1. Bailey, Cheryl K., Cheryl N., Kristine

2.  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

3.  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

4.  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

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

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

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  Article Analysis o 16 sources 3 Outdated o Joint Commission National Patient Safety Goals o Institute for Patient and Family Centered Care

8.  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

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

10.  Increased Patient Participation  Increased Safety  Increased Satisfaction

11. 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

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

13.  3 Sources o Generalized Statements o Lack Description and Appraisal

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

15.  Report Time Decreased  Overtime Reduction  Improved Safety

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

17.  Communication Failures  Irrelevant Information  Patient Involvement

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  Qualitative Study o 2 Sources o Reference Range Outdated  Limited Sample Size o Weak Study Percentages Only, No Numbers

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

20.  Potential Bias  Statistics  Teamwork  Patient Participation

21. 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

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

23. 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

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

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

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

27.  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

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

29. Alvarado, K., et al., (2006). Transfer of Accountability: Transforming Shift Handover to Enhance Patient Safety. Healthcare Quarterly, 9(75-79). Retrieved from http://www.longwoods.com/content/18464 Athwal, P., Fields, W., & Wagnell, E. (2009). Standardization of Change-of-Shift Report. Journal of Nursing Care Quality, 24(2), 143- 147. DOI: 10.1097/01.NCQ.0000347451.28794.38 Burns, N.& Grove, S., (2011). Understanding nursing research: Building an evidenced-based practice. Maryland Heights, MO: Saunders Elsevier Inc. Chaboyer, W., McMurray, A., Johnson, J., Hardy, L., et. al. (2009). Bedside handover: Quality improvement strategy to “transform care at the bedside”. Journal of Nursing Care and Quality 24(2): pp. 136-142. Wolters Kluwer Health: Lippincott Williams & Wilkins. Friesen, M.A., White, S.V., Byers, J.F. (2008). Patient safety and quality: an evidence based handbook for nurses. Agency for Healthcare Research and Quality. Chapter 34. Handoffs: Implications for Nurses. Retrieved from http://www.ahrq.gov/qual/nurseshdbk/docs/FriesenM_HOIN.pdf Griffin, T. (2010, October/December). Bringing Change-of-Shift Report to the Bedside: A Patient-and Family-Centered Approach. Journal of Perinatal and Neonatal Nursing, 24(4), 348-353. Retrieved from http://www.longwoods.com/content/18464 Laws, D., Amato, S., (2010). Incorporating Bedside Reporting into Change-of-Shift Report, Rehabilitation Nursing 35(2), p.70-74. Revere, A., & Eldridge, N. (2008, Jan/Feb). Joint Commission National Patient Safety Goals for 2008. Topics in Patient Safety, 12(1), 1-4. http://www.patientsafety.gov/TIPS/Docs/TIPS_JanFeb08.pdf