20 hours ago Purpose: The objective of this study was to determine if standardizing shift report improves patient satisfaction with nursing communication. Background: Patient surveys taken after discharge from the hospital show that patients perceive nursing communication during their stay could be improved. Standardizing bedside reporting is one step toward improving … >> Go To The Portal
Improving patient satisfaction with nursing communication using bedside shift report This process was instituted organization-wide. Reaching the goal of 90% satisfaction in the area of patient perceptions of nursing communication is the overall goal of this program. This process was instituted organization-wide.
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
Nursing leaders who want to achieve successful dissemination and sustainability of bedside shift report must have a good understanding of process management and relationship building, mentoring skills, and a well-planned and well-executed implementation process. REFERENCES 1.
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.
The benefits of bedside reporting are numerous and include increased patient involvement and understanding of care, decreased patient and family anxiety, decreased feelings of “abandonment” at shift changes, increased accountability of nurses, increased teamwork and relationships among nurses, and decreased potential ...
Experts identify bedside shift report as an effective means of improving patient safety, nurse accountability, and patient perceptions of involvement in their care. A number of qualitative studies have examined both nurse and patient perceptions of the practice supports this perspective.
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.
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.
Most importantly, communication supports the foundation of patient care. So, hand-off reporting during shift change is a critical process that is crucial in protecting a patient's safety. Throughout the hand-off report, it is vital to provide accurate, up-to-date, and pertinent information to the oncoming nurse.
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.
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.
Shift reports help improve communication between coworkers or team members, and they ensure proper execution, control and oversight. Managers use shift reports to pass information about proceedings that take place during a specific shift to others.
The evidence based research reviewed unanimously concludes that conducting bedside reporting leads to increased patient safety, patient satisfaction, and nurse satisfaction. Nurses communicate with patients, patient families, healthcare providers, and other axillary departments constantly during a shift.
The evidence based research reviewed unanimously concludes that conducting bedside reporting leads to increased patient safety, patient satisfaction, and nurse satisfaction.
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.
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.
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.
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.
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.
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: 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.
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.
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.
Communication can save lives and the evidence does demonstrate that bedside reporting is an effective communication tool to increase patient communication, patient safety, decrease med errors, and improve patient outcomes. Bed side reporting is a method of communication that each nurse should embrace and take advantage of, as it makes the nurse more accountable, responsible, and it increases the nurse and patient’s knowledge. Communication is the key to a healthy working environment.
Communication with a patient and or family improves the overall experience and often will make a difference in where they will choice to have their health care needs in the future. Patient satisfaction is always a leading initiative for healthcare facilities in order to ensure that they are chosen over other healthcare facilities in the same region [9]. One study conducted by Kimberly Radtke [9], found patient like meeting their nurses and being involved in their plan of care. Radtke [9] writes bedside reporting “decreases the perception the healthcare team members are ‘hiding something’” and “patients feel like they are in ‘safe hands’”. One participant, a patient, from another evidence based study, stated “you want it to be right in front of you”. You want the nurses and or healthcare team to discuss and communicate in front of you, not behind doors, where the patient has no input into their own care and plan for the discharge. That gives the patient a little bit more comfort [10]. Patients want to be involved in their care plans because in times of feeling vulnerable they feel they have a say in their treatment. Taylor [5] discusses that more research should be done on patient involvement in the report process and how it affects their call light usage and anxiety levels. Patients in the 21st century are able to access their information based on their hospitalization from the internet [11]. Educated patients want a more collaborative approach in their care in order to be kept informed on their current condition and treatment plans [11].