Pros And Cons Of Bedside Reporting

Communication between nurses at report change is essential. The next nurse needs the most important information whether it is as Situation-Background-Assessment-Recommendation (SBAR) that the Institute for Healthcare Improvement (n.d.) outlines to use or in another form. The case of Rio Grande Regional Hospital Inc v. Villarreal discusses how one nurse breached the standard of care because the record reflects that from the time Hermes was given the double-edged razor until he died neither Nurse Bergado nor any other nurse checked to see how Hermes was doing in the bathroom” (Find Law for Legal Professionals, 2016). At Baylor Scott & White at All Saints, we have a policy that each patient is rounded on physically every hour.

Nurses prefer working in an environment where they feel appreciated in both their actions and decisions. In the event that they are ignored, they tend to experience subjection and they are likely to resist. At one time, our healthcare facility sought to implement the bedside shift reporting (BSR). This process would have required that nurses be informed and trained on the use of the documentation. However, this did not happen, on the start of the month each nurse received a formal letter form the chief nursing officer informing us that we would be reporting to a newly hired nurse educator who would evaluate our performance in implementing the BSR. This was met with anger and most of the nurses seemed to have decided that they would not accomplish

Communication breakdown is among the leading cause of medical errors such as gaps in health care, incomplete or missing information, and medication errors. Most importantly, communication supports the foundation of patient care. According to The Joint Commission (formerly Joint Commission for Accreditation of Healthcare Organizations [JCAHO]) improved communication among nurses during shift changes reduces injuries due to medical errors by 30 percent. So, hand-off reporting during shift change is a critical process that is crucial in protecting a patient’s safety. Throughout the hand-off report, it is vital to provide accurate, up-to- date and pertinent information to the oncoming nurse. An estimate of 80 percent of the most serious medical

Evidence based practice has shown bedside reporting has enhanced nursing and patient satisfaction while allowing more direct time with patients. It has also helped reduce report time, increase patient satisfaction and allowed nurses to build trust with patients while involving them in their care.

In every profession there are changes that propel how tasks are done; nursing is no stranger to this. One of the biggest changes that have come into nursing’s daily events is how report hand-offs are being done. Gone are the days of taped report that each off going nurse must tape about each patient and the oncoming nurse must listen to. Nurses are now being encouraged to move their report to the bedside, in front of the patient (Trossman, 2007). It is very important to know how this can affect the patient and even the nurse’s schedule. With every change, there are positives and negatives that can finalize the decision to keep or forego

Recommendations The authors showed that the article revealed that implementing bedside shift report is needed at the patient bedside and within institutions. The nurse can impact and be a mediator between the patient, MD and care that is given. The recommendations are to use bedside shift report but find that the different types or views of the nurse giving report needs to be included and further reviewed. The article states that (Smeulers, Lucas, & Vermeulen, (2014) reduced errors are needed over all for patient safety, written bedside shift report should be improved not just copied and better communication between nurse to nurse and MD to nurse.

In this study forty five articles were researched and reviewed to discover issues with bedside report at shift change. In some of these articles that were researched throughout this document, confidentiality was looked at. With bedside report nursing there is a concern to keep confidentiality especially with patients in double rooms. It was concluded in another article within this document that nurses were more concerned about the patient’s confidentiality being breached rather than the patient being concerned. Also another positive outcome was patient and nurse interaction. Patients felt with bedside report that their thoughts and concerns were being better

This is a review of a paper by Sand-Jecklin and Sherman(2014), which uses a quantitative method to compare traditional recorded nursing reports with an approach that uses a combination of recorded and bedside nursing reports.. The paper attempts to provide a quantitative answer to the questions whether bedside nursing reports make a significance difference compared to the traditional practice of recorded

This section tools? Provides an overview of the tools includes in this strategy included Blank incudes in this strategy Bed side Shift Report What is it how can help you get involved? information Inform the patient and family and family about the bedside shift report is and how they can take part is and how they can take Give to patient on the day of admission, this handbook explains what bedside shift report is, during bedside shift report • Ferment 1-page handout Tool 3 Nurse Format: Bedside Shift Report Training prepare nurses to conduct nurses shift report. Slides and “talking points to train nurses to conduct a bedside

Communication is very important when it comes to the information that nurses are given when treating a patient. If there is not good communication between nurses, especially between shifts and handoffs, consequences can happen, including the possibility of a sentinel event. According to Yoost and Crawford, 70% of the sentinel events that happened in 2005 were due to communication breakdown, with communication breakdowns during handoffs being the reason behind 50% of these events (p.137). There are different ways that nurses can handoff information to another nurse, with bedside report being one of the ways that is suggested to reduce the amount of communication errors. This paper will explain what makes bedside report safer for the patients

In any parts of the organizational settings, one must send forth an important message to another person especially pertinent information regarding a patient. Every articles and journals have been conducted with time and effort to see the positive and negative outcomes of examining the effectiveness of the bedside reporting. All eight article and journal are appropriate representations of the bedside reporting and thus, leads to a better communication in the health care settings. The words are to examine, conduct, report, explore, quantify and implement. In any ways that were mentioned by various authors and researchers, all have the same goal, and that is to illustrate the benefit of utilizing the usage of the bedside reporting.

Patient satisfaction is a driving force in today’s health care system. Incorporating the patient in their care will help with the patients healing process as well as encouraging the patient to be more compliant with their prescribed care. Bedside reporting is a practice that some organizations have incorporated in their standards of care. The patients care does not stop when the nurse’s shift ends. Therefore, it is important for the patient’s information to be conveyed accurately to the oncoming nurse. Conducting shift reports at the bedside allows the oncoming nurse to both visualize and interact with the patient much sooner than if the nurse had received report in another manner. Furthermore, bedside reporting allows the patient to interact with both nurses; and allows them to see that their care is being properly managed. This type of reporting also allows the oncoming nurse to ask questions, as other methods of shift reporting limits the oncoming nurse from interacting and asking questions of the off going nurse. Patient satisfaction as well as accurate transfer of information and patient safety is a crucial part in providing quality patient care.

Internal method will be the interdisciplinary team such as hospitalist, therapists, dietician, pharmacist, case managers, discharge planners and house supervisors. These stakeholders performed a thorough discussions about patient’s admission, transfer, and discharges. Upon discussing with the patient’s overall health concerns, the evidence-based practices of bedside reporting can be part of the daily discussions because this is where the basis of patient’s health outcomes can be obtained. The goal of bedside reporting is to promote safety and highest quality of care. Therefore, the input and opinions of the whole team is very essential for the successful implementation of the bedside reporting. The bedside reporting will be more stronger tools

These patients are able hear what their plan of care entails and they are able toad anything they feel is needed (Staff-Medscape, 2013). A huge benefit in doing bedside report would be to promote trust and to further develop the nurse -patient relationship. As our founder Florence Nightingale, we should advocate for the improvement of care and conditions (Nursing Resource, 2010). As a nurse we are always changing and improving

“We will find our baseline measurement using nurse surveys, audits and observation timings. We will track what steps are covered and how long each step takes and the number of occurrences of near misses due to inefficient handoffs relating to patient safety. We will also measure our patient baseline data from current patient satisfaction surveys” N. Guyse (personal communication, February 22, 2014). Currently we are inefficient and unsafe with handoff practices due to missing or incomplete information, multiple processes used between the nursing staff, and multiple report out processes being practiced on the floor. Multiple processes are causing confusion and incidental overtime. With multiple processes, information is being missed between nursing staff, which is a safety concern due to the increased errors. Our organization is working on the creation of one standardized process used between all employees to ensure that all handoffs are efficient and safe. “We have implemented a group report out for nursing staff in conjunction with the beside report outs” N. Guyse (personal communication, February 22, 2014).