Bedside Reporting

Bedside Reporting April Grumbine, Sarah Heydt, Nyssa Kanavins, Thomas Sculley

Changed the title of Self learning module to Bedside Reporting SH

Learning ObjectivesThe audience will be able to identify the current practice for reportingThe audience will be able to describe the benefits of bedside reporting on patient satisfactionThe audience will be able to list the benefits of bedside reporting for nursesThe audience will be able to describe why nurse satisfaction is important to bedside report implementationThe audience will be able to identify the importance of change of shift communication to patient safetyThe audience will be able to identify the importance of patient satisfaction to improve the hospitals ratings and financial reimbursement

I changed the reader to the audience Couldn't think of another word SH

PICO QuestionPopulation: Adults in the acute care settingIntervention: Handoff Reporting at the bedside Comparison: Shift-report at the nurses stationOutcome: Increase in nurse and patient satisfaction measured by internal and external surveys Question: For adult patients in the acute care setting, does bedside reporting increase patient and nurse satisfaction compared to reporting at the nurses station ?

make sure the pico question makes sense. SH

Significance to the Patient American Nurses Association estimates that 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off (Reinbeck & Fitzsimons, 2013)In response to the Joint Commissions National Patient Safety Goals, Bedside reporting has been supported as improving patient safety, patient-centered care, and nurse communication as well as reduce medical errors (Gregory, Tan, & Tilrico, 2014)

http://www.qualitycheck.org/consumer/searchQCR.aspx

Significance to the Patient ContinuedImproving patient satisfaction and involvement in care (Evans, Grunawalt, McClish, Wood, & Friese, 2012)The Institute of Medicine also identified communication as a vulnerable aspect of patient safety and recommends that care be patient-centered and that information should be shared freely with the patient, keeping the patient the center of control (Reinbeck & Fitzsimons, 2013)

Significance to the Nurse/Hospital Bedside reporting would Boost nursing teamwork and accountability (Sand-Jecklin & Sherman, 2014) Provide the opportunity to reduce nursing errors (Gregory, Tan, & Tilrico, 2014)Improve effectiveness of communication within the healthcare team (Radtke, 2013)

http://nursinglink.monster.com/benefits/articles/21550-how-to-be-a-team-player

Added the bedside reporting would part. Was not sure what to do with the last two bullet points so I left them as is. SH

Significance to the Nurse/Hospital ContinuedCurrently nurses struggle with time management at end of shift and the ability to leave on time (Maxson, Derby, Wrobleski, & Foss, 2012)Adoption of value-based purchasing and pay-for-performance measures being implemented in the near future (Reinbeck & Fitzsimons, 2013)

Literature ReviewArticles reviewed: 23 Articles appraised: 9Databases Searched: EBSCO-Host Health, Alvernia Interlibrary Loan, Cochrane Library, CINAHLKeywords Used: Bedside report, patient satisfaction, nurse satisfaction, bedside handover, adult, Systematic Review Search Limits: Years 2011-2016, acute care setting, English, scholarly (peer reviewed) journals

Current PracticePenn State Health St. Joseph Medical Center currently has the practice of bedside reporting as a policy according to our clinical instructor. However, on 2N this policy is not being followed or enforced.

Should we include Ms. Joans full name or just keep it as our clinical instructor? SHI think either is fine. If we do include her name, we should also include her credentials. AG

Consideration: Benefits of Bedside Reporting for NursesIncrease in nurse-to-nurse accountability, medication reconciliation, and the ability to communicate with physicians immediately after handoff. (Radtke, 2013)Allows the nurse a chance to look at the patient and ask questions to gain a better understanding of the clinical picture. (Reinbeck & Fitzsimons, 2013)Nurses indicated that bedside shift report actually took less time than previous methods of report. (Cairns et. al., 2013)

Summary of Evidence: Bedside Reporting Patients satisfaction improved significantly in being involved in their plan of care for the day (Maxson et al., 2012)Patients reported feeling safer and more comfortable with their healthcare staff (Bradley & Mott, 2014)Patients felt more in control and involved in their health (Reinbeck & Fitzsimons, 2013)

http://www.starpt.com/star-scores-99-patient-satisfaction

Summary of Evidence: Bedside Reporting ContinuedImproved communication between the patients and nursing staff and builds a better nurse-patient relationship (Radtke, 2013)For nurses, it increases nurses accountability, communication, and nursing teamwork (Reinbeck & Fitzsimons, 2013)

Summary of Evidence: Bedside Reporting Continued

Reduced medication errors, readmission rates, patient length of stay, and patient falls (Sand-Jecklin & Sherman, 2014) Report time decreased or remained the same after implementation of bedside reporting (Evans et. al., 2012)Improves cost effectiveness of the hospital by decreasing readmission rates and increasing staff retention rates (Wakefield et. al., 2012)

I separated the content into two slides to make it look better. SH

Recommendations for Nursing Practice In 2012, the Joint Commission determined that nursing priorities should include patient safety and communication. Implementing bedside shift report would be a step towards this goal by allowing patients and families to be active participants in the nursing shift handoff procedure. (Gregory, Tan, & Tilrico, 2014)Nurses should view the change as necessary and buy-into this policy change (Radtke, 2013)

Recommendations for Nursing Practice ContinuedNurses should implement bedside report using a gradual transition and a standardized format such as ISBAR or other step by step format (Wakefield et. al., 2013) Provide nurses with a handout describing the contents of bedside reporting (Evans et. al., 2012)Nurses should be supported by their Nurse Managers, committees, and other staff members (Sand-Jecklin & Sherman, 2014)

Example of a standardized format for Bedside Report from AHRQ

I thought it would be nice to provide an example of the format that is used in bedside report SH

AHRQ- Agency for Healthcare Research and Quality.

References Bradley, S., & Mott, S. (2014). Adopting a patient-centred approach: An investigation into the introduction of bedside handover to three rural hospitals. Journal Of Clinical Nursing, 23(13/14), 1927-1936 10p. http://doi.org/10.1111/jocn.12403Cairns, L. L., Dudjak, L. A., Hoffman, R. L., & Lorenz, H. L. (2013). Utilizing Bedside Shift Report to Improve the Effectiveness of Shift Handoff. Journal Of Nursing Administration, 43(3), 160-165. doi:10.1097/NNA.0b013e318283dc02Evans, D., Grunawait, J., McClish, D., Wood, W., & Friese, C. R. (2012). Bedside shift-to-shift nursing report: Implementation and outcomes. MEDSURG Nursing, 21(5), 281-292Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012). Bedside nurse-to-nurse handoff promotes patient safety. MEDSURG Nursing, 21(3), 140-145.Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014). Bedside shift reports. Journal of Nursing Administration, 44(10), 541-545. http://doi.org/10.1097/NNA.0000000000000115Radtke, K. (2013). Improving patient satisfaction with nursing communication using bedside shift report. Clinical Nurse Specialist: The Journal For Advanced Nursing Practice, 27(1), 19-25. http://doi.org/:10.1097/NUR.0b013e31827770Reinbeck, D. M., & Fitzsimons, V. (2013). Improving the patient experience through bedside shift report. Nursing Management, 44(2), 16-17. http://doi.org/10.1097/01.NUMA.0000426141.68409.00Sand-Jecklin, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation.Journal of Clinical Nursing,23(19), 2854-2863. http://doi.org/10.1111/jocn.12575Wakefield, D. S., Ragan, R., Brandt, J., & Tregnago, M. (2012). Making the transition to nursing bedside shift reports. Joint Commission Journal On Quality & Patient Safety, 38(6), 243-253.