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Nurse to Nurse Bedside Shift Report

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Nicole Paulson

on 12 December 2013

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Transcript of Nurse to Nurse Bedside Shift Report

Nurse to Nurse Bedside Shift Report
Additional Advantages
-Better continuity of Care
~ more accurate and complete than conference
-Have the ability to answer any questions together
-Note taking is easier with visualization of patient

Research Findings

~Using Bedside Reporting with SBAR format meets the National Patients Safety and communication goals
Nicole Paulson
Promotes Responsibility and Accountability of Nurses
Promotes Patient Safety and Best Practice
Provides a Standardized/ Streamlined shift Report System
Implements standardized handoff communication
Reports more concise with objective and relevant information
Nursing Staff hold each other accountable preventing old habits
Builds Teamwork and trusting relationship between staff and patients
Gives oncoming nurse a chance for direct observation of patient along with opportunity to ask questions (Baseline assessment to compare)
Decreases Patient Anxiety
Offers patients the opportunity to be actively involved with care and allows the opportunity to ask questions or clarify misconceptions
Patient becomes an additional resource in diagnosis and treatment
Less interruption and distractions
Early recognition of medication errors and decrease in falls/Injury
Helps prioritize shift work/ develop plan of care
Increased patient Satisfaction and appreciation with knowing plan of care and being introduced to oncoming nurse
Verification of ID band, Rapid determination of patient condition
Increased Physician satisfaction (nurses more prepared to respond to questions shortly after report
Increase recognition of patient status change
Financially beneficial and takes less time
Establish Patients Goals for the shift together
Challenges, Staff Resistance
& Nurses Concerns---> Suggestions

Caruso, E. (2007). The evolution of nurse-to-nurse bedside report on a medical-surgical cardiology unit. MEDSURG Nursing, 16(1), 17-22

Laws, D., & Amato, S. (2010). Incorporating bedside reporting into change-of-shift report. Rehabilitation Nursing, 35(2), 2013.

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), 140-145.

Novak, K., & Fairchild, R. (2012). Bedside Reporting and SBAR: Improving Patient Communication and Satisfaction. Journal Of Pediatric Nursing, 27(6), 760-762. Doi:1016/j.pedn.2012.09.001

Pepper, G. (1978). Bedside report: would it work for you?. Nursing, 8(6), 73-74.

Trossman, S. (2009). Shifting to the bedside for report. The American Nurse, 41(2), 7.

What is the purpose of the Nursing Change of Shift Report?
The Handoff report is a unique system of Nurse-to-Nurse communication between shift changes intended to transfer essential patient information to ensure safe, holistic care.
2012 National Patient Safety Goals and Joint Commission Identified : A NEED FOR IMPROVEMENT- addressing the issue of communication errors.
Ineffective transfer of patient information is a leading issue for patient harm : Perfect opportunity for communication to go wrong.
Wide variety of types of handoff report used
A lot of information being passed
Information can become muddled or repetitive
Distractions occur in this busy time
Irrelevant information passed
Types of Chang of Shift Report
Research show a wide variability in how nurses gave report: (Location, Method, Duration)
Type of information varied from unit to unit and nurse to nurse
Whats the Problem?
Patient Safety and satisfaction of nursing care is greatly being effected and needs to be a standard Priority.
Ineffective communication with handovers leads to ERRORS = LIFE or DEATH situation for patients
Patients report feeling unsafe during report
Staff Unavailable during report
Call lights not being answered= increased Anxiety for the patients
Too much lag time from beginning of report until nurse first visualizes patients
(lengthy reports, irrelevant and subjective information passed)
Patients want to be more involved with their plan of care

Written Report
Phone Recording
Audiotape Recording
Verbal reports
Charge nurse reads report
Locations- nursing station or designated room
Lacked Consistency in type of information
Subjective Information
Lacks Care planning
Leaves the nurse without a focus
Lacks involvement of patient
BEDSIDE REPORT with SBAR framework
A New Highly Successful Strategy to make improvements was developed:
Significant Improvements seen when using
Bedside Reporting and SBAR framework
Bedside Shift Report is a process where nurses provide shift to shift report at the patients Bedside to provide patient centered care and patient and family engagement
SBAR framework:
Technical Advantages:

Professional Advantages:
-Patient sees what you actually do for them (increases Professional Image)
-Enhances professional image
-Gives less experienced nurses more exposure to other nurses techniques and knowledge
-Patient centered team effort
Patient Centered Advantages:
-Patient involvement-Contributing member of health team
-Patient more obligated to stick to plan or care and start treatments earlier
-Patient can ask questions and express concerns
~Research found that Bedside Report takes less time than other types of report (only 2-5 min per patient)
~This communication technique is Beneficial to patients, families, and nurses.
~Bedside Reporting uses minimal resources to implement the change
~There are standardized tools and teaching plan templates on how to implement this change into your hospital or Unit
~Research shows that this format standardizes communication and closes the gap between nurses getting report and first seeing there patients
Waking up patients:
~Units develop a mechanism to determine if a patient wishes to wakened for report that is communicated ahead of time.
Nurses were concerned with discussing sensitive topic or new information not yet shared with the patient or family
~Nurses can plan ahead so this sensitive information can be shared before at nursing station or between patient rooms
Lack of Privacy:
Hinders patient and families willingness to participate with handoff report
~That is the patients choice however the opportunity should not be withheld due to the environment especially when it contributes to patient safety
Semi-Private Rooms
~Inadvertently information is shared throughout the day when staff and physicians have discussions with patients at the bedside
Takes longer than allocated time for report (time consuming)
~ Bedside report improved effectiveness of communication and emphasizes importance of patient safety, satisfaction and quality with continuity of care
WIN-WIN Situation for all
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