Running head: BEDSIDE SHIFT REPORT Improving Patient Care through Bedside Shift Report Grand Canyon University NRS 493 Professional Capstone and Practicum August 18, 2020 1 BEDSIDE SHIFT REPORT 2 Improving Patient Care through Bedside Shift Report Patient safety and quality of care are major aspects of consideration in nursing. As such, evidence-based practice (EBP) in nursing is often striving to produce the best outcomes in enhancing patient safety and the quality of care. Out of these concerns the use of nurse reporting is one of the major aspects and routines that have been established as means of enhancing patient safety. This project focuses on comparison of patient bedside reporting and traditional reporting in reducing adverse events among patients. PICOT Question: Among patients admitted to the hospital (P) how do nurses’ bedside shift reports (I), compared to traditional reports outside of patients’ rooms (C), affect the occurrence of adverse events (O) during hospital stay (T)? Population: Patients admitted to the hospital Intervention: Nurses’ bedside shift reports Comparison: Traditional reports outside of patients’ rooms Outcome: The occurrence of adverse events Time: During hospital stay The issue of focus for this project is the safety of patients in the healthcare organization. This problem can be described in relation to evidence-based solution. In producing positive patient outcomes, the focus of this project is delivering an evidence-based solution for reducing adverse events and near misses in in-patient care settings. In relation to evidence-based solution, the problem of patient safety thus relies on the research to produce a solution that has been highlighted as effective through previous interventions. Reliance on this research thus promotes outcomes in the healthcare organization. BEDSIDE SHIFT REPORT 3 Secondly, the focus on the issue of safety can be viewed from a nursing intervention point of view. A nursing intervention is described as the actual treatment and activities that the nurse engages in to reach patient goals in the treatment process (Butcher, Bulechek, Dochterman, & Wagner, 2018). Therefore, they are based on patient health goals and the nurses’ experience, knowledge, and skills. The issue of patient safety relates to nursing interventions through the need to implement dedicated actions to increase patient safety. In this case, bedside reports are aimed at reducing information gaps and enhancing continuity of care for better patient outcomes. Moreover, the problem of patient safety affects patient care as well as nursing practice. Patient care involves all those activities that the nurse takes to enhance and maintain the physiological as well as psychosocial state of the patient towards recovery (Black, 2019). Safety of patients is part of patient care and a part of nursing practice roles. Lack of safety affects patients’ recovery adversely by impacting the different aspects of the patient’s health. Low safety thus shows low quality of patient care. Additionally, the role of the nurse is to provide the best environment for the patient to recover and hence enhancing patient safety is part of the role of nursing practice. Bedside reports are aimed at enhancing continuity of care and part of continuity is to enhance care outcomes through quality and safety. The PICOT issue is thus tied to nursing practice and the process of patient care towards the best outcomes in the healthcare setting. Overall, the problem of safety connects to health care agencies through the regulations as well as penalties that healthcare organizations pay for neglecting the safety of patients. Basically, health care agencies advocate for the best quality of patients while also pushing for the minimization of adverse events and near misses in healthcare organizations. To achieve these health care agency goals, healthcare organizations utilize different approaches including proper reporting and other interventions to reduce the rates of these occurrences. The proposed BEDSIDE SHIFT REPORT intervention is the adoption of bedside reporting as opposed to traditional reporting approaches. The reasoning behind this intervention is that bedside reporting is likely to enhance outcomes through better coordination of care and continuity. In relation to health care agency, the organization remains in charge of patients’ safety and enhancing outcomes based on rules and regulations set by governmental agencies. 4 BEDSIDE SHIFT REPORT 5 References Black, B. (2019). Professional nursing E-Book: Concepts & challenges. Elsevier Health Sciences. Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions classification (NIC)-E-Book. Elsevier Health Sciences. Literature Evaluation Table Student Name: Change Topic (2-3 sentences): Topic: Improving Patients’ Quality of Care through Bedside Shift Report. Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Reference: McAllen, E.R., Stephens, K., SwansonBiearman, B., Kerr, K., Whiteman, K (April 9, 2018) "Moving Shift Report to the Bedside: An EvidenceBased Quality Improvement Project" OJIN: The Online Journal of Issues in Nursing Vol. 23, No. 2. Reference: Bigani, D. K., & Correia, A. M. (2018). On the Same Page: Nurse, Patient, and Family Perceptions of Change-of-shift Bedside Report. Journal of Pediatric Nursing, 41, 84–89. Reference: Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A Qualitative Study of the Change-of-Shift Report at the Patients’ Bedside. The Health Care Manager, 35(4), 294–304. https://doi.org/10.1097/hcm. 0000000000000125 Reference: Ford, Y., Heyman, A., & Chapman, Y. L. (2015). Patientsʼ Perceptions of Bedside Handoff. Journal of Nursing Care Quality, 29(4), 371–378. https://doi.org/10.1 097/ncq.000000000 0000056 Web Link: https://ojin.nur singworld.org/ MainMenuCat egories/ANA Marketplace/A NAPeriodicals/ OJIN/TableofC ontents/Vol23-2018/No2May2018/Articles- Web Link: Permalink: https://journals.lww.com/he https://lopes.idm.oclc althcaremanagerjournal/Abs .org/login?url=https:// tract/2016/10000/A_Qualita search.ebscohost.com tive_Study_of_the_Change_ /login.aspx?direct=tru of_Shift_Report.3.aspx e&db=edo&AN=130 462037&site=edslive&scope=site&cus tid=s8333196&group id=main&profile=eds 1 © 2015. Grand Canyon University. All Rights Reserved. Web Link: https://journals.lww .com/jncqjournal/A bstract/2014/10000/ Patients__Perceptio ns_of_Bedside_Ha ndoff__The_Need.1 0.aspx PreviousTopics/Moving -Shift-Reportto-theBedside.html Article Title and Year Published Moving Shift Report to the Bedside: An Evidence-Based Quality Improvement Project On the Same Page: Nurse, Patient, and Family Perceptions of Change-of-shift Bedside Report A Qualitative Study of the Change-of-Shift Report at the Patients’ Bedside Patients’ Perceptions of Bedside Handoff The Need for a Culture of Always Year Published: 2016 Year Published: 2015 Year Published: 2018 Year Published: 2018 Research Questions (Qualitative) /Hypothesis (Quantitativ e) Purposes/Ai m of Study Design (Type of Quantitative , or Type of Qualitative) Setting/Sam ple Methods: Intervention /Instruments Analysis Key Findings Recommend ations Explanation of How the Article Supports EBP/Capsto ne Project © 2017. Grand Canyon University. All Rights Reserved. Criteria Article 5 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Reference: Schirm, V., Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A research and evidencebased practice initiative. Applied Nursing Research, 40, 20–25. https://doiorg.lopes.idm.oclc.org/10. 1016/j.apnr.2017.12.004 Article Title and Year Published Article 7 Article 8 Reference: Foster-Hunt, T., Parush, A., Ellis, J., Thomas, M., & Rashotte, J. (2015). Information structure and organization in change of shift reports: An observational study of nursing hand-offs in a Pediatric Intensive Care Unit. Intensive & Critical Care Nursing, Permalink: 31(3), 155–164. https://lopes.idm.oclc.org/ https://doilogin?url=https://search.eb org.lopes.idm.oclc.org/1 scohost.com/login.aspx?di 0.1016/j.iccn.2014.09.00 rect=true&db=edselp&A 4 N=S0897189717301118& site=edsPermalink: live&scope=site&custid=s https://lopes.idm.oclc.or 8333196&groupid=main g/login?url=https://searc &profile=eds1 h.ebscohost.com/login.a spx?direct=true&db=cc m&AN=103357319&sit e=ehost-live&scope=site Reference: Radtke K. (2015). Improving patient satisfaction with nursing communication using bedside shift report. Clinical nurse specialist CNS, 27(1), 19– 25. https://doi.org/10. 1097/NUR.0b013 e3182777011 Reference: Ofori-Atta, Judymae MSN, BSN, RN; Binienda, Maura BSN, RN; Chalupka, Stephanie MSN, EdD Bedside shift report, Nursing2019: August 2015 Volume 45 Issue 8 - p 1-4 doi: 10.1097/01.NU RSE.000046925 2.96846.1a Evaluation of bedside shift report: A research and evidence-based practice initiative Improving Patient Satisfaction With Nursing Communication Using Bedside Shift Report Year Published: 2018 Article 6 Information structure and organization in change of shift reports: An observational study of nursing hand-offs in a Pediatric Intensive Care Unit Year Published: 2015 Web Link: https://pubmed.n cbi.nlm.nih.gov/2 Web Link: 3222024/ https://journals.l ww.com/nursing /Fulltext/2015/0 8000/Bedside_s hift_report__Im plications_for_p atient.20.aspx Year Published: 2015 Research Questions (Qualitative) /Hypothesis © 2017. Grand Canyon University. All Rights Reserved. Bedside shift report Implications for patient safety and quality of care Year Published 2015 (Quantitativ e) Purposes/Ai m of Study Design (Type of Quantitative , or Type of Qualitative) Setting/Sam ple Methods: Intervention /Instruments Analysis Key Findings Recommend ations Explanation of How the Article Supports EBP/Capsto ne © 2017. Grand Canyon University. All Rights Reserved.
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