1. Bedside Report Plan Research implications Another approach Background
Pico
Nurses in the SICU have been given end-shift report in a conventional way. Unfortunately, there are complaints about discrepancies between the previous nurse’s reports comparing to the actual situations at the bedside. The problem has been in existence for quite some time without being addressed.
The goal is to reduce errors and increase satisfaction among nurses.
Bedside nurse-to-nurse handoff improves communication between caregivers and increase nurse-to-nurse accountability and patient safety. Staff nurses prioritize their shift better because they have visualized all their patients. There is an increase in nurse and physician satisfaction due to better understanding of the patients’ situations at shift change (Maxson et al, 2012).
An article by Cairns, Dudjak, Hoffman, and Lorenz describes the quality improvements that occurred in a project utilizing bedside shift report. They concluded that, “project outcomes confirmed positive relationships between bedside shift reporting and end-of-shift overtime, call light usage, and patient and nurse satisfaction” (Cairns et al., 2013).
For nurses working in a surgical intensive care unit, will giving report at the patient beside increase nurses’ satisfactions and eliminate discrepancies compared to traditional end-shift report within a one month period?
Research Poster Presentation
Jordan Furstenau
Ferris State University
Research implications
Another approach
This project has the possibility of improving patient outcomes in the SICU through improving communication between staff members, increasing staff satisfaction, and increasing patient satisfaction. The concept of bedside nursing has been implemented previously and has proven to be effective. A study completed by Evans, Grunawait, McClish, Wood, and Friese concluded that bedside shift report reduced shift report times and improved nursing satisfaction. Nursing satisfaction has very strong implications on the type of care that is provided during shift work. Nurses face many stressors in the work environment that can cause physical and psychological problems and a reduction of these stressors improves their ability to provide adequate care (Chitty & Black, 2011). The implementation of bedside report has the possibility to improve patient outcomes, improve staff satisfaction, and improve patient satisfactions.
Exchanging report between nurses is the time when accountability and responsibility for the care of a patient is transferred from one nurse to another and the communication that ensues during this process is linked to patient safety (Griffin, 2010).
The study could apply Peplau’s interpersonal relations theory to improve patient satisfaction through the implementation of bedside report. Peplau's interpersonal relations 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 (Radtke, 2013). They began the study by reviewing surveys completed by discharged patients regarding their satisfaction and perception of communication. The study was done to improve patient satisfaction. There was a rise in patient satisfaction in nursing communication to 87.6%, an increase from 75% which showed that this practice change did impact this particular area of patient satisfaction (Radtke, 2013). The project will be considered a success if there is an increase in nurse satisfaction and a decrease in discrepancies following report.
What is needed?
Who: Registered Nurses who provide direct patient care in a surgical intensive care unit.
What: To adopt the practice of giving end shift report between nurses at the patient bedside rather than at the nurses station.
Where: Surgical Intensive Care Unit
When: Over a one month period of time.
Why: To increase accountability among nurses for their actions and improve nurse satisfaction and patient safety.
How: After a one month trial period, a follow-up survey will be used to determine the effectiveness of bedside report among staff.
Measurement: Post-intervention survey: to evaluate the effective of bedside report as evidence by a %50 increase in nurse satisfaction and %50 decrease in medication discrepancies.
Potential Problems
References
Situation
Background
Assessment
Recommendation
The staff members may not follow the guidelines of the study.
Hospital policy may be contradictory to the recommendations of the results of the study.
The staff may not participate or accept the changes implemented.
The patients may not participate in the survey, reducing chance for success.
The site representative may have limited time to participate in the project.
Cairns, L. L., Dudjak, L. A., Hoffman, R. L., & Lorenz, H. L. (2013). Utilizing Bedside Shift Report to Improve the Effectiveness of Shift Handoff. Journal Of Nursing Administration, 43(3),
Chitty, K.K., & Black, B.P. (2011). Professional nursing: Concepts and challenges (6th ed.) Maryland Heights, MO: Saunders
Evans, D., Grunawait, J., McClish, D., Wood, W., & Friese, C. R. (2012). Bedside Shift-to-Shift Nursing Report: Implementation and Outcomes. MEDSURG Nursing, 21(5),
Griffin, T. (2010). Bringing change-of-shift report to the bedside: a patient- and family-centered approach. Journal Of Perinatal & Neonatal Nursing, 24(4),
Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012). Bedside nurse-to-nurse handoff promotes patient safety. MEDSURG Nursing, 21(3),