Bedside Shift Report Essay

Policies and procedures atomic number 18 review, revamp and implement constantly in health care facilities to go steady safe longanimous care is universe deliver. Effective communication is a critical part in providing safe affected role care. Usefulness communication is essential during dismission spread abroad in secernate to cater safe care and meet goals for the longanimous. There is a trend where hospitals are bringing shift traverse to the bedside in order to repair the effectiveness of communication between the nurses. At Kaiser Santa Clara, the facility I presently work at, has a standard policy and procedure regarding the handoff communication during shift change, according to the policy the deuce nurses are to review knowledge that is standardized to the side by side(p)Diagnoses and current condition of the patientMedications ordainn or dueIsolation statusRecent changes in condition or treatmentAnticipated changes in condition for treatmentWhat to watch for in the following interval of careThe purpose of the policy is to impart an interactive dialogue that allows for up-to-date teaching on the patients care. The policy is referenced to the sum Commission-mandated focus on improving patient safety through effective caregiver communication. According to the go Commission, as estimated 80% of serious medical errors are attributable to miscommunication between caregivers when transferring responsibly for patients (Wakefield, Ragan, Brandt & Tregnago, 2012). peddle stem happens two, three, or more times in a day, but nurses receive little formal planning in this vital responsibility. Nurses may be found legally liable for failing to breed requisite information during handoffs (Riesenberg, Leitzsch, & Cunningham, 2010). Therefore, it is imperative for a handoff procedure incorporate an effective way to communicate in order to provide safe patient care. Review of the LiteratureTraditionally, shift spread abroad has been performed away from the bedside either at the nurses station or outside of the patients room where patientinformation is exchanged in an informal way varying from nurse-to-nurse. According to Laws and Amato, information provided, and the actual status of the patient were two different stories when the on-coming nurse came into the room to assess the patient later shift spread abroad (2010). Shift report often lack care planning and goals for the shift these issues often leave the nurses with incomplete info to provide patients with the best possible care (Baker, 2010). Numerous studies and articles have been written in how to im provoke shift report to coincide with the Joint Commission national patient safety goals, there seems to be an straddle of information on facilities transition to bedside report, as in giving shift report right next to the patients bed.At the University of Michigan Hospital and Health Center, a quantitative study was conducted to improve the practice of care for shift-to-shift report by taking it to the bedside. Over a six month period, a group of nurses were observed during shift change to determine how the writ of execution of bedside reporting was being received by the nurses and patients. The results collected between the observation and a brief questionnaire filled out by the nurses, showed that there was a decrease in report time from 45 minutes to 29 minutes due to that nurses that did non have the privacy of socializing at the nurses station, which decreases crucial time to give a report on a patient. Nurse satisfaction with report process step-upd from 37% to 78% when moved to the bedside because nurses could give and receive much more accurate handoff without distractions. An intervention to relocate shift report to the patient bedside resulted in better satisfaction for nurses and increased direct care time to patients (Evans, Grunawalt, McClish, Wood, & Friese, 2012).A critical care type committee at Regions Hospital in St. Paul, Minnesota, was concerned with an audit that showed 39% of medication errors were found afterwards shift report. This evidence supported the development and strength for bedside report. A qualitative study was conducted by survey the 69 nurses on two different critical care units. The reports finding indicated improved communication at the bedside along with allowing the nurses to double check on the intravenous medications that were beingadministered to the patient.84.2% of the nurses felt they were more confident about their report when giving it at the bedside because it gave them an opportunity to provide objective information versus subjected information on the patient (Triplett & Schuveiller, 2011). However, through-out the article there was no information regarding if the 39% of medication errors decrease after the implementation of bedside report. There was a mentioned that 55% surveyed did find errors at the bedside during report however it was not discussed how these errors were addressed. Overall, bedside report has significantly affected nursing practice in a beneficiary way by nursing staff (Triplett & Schuveiller, 2011).In an effort to improve patient satisfaction, an inpatient nursing unit in a Midwest academic health center made a decision to bring shift report at the bedside. A quantitative was conducted by surveying inpatients and 32 nurses on a step-down unit. A yes or no survey was given to the inpatients regarding the quality of the report that was given at the bedside, and 72% were snug with the information that was exchanged between the nurses (Wakefield, Ragan, Brandt & Tregnago, 2012). Following the implementation of bedside report there was a significant increase in patient satisfaction scores. While scores improved, transition to the bedside was not well received by nurses. Data collected showed that nurses were not following the natural process of bedside report. 60% of the nurses did not do report at the bedside, however de crease by extensive planning, training and gradual implementation (Wakefield, Ragan, Brandt & Tregnago, 2012).The studies strikingly prove that effective communication at the bedside provides safe patient care that has been well received by patients and nurses in most cases. The research proved that bedside report offered several benefits such as an increase in the followingNurse-to-nurse accountabilityPatient satisfaction scoresQuality of care ratingsPatient safety scores(Wakefield, Ragan, Brandt & Tregnago, 2012). explanation of the ProcessThere is a considerable amount of information and studies that support bedside reporting. Bedside reporting has shown to increase patient participation and satisfaction, increase nursing teamwork and accountability, and most importantly improve communication between nurses. Kaiser Permanente prides themselves as being innovated in the health-care industry and keeping patients satisfaction scores high. Based on evidence, Kaiser could continue rea ch their goals by modifying their shift report policy to incorporate bedside report.In order to modify or implement a new policy, the process seems straight forward with Kaiser there is a protocol that allows the policy to be handled by the appropriate committee group. For changes in handoff communications, I would have to approach the director of patient safety with my recommendations ground on evidence, and then this information is turned over to the nursing policy and procedure committee for review, which then is approved by Chief of Nursing or Services.Why bedside report? Sounds simple, but many nurses are set in their ways and may be resistant to this new technique for number reasons. allow it be known, not only does evidence show that bedside report brings patient safety, it always brings ownership and accountably among the staff. Bedside report allows an opportunity for real-time conversations and transfer of trust of patient care in front of the patient. A clinical nurse leader (CNL) would play in a vital role in seeing the implementation goes smoothly among the nurses. A CNL can help the process by making sure the staff is set-aside(p) by providing the appropriate knowledge on how the system is going to be implementing, along with the evidence that supports this new change.The key to successfully implementing bedside report is clearly defining the role of the nurses, standardize what is communicated, and allow for time for the patients input. A CNL can follow up on the success of the implementation by go on the patients and nurses for feedback andreporting back to nurses with opportunities or wins, which allows the nurses know how they are doing.In conclusion, it has been provided by evidence found information to show that bedside report is a win-win situation for both the nurses and patients and meets the patient safety goals for Joint Commissions.