Franklin Woods Nursing Home Day Shift Reviews 2019
Implementing bedside shift report has been a largely discussed topic in the nursing literature. Unfortunately, sustaining this practice in real-globe settings has been a challenge. This literature review considers articles on nurse bedside shift report implementation and strategies that may lead to successful practice sustainability.
Methods
The evidence hierarchy developed by Polit and Beck was applied for the purposes of this literature review, which included English language-language periodical articles published between 2006 and 2016 that had quantitative or qualitative results in relation to patient satisfaction (patient feel with care), nursing satisfaction, and/or incidental overtime.1 Systematic literature reviews were also included. The search engines used were PubMed, CINAHL, and MEDLINE, and the words and phrases used were bedside nurse report, bedside handoff, and bedside handover.
A total of 25 articles were constitute that met the inclusion criteria. Four of them were systematic literature reviews, five of them independent qualitative and quantitative data, seven of them had just qualitative results, and nine of them contained but quantitative results.
Nurse bedside shift written report
Nurse bedside shift report, or handoff, has been divers in the literature as a process of exchanging vital patient information, responsibleness, and accountability between the off-going and oncoming nurses in an effort to ensure prophylactic continuity of care and the delivery of all-time clinical practices.2-half-dozen There are different types of nursing reports described in the literature, but the 4 main types are: a written report, a record-recorded study, a verbal face-to-face up report conducted in a private setting, and face up-to-face bedside handoff.3,4,7,8
The written nursing report doesn't permit the off-going and oncoming nurses to collaborate face-to-face, simply information technology's a written record of the patient's medical background, situation, treatment, and care plan that's normally conducted behind closed doors.3 The tape-recorded nursing report also doesn't allow interaction between the off-going and oncoming nurses. Information technology's considered to be a time-efficient method, merely drawbacks such as a nurse's inability to clarify patient information, an unclear or low-book audiotape recording, and outdated or misheard facts relevant to the patient's current condition are all problems that have been pointed out in the inquiry literature.3 The exact study conducted in a individual setting gives the off-going and the oncoming nurses the opportunity to interact face-to-face, but doesn't involve patients and their family unit members.iii Furthermore, information technology'due south more time-consuming than other types of reporting.9
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.three This type of nursing report is conducted at the patient's bedside and has different variations. In broad terms, nurse bedside shift report can exist classified into two categories: "blended" and face-to-face bedside handoffs.8,10 The "blended" bedside shift written report can be defined as a nursing handoff composed of two parts: Half of the study is written or conducted in a face-to-face approach in a private setting and the other one-half of the study is conducted contiguous at the patient's bedside. The confront-to-confront nurse bedside shift study is solely conducted at the patient's bedside.8
Patient experience with bedside shift written report
Systematic literature review studies signal out that implementing nurse bedside shift written report tin improve the patient experience with care as related to nurse communication.8,nine,xi For example, Mardis and colleagues conducted a systematic literature review of 41 articles related to the utilize of bedside shift report and concluded that 49% of the reviewed literature identified an increment in patient experience with care every bit a self-reported outcome, whereas merely 2% of the reviewed studies identified patient complaints with this practice.11 Sherman and assembly besides found patient advantages in relation to nurse bedside shift written report, such as patients existence more informed well-nigh and engaged in their care, improved nurse-patient relationship, and comeback in overall patient satisfaction.8
The bulk of the studies on nurse bedside shift report that discuss patient experience with care accept limitations. For instance, they have a low sample size or take used indirect measures for evaluating the patient experience with nurse bedside shift written report.two,iii,6,12-21 Just three studies were institute to have a sample size greater than 100 patients that direct measured the patient experience with nurse bedside shift report by distributing surveys to patients and determining that the overall patient perception with the procedure was positive.ten,22,23
Patients did study some disadvantages with the nurse bedside shift report procedure. These included difficulties understanding the study and medical jargon, tiredness as a result of data being repeated multiple times, lack of privacy, anxiety over incorrect information or also much information, and inconsistency with how the nurse bedside shift report was conducted.8,22,23
In summary, patient advantages outweigh disadvantages in relation to nurse bedside shift report and all measurement tools used in the literature consistently show that nurse bedside shift written report improves the overall patient experience with care.
Nursing satisfaction with bedside shift report
Evidence strongly supports that bedside shift report increases nurse satisfaction.6,eight,9,eleven Some of the most unremarkably reported nurse advantages include improved report efficiency, teamwork, nursing accountability, and report accuracy; enhanced individual patient care and documentation practices; satisfaction with patients being involved; visualizing patients and the ability to prioritize care; and improved discharge or transition of care.2,3,5,7,8,10,12,13,17,23,24
Gregory and colleagues conducted a systematic literature review of 33 articles and identified 17 articles that presented data most nurse-to-nurse dyadic relationships in relation to nurse bedside shift study.24 Co-ordinate to the written report, nurses had positive experiences with the practice because they were able to share stories, provide emotional back up to each other, communicate more finer, and experience mentoring and coaching opportunities.24
Studies also reported a number of reasons why some nurses don't prefer bedside shift written report, including that they may accept picayune 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 accept answers.7,24 They may too be afraid to unintentionally disclose medical data unknown to the patient and may have concerns nearly violating patients' privacy.9,21 Just the main nursing disadvantage in relation to bedside shift written report that's been reported in the literature is longer change-of-shift study time as a effect of patients interrupting nurses during the procedure.eight
Financial impact of bedside shift report
Nonplanned incidental overtime creates a fiscal burden for hospitals. Every bit such, the time it takes to carry out nurse handoff is an important factor to consider. Several studies have identified that incidental overtime decreases, or decreases insignificantly, afterwards the implementation of nurse bedside shift report.half dozen,10,xi,17,21,23,24
Cairns and colleagues calculated that afterwards the implementation of a nurse bedside shift study airplane pilot project, the nursing overshift time decreased past 10 minutes per day and resulted in a decrease in the annual salary expense ranging from $95,680 for overtime paid at the regular hourly charge per unit to $143,520 for overtime paid at the time-and-a-half rate.17 Anderson and Mangino also reported a decrease in incidental overtime by 100 hours during the first month of bedside shift report implementation.21 Mardis and colleagues found that five out of 41 studies regarding bedside shift report indicated a decrease in overtime hours or related price.11
The Agency for Healthcare Research and Quality also supports the practice of measuring incidental overtime as a good strategy for evaluating the economic touch of nurse bedside shift report.25
Sustainability of bedside shift report
Nurse bedside shift report is a do that becomes an established habit, but it'southward often a challenge to modify the quondam reporting process and sustain the new practice.15,eighteen,20,26 According to the literature, major threats to successful implementation and sustainability of nurse bedside shift report include inconsistency with the new intervention, lack of leadership or employee buy-in, lack of continuous process direction practices, and negative nursing feedback and emotions.2,12,15,xviii,22,23,27 In addition, implementing nurse bedside shift report through an authoritarian leadership approach without the input of frontline nursing staff leads to unsuccessful sustainability.xviii
The concepts that have been used in the literature for achieving acceptance and sustainability of nurse bedside shift study follow Everett Rogers' five-step approach to adoption of innovations: cognition, persuasion, determination, implementation, and confirmation.28
The noesis phase is divers equally the time when bedside handoff is introduced to the nursing unit(south) and arrangement, and the following interventions take place: leadership support and commitment, relationship building, staff meetings, and nursing education.4,fifteen,17,eighteen-20,27 Providing teaching tin take the form of a periodical club, formal training in bedside shift written report do through written and video materials, educational sessions that offering case scenarios based on nursing feedback, staff communication skill development training, and mandatory standing education and annual performance competencies.ii,9,11,xvi-18,xx,27
The persuasion phase is characterized as the fourth dimension it takes for nurses to establish a favorable attitude toward the new practise.nine,18,20 Discussing advantages and disadvantages of bedside handoff with frontline staff is crucial to the adoption of the new report procedure during this footstep.28 The persuasion phase may consist of the following nursing leadership and management interventions: appraise nurses' emotions, attitudes, and perceptions; defuse a negative piece of work surroundings; and establish effective and open advice betwixt leadership and nurses.ii,18,15,20,27
The decision phase is defined equally the time it takes for engaging nurses in activities that lead to the adoption of bedside shift report and includes the following nursing leadership and management interventions: establish an implementation group composed of formal leaders and nursing unit champions, engage staff in the development and planning phase of the process, utilise a theoretical framework and set up measurable and realistic goals, use a standardized report practice and an operating protocol for implementation, and encourage innovative ideas such equally a kickoff day commemoration for supporting the new reporting practice.7,15,17,18,19,20,27
The implementation phase includes conducting staff meetings, obtaining ongoing nursing feedback, identifying barriers and facilitators to the new do, modifying bedside handoff based on process evaluation techniques, encouraging adherence to the new reporting do through positive reinforcement, and continuously monitoring the compliance rate and measuring outcomes.2,9,15-18,20,27
The last pace in the adoption of nurse bedside shift written report is the confirmation phase, which includes: ongoing leadership assessment of nurses' attitudes and perceptions toward bedside study, encouraging nurses and listening to their feedback to change the process to fit the stakeholders' needs, and continuous reinforcement of practice and monitoring by nurse leaders.9,15,17,18,27
A successful adoption
The adoption of nurse bedside shift study is a time-consuming procedure that requires careful examination of the current unit of measurement or organizational culture, environment, and individuals. Post-obit the five-step approach to adoption of innovations and using frontline nursing staff who accept the characteristics of innovators and early adopters to disseminate the new practice can help with successful implementation and sustainability. Nursing leaders who want to accomplish successful dissemination and sustainability of bedside shift report must have a expert understanding of process management and human relationship building, mentoring skills, and a well-planned and well-executed implementation process.
REFERENCES
ane. Polit DF, Beck CT. Nursing Inquiry: Generating and Assessing Evidence for Nursing Exercise. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012:28.
- Cited Hither
two. Wakefield DS, Ragan R, Brandt J, Tregnago Thou. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(half dozen):243–253.
- Cited Hither |
- PubMed
three. Bradley S, Mott South. Adopting a patient-centred approach: an investigation into the introduction of bedside handover to 3 rural hospitals. J Clin Nurs. 2014;23(13–xiv):1927–1936.
4. Chaboyer West, McMurray A, Johnson J, Hardy L, Wallis M, Sylvia Chu FY. Bedside handover: quality comeback strategy to "transform care at the bedside." J Nurs Care Qual. 2009;24(2):136–142.
5. Kerr D, Lu South, McKinlay 50. Towards patient-centred care: perspectives of nurses and midwives regarding shift-to-shift bedside handover. Int J Nurs Pract. 2014;20(iii):250–257.
vi. Tidwell T, Edwards J, Snider E, et al. A nursing pilot written report on bedside reporting to promote all-time practise and patient/family-centered care. J Neurosci Nurs. 2011;43(iv):E1–E5.
7. Chaboyer W, McMurray A, Wallis G. Bedside nursing handover: a case study. Int J Nurs Pract. 2010;sixteen(ane):27–34.
8. Sherman J, Sand-Jecklin G, Johnson J. Investigating bedside nursing report: a synthesis of the literature. Medsurg Nurs. 2013;22(v):308–312,318.
ix. Vines MM, Dupler AE, Van Son CR, Guido GW. Improving client and nurse satisfaction through the utilization of bedside report. J Nurses Prof Dev. 2014;30(four):166–173.
- Cited Here
ten. Sand-Jecklin Chiliad, Sherman J. A quantitative cess of patient and nurse outcomes of bedside nursing report implementation. J Clin Nurs. 2014;23(19-twenty):2854–2863.
11. Mardis T, Mardis M, Davis J, et al. Bedside shift-to-shift handoffs: a systematic review of the literature. J Nurs Care Qual. 2016;31(i):54–60.
12. Jeffs L, Beswick S, Acott A, et al. Patients' views on bedside nursing handover: creating a space to connect. J Nurs Care Qual. 2014;29(two):149–154.
thirteen. Maxson PM, Derby KM, Wrobleski DM, Foss DM. Bedside nurse-to-nurse handoff promotes patient condom. Medsurg Nurs. 2012;21(iii):140–145.
14. Tobiano Yard, Chaboyer W, McMurray A. Family members' perceptions of the nursing bedside handover. J Clin Nurs. 2013;22(1–ii):192–200.
15. Wildner J, Ferri P. Patient participation in change-of-shift procedures: the implementation of the bedside handover for the comeback of nursing quality in an Italian hospice. J Hosp Palliat Nurs. 2012;14(3):216–224.
16. McMurray A, Chaboyer W, Wallis One thousand, Johnson J, Gehrke T. Patients' perspectives of bedside nursing handover. Collegian. 2011;18(1):19–26.
17. Cairns LL, Dudjak LA, Hoffmann RL, Lorenz HL. Utilizing bedside shift written report to improve the effectiveness of shift handoff. J Nurs Adm. 2013;43(three):160–165.
18. Olson-Sitki Grand, Weitzel T, Glisson D. Freezing the process: implementing bedside study. Nurs Manage. 2013;44(seven):25–28.
19. Radtke K. Improving patient satisfaction with nursing communication using bedside shift report. Clin Nurse Spec. 2013;27(1):xix–25.
xx. Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(ii):116–124.
21. Anderson CD, Mangino RR. Nurse shift study: who says y'all can't talk in front of the patient. Nurs Adm Q. 2006;30(ii):112–122.
22. Ford Y, Heyman A, Chapman YL. Patients' perceptions of bedside handoff: the need for a culture of always. J Nurs Care Qual. 2014;29(4):371–378.
23. Sand-Jecklin K, Sherman J. Incorporating bedside written report into nursing handoff: evaluation of alter in practice. J Nurs Care Qual. 2013;28(two):186–194.
24. Gregory S, Tan D, Tilrico Thousand, Edwardson North, Gamm L. Bedside shift reports: what does the bear witness say. J Nurs Adm. 2014;44(10):541–545.
26. Caruso EM. The evolution of nurse-to-nurse bedside report on a medical-surgical cardiology unit. Medsurg Nurs. 2007;16(1):17–22.
27. Hagman J, Oman One thousand, Kleiner C, Johnson E, Nordhagen J. Lessons learned from the implementation of a bedside handoff model. J Nurs Adm. 2013;43(6):315–317.
28. Rogers EM. Diffusion of Innovations. 3rd ed. New York, NY: Free Press; 1983:2–250.
- Cited Here
Source: https://journals.lww.com/nursingmanagement/Fulltext/2018/06000/The_secrets_to_successful_nurse_bedside_shift.7.aspx
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