Bedside report is an evidence-based practice; it is described extensively in the literature as a strategy to improve communication, and ultimately patient care. The literature overwhelmingly supports that bedside report increases patient outcomes and patient and nurse satisfaction by establishing trust, enhancing communication, and facilitating information sharing with nurses, patients, and their families; thus, patients feel that they are actively involved in their care [2,3]. The literature suggests that there is a link between bedside report and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, specifically, the communication dimension. The communication dimension for patient satisfaction includes patient communication with nurses and other providers delivering care. Patients feel that the staff were respectful to them and worked better as a team when they participated in the plan of care.
Full Answer
Does bedside report improve patient safety and patient satisfaction?
Research has shown that the implementation of bedside report has increased patient safety and patient and nurse satisfaction. An evidence-based practice change incorporating bedside report into standard nursing care was implemented and evaluated over a four-month time period on three nursing units.
What is bedside shift report (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. Hospital leaders and healthcare organizations are making concentrated efforts to change their environments to assure patient safety and patient and nurse satisfaction.
Can nurse shift report process improve patient satisfaction?
Project: 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%.
What is a bedside handoff report?
At a Glance • A standardized handoff communication tool is recognized as a Joint Commission patient safety goal to reduce communication errors and improve patient safety. • The benefits of patient safety and satisfaction outweigh the barriers to implementing a bedside handoff report.
Does bedside report improve patient satisfaction?
Research has shown that the implementation of bedside report has increased patient safety and patient and nurse satisfaction.
Why do nurses report bedside?
Strategy 3: Nurse Bedside Shift Report helps ensure the safe handoff of care between nurses by involving the patient and family.
What should be included in a bedside shift report?
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.
What is the purpose 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.
What is the bedside nurses 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 do you write a nursing shift report?
Tips for an Effective End-of-Shift ReportUse Concise and Specific Language. ... Record Everything. ... Conduct Bedside Reporting as Often as Possible. ... Reserve Time to Answer Questions. ... Review Orders. ... Prioritize Organization. ... The PACE Format. ... Head to Toe.
Does bedside shift report reduce falls?
Overall, the benefits of BSR are improved patient safety and patient-centered care, decreased anxiety and increased trust with the patient and family, improved nurse communication, encouraged teamwork and accountability, and reduced falls and medication errors.
What is the purpose of change of shift report in nursing?
Change-of-shift report is the time when responsibility and accountability for the care of a patient is transferred from one nurse to another. The communication that ensues during this process is linked to both patient safety and continuity of care giving.
Why are nursing handovers important?
An accurate handover of clinical information is of great importance to continuity and safety of care. If clinically relevant information is not shared accurately and in a timely manner it may lead to adverse events, delays in treatment and diagnosis, inappropriate treatment and omission of care.
What is nurse shift report?
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.
What is a bedside nurse?
Bedside nurses work directly with individual patients to address their health issues and deliver day-to-day care. Meanwhile, community health nurses work with communities, groups, and families to educate them about health issues, refer health services, and prevent the risk of illness and disease.
Why are nursing handovers important?
An accurate handover of clinical information is of great importance to continuity and safety of care. If clinically relevant information is not shared accurately and in a timely manner it may lead to adverse events, delays in treatment and diagnosis, inappropriate treatment and omission of care.
What is involved in making a clinical judgment?
Clinical Judgment is the process by which the nurse decides on data to be collected about a client, makes an interpretation of the data, arrives at a nursing diagnosis, and identifies appropriate nursing actions; this involves problem solving, decision making, and critical thinking.
What percentage of medical errors are caused by poor communication and teamwork?
At the same time, medical error is estimated to be “the third most common cause of death in the US” [1], and teamwork failures (e.g., failures in communication) account for up to 70-80 percent of serious medical errors [2-5].
What is the Joint Commission definition of handoff communication?
What is a hand-off? A hand-off is a transfer and acceptance of patient care responsibility achieved through effective communication.
What is standardized approach to bedside handoff and walking rounds?
Based on recommendations from the Joint Commission, the Robert Wood Johnson Foundation, and broader research literature, a standardized approach to bedside handoff and walking rounds was implemented on an inpatient surgical oncology unit.
What is the purpose of a standardized handoff report?
In 2009, the Joint Commission identified a standardized approach to handoff communication as a patient safety goal to reduce communication errors. Evidence suggests that a structured handoff report, combined with active patient participation, reduces communication errors and promotes patient safety. …
Why is a standardized handoff important?
In 2009, the Joint Commission identified a standardized approach to handoff communication as a patient safety goal to reduce communication errors. Evidence suggests that a structured handoff report, combined with active patient participation, reduces communication errors and promotes patient safety. Research shows that bedside handoff increases nurses' accountability by visualizing the patient and exchanging information at the point of care. Based on recommendations from the Joint Commission, the Robert Wood Johnson Foundation, and broader research literature, a standardized approach to bedside handoff and walking rounds was implemented on an inpatient surgical oncology unit. At a Glance • A standardized handoff communication tool is recognized as a Joint Commission patient safety goal to reduce communication errors and improve patient safety. • The benefits of patient safety and satisfaction outweigh the barriers to implementing a bedside handoff report. • A standardized, nurse-driven, electronic report should guide transfer of information during bedside handoff.
AUTHOR CONTRIBUTIONS
Joseph Jimmerson was responsible for the execution, scientific integrity, and administration of the study. He was responsible for the all correspondence with the designated study site, IRB, participants, and transcription services.
DATA AVAILABILITY STATEMENT
Additional information regarding this study, including transcribed interviews, are available and can be requested via the following email: ude.smau@nosremmijj.
REFERENCES
Agency for Healthcare Research and Quality (AHRQ) (2013). Nurse bedside shift report: Implementation handbook. Retrieved from https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/strategy3/index.html [ Google Scholar]
How does a bedside shift report help?
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
What is a nurse bedside shift report?
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
What is a nurse bedside handoff?
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
What are the five steps of Everett Rogers' bedside shift report?
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
What are the disadvantages of bedside shift?
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
Why don't nurses do bedside shifts?
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
What is a written nursing report?
The written nursing report doesn't allow the off-going and oncoming nurses to interact face-to-face, but it 's a written record of the patient's medical background, situation, treatment, and care plan that's usually conducted behind closed doors.3The tape-recorded nursing report also doesn't allow interaction between the off-going and oncoming nurses. It's considered to be a time-efficient method, but drawbacks such as a nurse's inability to clarify patient information, an unclear or low-volume audiotape recording, and outdated or misheard facts relevant to the patient's current condition are all issues that have been pointed out in the research literature.3The verbal report conducted in a private setting gives the off-going and the oncoming nurses the opportunity to interact face-to-face, but doesn't involve patients and their family members.3Furthermore, it's more time-consuming than other types of reporting.9
Why are Word and PowerPoint files provided to hospitals?
Word and PowerPoint files are provided so that hospitals can tailor them for their organizations.
Why is patient engagement important in healthcare?
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Quality and Safety, a tested, evidence-based resource to help hospitals work as partners with patients and families to improve quality and safety.
Why do nurses shift?
Nurse shift changes require the successful transfer of information between nurses to prevent adverse events and medical errors. Patients and families can play a role to make sure these transitions in care are safe and effective.
What is bedside shift report?
Bedside Shift Report: A Way to Improve Patient and Family Satisfaction with Nursing Care
What is the purpose of nursing data collection?
to collect data to understand patient satisfaction with nursing care and communication. The
How much of handoffs are caused by poor communication?
Poor communication during the handoff process contributes to approximately 30% of
What is evidence based approach to BSH?
delivery and communication, the evidence-based approach of the BSH process shows
Does the HCAPS survey recognize unit specific patient?
satisfaction within the organization. The HCAPS survey fails to recognize unit specific patient
What is a bedside shift report?
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. Hospital leaders and healthcare organizations are making concentrated efforts to change their environments to assure patient safety and patient and nurse satisfaction. In the literature, changing the location of shift report from the desk or nurses’ station to the bedside has been identified as a means to increase patient safety and patient and nurse satisfaction. Shift report, when completed at the patient bedside, allows the nurse to visualize and assess the patient and the environment, as well as communicate with and involve the patient in the plan of care. 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.
Why is patient participation important in a BSR?
Patient participation in the report is paramount to delivery of safe, high quality care. After the literature review, the team defined BSR as the accurate and timely communication between nurses and also between the nurses and the patient. Patient participation in the report is paramount to delivery of safe, high quality care. Furthermore, through reading and discussion of the articles, the team concluded that report, when completed at the patient bedside, allows the nurse to visualize and assess patients and the environment, with better communication and patient involvement in care.
What is BSR in nursing?
BSR is a significant change to the current shift report practice and culture of most organizations, but it is associated with both improved patient safety and patient and nurse satisfaction. A limitation of this project was that the evidence-based quality improvement design prevents generalization of findings to other settings; however, the knowledge gained may be transferred to other units or hospitals.
How many nurses completed the BSR survey?
Sixty-four (95%) of the nurses completed the pre- implementation survey, and fifty-seven (85%) completed the post survey. Table 2 represents the number of nurses who reported having enough time for report was significantly decreased, from 80% pre BSR to 59.6% after implementation of BSR ( p = 0.008). In the post survey, staff members were able to express concerns about BSR; 70% ( n = 45) of the nurses who responded to this question believed that BSR increased the time it took to individually give and receive report. Thirty-nine percent ( n =25) of staff reported concerns about patient confidentiality; 44% ( n =29) responded that BSR was inconvenient for nurses due to many factors (e.g., multiple nurses needing report, patient requests delayed report, and nurses preferring the status quo).
Why is BSR important for nurses?
BSR was associated with decreased fall rates , and this finding is consistent with the literature ( Jeffs et al. 2013; Sand-Jecklin & Sherman, 2013 ). Since falls occur for many reasons, it is not surprising that a single environmental scan at change of shift did not eliminate all falls. However, in one instance, nurses found a patient trying to climb out of bed during BSR and timely intervention may have prevented a fall. In the staff satisfaction survey, a nurse reported discovering a patient who had experienced a change in neurological status during BSR. It would be important to note in future studies or projects that the importance of the visual assessment component of the patient and the environment in BSR should be considered as an outcome measure.
Why is sharing success stories important?
Education is the beginning of obtaining buy-in from staff. Sharing success stories, such as the “good catch” of a patient who had deteriorated on rounds or improving fall rates, helps to encourage continued participation in BSR. Some staff members may initially participate but return to the nurses’ station for report unless nursing leadership continues to monitor performance and reinforce consistent expectations. When nurses explain that BSR is “how we practice,” BSR is “anchored” on your unit.
How much did falls decrease after BSR?
Patient falls decreased by 24% in the four months after BSR implementation compared to pre-implementation falls. The orthopedic unit experienced the greatest reduction in the number of falls at 55.6%, followed by the neuroscience unit at 16.9%, and the general surgery unit at a 6.9% reduction. Patient falls results are presented in Figure 3.
Why are nurses always on the same page during the report?
Nurses are always on the same page during the report because they're both looking at the same information at the same time. 12. The patient benefits from BSR too.
How did BSR save a patient's life?
Federwisch gives an example of how BSR saved a patient's life at one facility. 9 A postoperative patient prescribed patient-controlled analgesia was given an antiemetic at 1910 just before change of shift. When two nurses entered her room at 1920 for the BSR, her respiratory rate had dropped to 6 breaths/minute. One nurse stayed in the room while the other obtained and administered naloxone as per protocol. The patient quickly recovered without complications. Had the nurses been engaged in traditional shift report away from the patient, the result could have been tragic.
What is BSR in nursing?
By definition, 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 their care.
What is BSR in healthcare?
The Agency for Healthcare Research and Quality (AHRQ) defines BSR as “an opportunity to make sure there is effective communication between patients and families and nursing staff.” It also states that one of the rationales for BSR is the creation of an environment where patients, families, clinicians, and hospital staff work together to improve the quality and safety of care. 7 Research has shown that when patients are that third voice engaging in decisions that impact their health, measurable improvement in safety and quality result. 8
Why is BSR important in nursing?
Because nurses are the first line of defense when it comes to patient safety, BSR is an integral part of the care plan. The nurse is accountable for the communication that occurs during the change-of-shift report.
How many people died from BSR in 2010?
According to the Inspector General Office, Health and Human Services Department, less-than-competent hospital care contributed to the deaths of 180,000 Medicare patients in 2010. However, the real number may be higher: According to one estimate, between 210,000 and 440,000 patients who go to ...
Why should time be set aside before or after BSR?
If the patient wants complete privacy during this time, the nurse can courteously ask family and friends to leave to allow interaction between nurse and patient. In addition, time should be set aside before or after BSR for the sharing of sensitive information that hasn't been told to the patient with the oncoming nurse.
