Bailey, Cheryl K., Cheryl N., Kristine

 To determine if there is enough research to support that bedside reports produce:  Improved Patient Outcomes  Increased Patient Satisfaction  Smoother Transition at Shift Change  Job Satisfaction Correlation

 Database o CINAHL o PubMed  Keywords o Bedside Handover o Change of Shift o Patient Satisfaction  Publications o 150 Scholarly Publications Past 5 Years Nurse Author  50 Articles  Critically Appraised o 4 Articles Enough Evidence to Support Change Increased Outcomes Increased Safety Increased Satisfaction

 Miscommunication During Shift Report can Cause Vital Information to be Lost o 70% of all Sentinel Events JACHO 2003  Current Methods of Report vary from Hospital to Hospital and from Unit to Unit

Descriptive Summary  Purpose of Change  Common Practice  Process Change

 Bedside Reporting o National Patient Safety Goal o Transfer Accountability o Increased Communication

 Article Analysis o 16 sources 3 Outdated o Joint Commission National Patient Safety Goals o Institute for Patient and Family Centered Care

 Respect and Dignity o Honor Family Wishes  Information Sharing o Complete and Unbiased Information  Participation o Family and Patient  Collaboration o Policy and Program Development

 Challenges o Resistance to Change o Confidentiality o Time Management  Benefits o Patients Seen Sooner o Staff Accountability  Implementation o Communication o Evaluation

 Increased Patient Participation  Increased Safety  Increased Satisfaction

Descriptive Summary  Report Standardization o Promote Efficiency o Promote Quality  Hospital o Magnet Hospital 34 Beds 55 Employees  Authors o 3 Nurses 1 Doctoral Degree 1 Masters Degree 1 Bachelors Degree

 Limited Data Available  Nursing Staff and Physician Dissatisfaction  Quality Information Exchange

 3 Sources o Generalized Statements o Lack Description and Appraisal

 New Report Method o Literature o Nursing Suggestions  Standardized Reports

 Report Time Decreased  Overtime Reduction  Improved Safety

Descriptive Summary  Authors o 2 Nurses 1 Masters Degree 1 Bachelors Degree  Bedside Reporting Benefits ◦ Safety ◦ Teamwork ◦ Accountability ◦ Patient Participation  Barriers ◦ Confidentiality ◦ Report Time

 Communication Failures  Irrelevant Information  Patient Involvement

 Qualitative Study o 2 Sources o Reference Range Outdated  Limited Sample Size o Weak Study Percentages Only, No Numbers

 Pre-Implementation o Resistant to Change o Staff Concerns  Implementation ◦ Education ◦ Survey ◦ Patient Involvement  Post Implementation ◦ Survey ◦ Concerns

 Potential Bias  Statistics  Teamwork  Patient Participation

Descriptive Summary  Study o 74 Full Time Nursing Staff o 2 Medical and 1 Rehabilitation Unit Affected  Focus o Why the Specific Change was Targeted o Provide the Framework for Change  Hospital o Queensland, Australia 330 Beds 454 Full Time Nursing Staff  Authors o 5/6 Registered Nurses 3 Post Doctoral Degrees  2 Masters

 Lack of Implementation Guidelines and research for bedside Reports  Improve Patient Centered Care

2 Recent Studies  Primary Sources o Not Critically Appraised Possible Conclusion:  Lack of Significant Research and Studies  Weak Studies  Lack of Thorough Review by Authors

 Unfreezing ◦ Recognition Necessity of Change  Moving ◦ Written Guidelines ◦ Communication ◦ Education  Refreezing ◦ New Policy

 Interviews with Patients, Nurses and Multidisciplinary Teams Prior and Post Changes  Benefits o Support o Improved Safety o Improved Outcomes  Changes Since Study

 Benefits ◦ Increased Patient Safety ◦ Identify Missing Information ◦ Improved Teamwork  Barriers ◦ Medical Jargon ◦ Focus of Report  Limitations ◦ One Hospital ◦ Informal Evaluation Process ◦ Variables

 Author 1 ◦ SBAR ◦ Clinical Bedside Reporting Experience  Author 2 ◦ Bedside Introduction ◦ Privacy Issues with ER Bedside Reporting  Author 3 ◦ Kardex ◦ Verbal Report at Nurse’s Station  Author 4 o Verbal Report

 Bedside Report ◦ Increases effective communication ◦ Increases Nurse & Patient Satisfaction ◦ Produces Better Patient Outcomes  Based on Unit Uniqueness ◦ Not appropriate for all Acute Care Settings

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