Bailey , Cheryl K., Cheryl N., Kristine

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

Database

o 150 Scholarly Publications
o CINAHL
o PubMed

Keywords
o Bedside Handover
o Change of Shift
o Patient Satisfaction
Publications
• Past 5 Years
• Nurse Author
 50 Articles

Critically Appraised
o 4 Articles
• Enough Evidence to Support
Change
• Increased Outcomes
• Increased Safety
• Increased Satisfaction

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
Descriptive Summary
Purpose
of Change
Common
Process
Practice
Change
Bedside
Reporting
oNational Patient Safety Goal
oTransfer Accountability
oIncreased Communication

Article Analysis
o16 sources
• 3 Outdated
oJoint Commission
National Patient Safety Goals
oInstitute for Patient and Family
Centered Care
 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
 Challenges
oResistance to Change
oConfidentiality
oTime Management
 Benefits
oPatients Seen Sooner
oStaff Accountability

Implementation
oCommunication
oEvaluation
Increased
Patient Participation
Increased
Safety
Increased
Satisfaction
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
Limited
Data Available
Nursing
Staff and
Physician Dissatisfaction
Quality
Information Exchange
3
Sources
oGeneralized Statements
oLack Description and Appraisal

New Report Method
oLiterature
oNursing Suggestions
Standardized
Reports
 Report
Time Decreased
 Overtime
Reduction
 Improved
Safety
Descriptive Summary

Authors
o 2 Nurses
• 1 Masters Degree
• 1 Bachelors Degree

Bedside Reporting Benefits
◦ Safety
◦ Teamwork
◦ Accountability
◦ Patient Participation

Barriers
◦ Confidentiality
◦ Report Time
Communication Failures
Irrelevant Information
Patient Involvement

Qualitative Study
o2 Sources
o Reference Range Outdated

Limited Sample Size
oWeak Study
• Percentages Only, No Numbers

Pre-Implementation
oResistant to Change
oStaff Concerns

Implementation
◦ Education
◦ Survey
◦ Patient Involvement

Post Implementation
◦ Survey
◦ Concerns
 Potential
Bias
 Statistics
 Teamwork
 Patient
Participation
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

Lack of Implementation Guidelines and
research for bedside Reports

Improve Patient Centered Care
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
 Unfreezing
◦ Recognition Necessity of Change
 Moving
◦ Written Guidelines
◦ Communication
◦ Education
 Refreezing
◦ New Policy



Interviews with Patients,
Nurses and Multidisciplinary Teams
Prior and Post Changes
Benefits
oSupport
oImproved Safety
oImproved Outcomes
Changes Since Study



Benefits
◦ Increased Patient Safety
◦ Identify Missing Information
◦ Improved Teamwork
Barriers
◦ Medical Jargon
◦ Focus of Report
Limitations
◦ One Hospital
◦ Informal Evaluation Process
◦ Variables

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

Bedside Report
◦ Increases effective communication
◦ Increases Nurse & Patient Satisfaction
◦ Produces Better Patient Outcomes

Based on Unit Uniqueness
◦ Not appropriate for all Acute Care Settings
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), 143147. 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