PosterPDF Available

Nursing Bedside Shift Report: A ritual, performance, and sensemaking process.

Authors:
  • U.S. Department of Veterans Affairs

Abstract

See poster
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FINDINGS''
CONCLUSIONS''
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INTRODUCTION'
METHODS'
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ACKNOWLEDGEMENTS'
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REFERENCES'
PERFORMANCE'FOR'PATIENTS''
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Strategy 3: Nurse Bedside Shi2
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Picture used with permission from Mary Ann Friesen
The views expressed in this poster are those of the authors and do not necessarily reflect the posi;on or policy of the Department of Veterans Affairs or the United States government
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Primary Functions
Outcome Secondary Functions
ResearchGate has not been able to resolve any citations for this publication.
Article
Full-text available
The study purpose was to describe how bedside nurses can use nursing bedside shift report (NBSR) to keep patients safe. NBSR has been recommended as a means of increasing patient safety, but little is known about how or whether it does so. Grounded theory methods were used. Data were collected from 2014 to 2015 with bedside nurses in a pediatric unit with an established NBSR process. The primary process by which bedside nurses use NBSR to keep patients safe is reducing risk of harm through conveying the patient story from shift to shift. Having a perspective from the bedside is a key antecedent to reducing risk of harm, as it supports the nurses' ability to subsequently identify and address risks. Although often seen as a routine exchange of information, how nursing shift report is conducted can impact patient safety. The study reinforces the value of targeting nursing communication to improve patient safety.
Article
For hospitalized patients, shift handoffs between the offgoing and oncoming nurses, as represented in nurse shift reports, must include all critical information about a patient's plan of care, and that information must be well communicated. Few studies have provided the longitudinal results of the transition to bedside shift reports, and most of the data concern relatively short follow-up periods. A 20-bed inpatient nursing unit in a Midwestern academic health center made the transition to conducting nursing shift reports at the patient's bedside. Preparatory work for designing the bedside shift report process, which began in February 2009, included examining baseline patient satisfaction scores, reviewing the existing shift report processes, and identifying potential barriers and facilitators in moving to bedside shift reports. Unitwide implementation of the new bedside shift report process began in June 2009. In the redesigned process, off-going nurses were required to ask patients to write down any questions they would like to ask during the shift report. For the first six months following implementation of bedside shift reports, there were significant increases in six nurse-specific patient satisfaction scores (scores increased at least 8.7 points, and percentile rankings increased from the 20th to > the 90th percentile when compared with similar nursing units in peer institutions). Longer-term results reflected subsequent declines and substantial month-to-month variation. Although the transition to bedside shift reports met with some resistance, the transition was made smoother by extensive planning, training, and gradual implementation. On the basis of this pilot study, the decision was made to adopt bedside shift reports in all inpatient nursing units in each of the system's five hospitals.
Strategy 3: Nurse Bedside Shi2 Report (Implementa;on Handbook
  • Agency For Healthcare Research
  • Quality
Agency for Healthcare Research and Quality. (2013). Strategy 3: Nurse Bedside Shi2 Report (Implementa;on Handbook). Retrieved from hXp://