1. Tracy Tidwell, RN, MSN, CPNP
Are You READY?
Jessica Edwards, RN, BSN
Connie Lindsey, RN, MSN
Ann Reed, RN, MSN
Iva Scroggins, RN, BSN
Emily Snider, RN, BSN
Tracy Tidwell, RN, MSN, CPNP
Christy Zarski, RN
Le Bonheur Children’s Medical Center
Memphis, TN
Service, Quality, Integrity, Teamwork

2. Recognized high level of family stress
Our story…
Recognized high level of family stress
Families continually voiced “feeling of loss of control”
Desire to improve patient/family satisfaction
Service, Quality, Integrity, Teamwork

3. READY… to Make a Change? Problem:
Nurses on 5-South were frustrated with method of reporting and low patient satisfaction scores
Families on 5-South were frustrated with lack of information and ability to influence plan of care
Unit as a whole realized that we needed to focus more on involving the parent/patient in the decision process
Bedside Nurse-to-Nurse Report was one of the methods selected to begin our “NEW” way of looking at things
Old Shift Change Reporting system:
on-coming nurse listened to report on every patient on the neuroscience unit, even though each nurse would care for approximately four of those patients
Patients and Caregivers were not involved in the process
Report took minutes, with numerous interruptions from various sources, which resulted in fragmented, lengthy, and disorganized report.
Staff commented that often pertinent information regarding the patient was forgotten or neglected due to the numerous interruptions
Due to the need to give information on each patient quickly, the environment was not conducive for many questions, leaving blame between shifts or increasing error.
Service, Quality, Integrity, Teamwork 3

4. Why we do what we do… A Picture Tells It All
Parents/Caregivers know their children best.
Involving the family in the care plan instills trust and cooperation
Everyone has a need to feel involved and important
Service, Quality, Integrity, Teamwork

5. Are You READY? WE ARE… Bedside Nurse to Nurse Report Is A Great Method of Practicing Family-Centered Care
R Reassures patients and caregivers that we work as a team
E Ensures interaction between staff and caregivers
A Ability to visualize and prioritize care
D Decrease caregivers anxiety over plan of care
Y Yields happier staff, patients, and families!
Service, Quality, Integrity, Teamwork

6. Our Research Team
A group of nurses were selected from the neuroscience unit that all showed interest in being leaders to implement change & were interested in family centered care.
ADN, BSN, and MSN prepared nurses
Staff nurses, patient coordinators, director, upper management and nurse practitioner
Various levels of experience on neuroscience unit 6

7. Bedside Report Design
A retrospective analysis to analyze data from the previous
six month of patient satisfaction surveys
A retrospective analysis of clock-out times of 5S RN’s over a
six month period
A prospective analysis using convenient sampling to collect data from the patient satisfaction surveys
Nurses were asked to complete a questionnaire prior to and six months after the implementation of bedside reporting
Data was statistically compared to determine, if any, correlation existed between bedside reporting and patient satisfaction surveys
Specific 4 questions on the patient satisfaction survey that focus on overall nursing care and communication 7

8. Data Analysis: Bedside Report
Answers to the patient satisfaction survey were collected and plotted by the QI department to determine if there was increase in satisfaction after implementation of bedside reporting
Answers obtained from nursing questionnaires were evaluated to determine if RN satisfaction with the reporting system improved after implementation of bedside reporting 8

9. Measurement Tools Patient Satisfaction Surveys
How would you rate concern of the nursing unit staff for your requests
How would you rate the availability of your child’s nurses
How well did nurses keep you informed about your child’s treatment and condition
Did the staff on your nursing unit show respect for you and your child’s needs
How would you rate the overall teamwork of the hospital staff who took care of your child

12. Service, Quality, Integrity, Teamwork

13. Service, Quality, Integrity, Teamwork

14. Service, Quality, Integrity, Teamwork

15. $18,494
$12,019
Service, Quality, Integrity, Teamwork

16. Service, Quality, Integrity, Teamwork

18. Advantages of Bedside Report
Accountability
Relay accurate information on patient
Both nurses visualize patient
Increased patient and family involvement
Service, Quality, Integrity, Teamwork 18

19. Disadvantages of Bedside Report
Time consuming when staffing does not permit a free charge nurse
Some families not receptive 19

20. Outcomes of Bedside Report
Increase in Satisfaction of Patients/Parents/Caregivers
Increase in Satisfaction of Nurses
Decrease in the amount of time Nurses stayed “Over Shift”

21. Future Recommendations
Add other elements such as
100% Utilization of Updating White Boards during Bedside Report
Computer Documentation Check
Ongoing evaluation of ways to engage parental/patient involvement in the formal plan of care