs were observed and rated using the Handoff Clinical Examination (CEX) tool while providing and receiving handoffs during clinical experiences. Data was obtained at the beginning and the end of a 15-week time period. Results: The provider handoff scores in the intervention group improved significantly (M = 4.64, SD = 1.3) over the comparison group change scores (M = 1.5, SD 1.34) when measured by independent samples t-test (t = 7.33, p = .000). The handoff recipients’ scores in the intervention group also improved significantly (m = 5.5, SD = 1.01) compared to no improvement in the recipient control group (M = -0.36, SD = 1.39), (t = 12.7, p = .000). Conclusions: Without structured handoff education, nursing students are passive recipients during handoffs and do not engage in safety communication practices. Exposure to a NHEB improves student handoff communication skills and provides an opportunity to practice evidence-based handoff skills with structured support during clinical experiences. The NHEB could be considered for incorporation into prelicensure programs. Further study using a larger sample size is recommended based on these preliminary findings. Additionally, this intervention should be evaluated in novice nurse cohorts.

What is bedside shift reporting?

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.

Introduction

The research article under review is entitled “A Quantitative Assessment of Patient and Nurse Outcomes of Bedside Nursing Report Implementation” by Sand-Jecklin & Sherman (2014). The purpose of the research article is to quantify the impact of a mixed type of bedside report on nurse and patient outcomes in a hospital.

Research Question

The research question of the articles is that what is the impact of the mixed type of bedside report on nurse and patient outcomes? The research article quantified the impact of the mixed type of bedside report using a five-point Likert scale in measuring responses of patients and nurses (Sand-Jecklin & Sherman, 2014).

Research Design

The study employed the quasi-experimental design in quantifying the impact of the mixed type of bedside report on nurses and patients. The design allowed the collection of data in three phases, namely, baseline, 3 months, and 13 months (Sand-Jecklin & Sherman, 2014).

Sample Size

The used variable sample sizes of patients and nurses, which varied according to the phases of the study. At baseline, 3 months, and 13 months phases, the sample sizes were 233, 157, and 154 patients respectively (Sand-Jecklin & Sherman, 2014).

Data Collection Method

The authors collected data from nurses and patients by administering surveys to them. Patient Views on Nursing Care and Nursing Assessment of Shift Report were survey tools used in collecting data from patients and nurses respectively ( (Sand-Jecklin & Sherman, 2014).

Limitations of the Study

The limitations are that the study employed a convenience method of sampling, surveys did not have primary identifiers, and responses had some inconsistencies (Sand-Jecklin & Sherman, 2014).

Findings of the Study

The findings of the study adequately answered the research question for they quantified and outlined outcomes emanating from the implementation of the mixed type of bedside nursing report.

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