Bedside Shift Report Essay

Policies and procedures are review, revamp and implement constantly in health attending facilities to ensure safe unhurried guard is organism deliver. Effective talk is a critical part in providing safe patient care. Usefulness communication is essential during gap floor in nightspot to provide safe care and meet goals for the patient. There is a trend where hospitals are bringing elusion proclaim to the bedside in effectuate to improve the effectiveness of communication between the take holds. At Kaiser Santa Clara, the facility I currently work at, has a standard insurance and procedure regarding the handoff communication during shift change, according to the policy the ii nurses are to review data that is standardized to the followingDiagnoses and current condition of the patientMedications make passn or dueIsolation statusRecent changes in condition or treatmentAnticipated changes in condition for treatmentWhat to watch for in the next interval of careThe purpose of the policy is to provide an synergistic dialogue that departs for up-to-date discipline on the patients care. The policy is referenced to the Joint Commission-mandated focus on improving patient preventative device through effective caregiver communication. According to the Joint Commission, as estimated 80% of serious medical errors are attri exclusivelyable to miscommunication between caregivers when transferring responsibly for patients (Wakefield, Ragan, Brandt & Tregnago, 2012). swap sketch happens two, three, or more times in a day, scarce nurses draw little formal readying in this vital responsibility. Nurses may be give legally liable for failing to state infallible information during handoffs (Riesenberg, Leitzsch, & Cunningham, 2010). Therefore, it is imperative for a handoff procedure incorporate an effective government agency to communicate in order to provide safe patient care. retrospect of the LiteratureTraditionally, shift newspaper publisher has been performed away from the bedside either at the nurses station or outside of the patients fashion where patientinformation is exchanged in an informal way change from nurse-to-nurse. According to Laws and Amato, information provided, and the actual status of the patient were two diametric stories when the on-coming nurse came into the room to assess the patient after shift report (2010). Shift report often lack care planning and goals for the shift these issues often leave the nurses with incomplete data to provide patients with the best attainable care (Baker, 2010). Numerous studies and articles have been written in how to improve shift report to coincide with the Joint Commission national patient safety goals, there seems to be an array of information on facilities transition to bedside report, as in vainglorious shift report right next to the patients bed.At the University of Michigan Hospital and Health Center, a duodecimal study was conducted to improve the practice o f nursing shift-to-shift report by victorious it to the bedside. Over a six month period, a group of nurses were discovered during shift change to determine how the executing of bedside reportage was being reliable by the nurses and patients. The results tranquil between the observation and a brief questionnaire alter 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 increased 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 modify satisfaction for nurses and increased direct care time to patients (Evans, Grunawalt, McClish, Wood, & Friese, 2012).A critical care quality committee at Regions Ho spital in St. Paul, Minnesota, was concerned with an audit that showed 39% of music errors were found after shift report. This prove supported the development and strength for bedside report. A qualitative study was conducted by surveying the 69 nurses on two different critical care units. The reports dateing indicated improved communication at the bedside along with allowing the nurses to double check on the endovenous 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 abnormal nursing practice in a beneficiary way by nursing staff (Triplett & Schuveiller, 2011).In an effort to improve patient satisfaction, an yard bird 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 stipulation to the inpatients regarding the quality of the report that was given at the bedside, and 72% were satisfied 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 loads. While oodles improved, transition to the bedside was not well received by nurses. Data collected showed that nurses were not following the new process of bedside report. 60% of the nurses did not do report at the bedsi de, however decrease 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).Description of the cognitive processThere is a considerable amount of information and studies that support bedside describe. 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 pains and keeping patients satisfaction scores high. Based on evidence, Ka iser could continue progress to 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 person 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 coach of patient safety with my recommendations based on evidence, and then this information is dour over to the nursing policy and procedure committee for review, which then is approve 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. Let it be known, not only does evidence show that bedside report brings patient safety, it always brings willpower 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 turn of events in a vital role in seeing the implementation goes smoothly among the nurses. A CNL can help the process by fashioning sure the staff is engaged by providing the appropriate knowledge on how the system is going to be implementing, along with the evidence that supports this new change.The profound 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 rounding 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 based information to show that bedside report is a win-win situation for two the nurses and patients and meets the patient safety goals for Joint Commissions.