Bedside Report

Only available on StudyMode
  • Download(s) : 844
  • Published : June 10, 2014
Open Document
Text Preview
Bedside Shift Report
Description of the Topic and Problem
Policies and procedures are review, revamp and implement constantly in health care facilities to ensure safe patient care is being deliver. Effective communication is a critical part in providing safe patient care. Usefulness communication is essential during shift report in order to provide safe care and meet goals for the patient. There is a trend where hospitals are bringing shift report to the bedside in order to improve the effectiveness of communication between the nurses. At Kaiser Santa Clara, the facility I currently work at, has a standard policy and procedure regarding the handoff communication during shift change, according to the policy the two nurses are to review information that is standardized to the following: •Diagnoses and current condition of the patient

Medications given or due
Isolation status
Recent changes in condition or treatment
Anticipated changes in condition for treatment
What to watch for in the next interval of care
The purpose of the policy is to provide an interactive dialogue that allows for up-to-date information on the patient’s care. The policy is referenced to the Joint Commission-mandated focus on improving patient safety through effective caregiver communication. According to the Joint Commission, as estimated 80% of serious medical errors are attributable to miscommunication between caregivers when transferring responsibly for patients (Wakefield, Ragan, Brandt & Tregnago, 2012). Shift report happens two, three, or more times in a day, but nurses receive little formal training in this vital responsibility. Nurses may be found legally liable for failing to report necessary information during handoffs (Riesenberg, Leitzsch, & Cunningham, 2010). Therefore, it is imperative for a handoff procedure incorporate an effective way to communicate in order to provide safe patient care. Review of the Literature

Traditionally, shift report has been performed away from the bedside either at the nurse’s station or outside of the patient’s room where patient information is exchanged in an informal way varying from nurse-to-nurse. According to Laws and Amato, information provided, and the actual status of the patient were two different stories when the on-coming nurse came into the room to assess the patient after shift report (2010). Shift report often lack care planning and goals for the shift; these issues often leave the nurses with incomplete data to provide patients with the best possible care (Baker, 2010). Numerous studies and articles have been written in how to improve shift report to coincide with the Joint Commission national patient safety goals, there seems to be an array of information on facilities transition to bedside report, as in giving shift report right next to the patient’s bed.

At the University of Michigan Hospital and Health Center, a quantitative study was conducted to improve the practice of nursing shift-to-shift report by taking it to the bedside. Over a six month period, a group of nurses were observed during shift change to determine how the implementation of bedside reporting was being received by the nurses and patients. The results collected between the observation and a brief questionnaire filled out by the nurses, showed that there was a decrease in report time from 45 minutes to 29 minutes due to that nurses that did not have the privacy of socializing at the nurses station, which decreases crucial time to give a report on a patient. Nurse satisfaction with report process increased from 37% to 78% when moved to the bedside because nurses could give and receive much more accurate handoff without distractions. An intervention to relocate shift report to the patient bedside resulted in improved satisfaction for nurses and increased direct care time to patients (Evans, Grunawalt, McClish, Wood, & Friese, 2012).

A critical care quality committee at Regions Hospital in St....
tracking img