Larkin School of Nursing Patient Satisfaction Evidence Based Practice Paper This is the last part of the EBP assignment. This part of the assignment includ

Larkin School of Nursing Patient Satisfaction Evidence Based Practice Paper This is the last part of the EBP assignment. This part of the assignment includesParts I, II, and III. Description of similarities and differences among the studies you selected for your report in assignment part IIDiscuss the practical or clinical significance of the findings to the evidence-based practice of nursing. Provide an answer to the PICO question, or describe why you are not able to definitively answer the question.The outcome should be a scholarly paper in APA format BEDSIDE SHIFT REPORTING
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Bedside Shift Reporting
Hortensia Corredera
Larkin School of Nursing
BEDSIDE SHIFT REPORTING
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Bedside shift reporting
Part I
Description of the clinical issue
The clinical question discussed in this paper is, “what are the effects of implementing
bedside shift reporting on patient satisfaction, which has been a challenge in real-world
settings?” The practice issue that is pointed out is related to patient handoffs in a nursing station
that results in a communication breakdown. Effective communication during handing off of
patients is a very crucial tool that ensures critical information about the patient is conveyed to the
incoming nurses from the outgoing ones. Notably, proper hand off from the outgoing shift to the
incoming shift is critical in an ensuring safe continuity of care and the delivery of best clinical
practices. (Zou, &Zhang, 2016).
Relevant Population
The relevant population in measuring the effectiveness of bedside shift reports are
inpatients, and the unit nurses treating these patients.
Significance of the problem
The significance of the problem is viewed as an opportunity to reduce errors and to
improve the quality of nursing and patient satisfaction through the implementation of nursing
bedside reporting. Currently there is not a continuity in regard to the bedside shift reporting that
is being done. The lack of similarity on how bedside handoffs are accomplished leads to the
BEDSIDE SHIFT REPORTING
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condition of patients not being reported in a systematic way, which can lead to important care
issues not being properly addressed.
Current management approach
The current nursing unit is applying various approaches to ensure patient satisfaction.
These various approaches utilize greater personal interaction between nurses and their patients.
For instance, it is encouraging nurses to use patients’ names while addressing them to
individualize their experience. All nurses wear name tags to make it easier for patients to address
them by names. Nurses are also encouraged to maintain eye contact often to show the patients
that they are being taken care of.
Nursing management also ensures that nurses spend more time keeping patients informed
to resolve unsure and confused feelings. This is accomplished by giving patients educational
instructions and materials. Additionally, supplying patients with written visit summaries is an
excellent way of keeping them informed about the status of their conditions and corresponding
care.
Gaps/needs to address the issue
However, management approaches have not fully satisfied patients’ needs. Insufficient
reporting at the nursing station was one of the causes of this issue. As a result of station
reporting, most patients complain that they have little knowledge of their treatment and
BEDSIDE SHIFT REPORTING
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condition, and they feel abandoned during shift changes. Poor communication and reduced teambuilding among the nurses, has led to numerous medication errors during the shift changes.
According to various managers, bedside reporting has helped solve the above problems in the
hospital, and thus the management should implement it to improve patient satisfaction.
(Wallenhaup, Stevenson, Thomson, Gordon, & Nunn, 2017).
Part II
PICO question and key search terms
The PICO question that has been formulated for this paper is: for inpatients (P) does
reporting at the bedside (I) as compared to nursing station reporting (C) contribute positively
towards patient satisfaction (O).
The key search terms in this paper are; bedside nurse report, bedside handoff, and bedside
handover.
BEDSIDE SHIFT REPORTING
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References
Wallenhaup, C. A., Stevenson, E. L., Thomson, J., Gordon, H. A., & Nunn, G.
(2017).Implementation of a Modified Bedside Handoff for a Postpartum Unit. The
Journal of Nursing Administration.
Zou, X. &Zhang (2016). Rates of nursing errors and handoffs related errors in a medical unit
following the implementation of a standardized nursing handoff form. Journal of Nursing
Care Quality.
Literature summary table for quantitative studies
Author, title, year in
APA reference
citation
Research Problem
and Purpose
Research method
Sample/population
Data collection
method
Major
findings/conclusions
Ford, Y., & Heyman,
A. (2017). Patients’
perceptions of bedside
handoff: further
evidence to support a
culture of
always. Journal of
nursing care
quality, 32(1), 15-24.
The transfer of patient
care from one nurse to
another often results in
errors that affect
hospitalized patients.
The study aimed to
investigate the
relationship between
bedside handoffs and
patient satisfaction.
Survey
103 participants
Survey questionnaires
Patients feel safe
whenever bedside shift
reports take place.
Patients who often
receive beside shift
reports are satisfied
with the hospital
services.
McAllen, E. R.,
Stephens, K., SwansonBiearman, B., Kerr, K.,
& Whiteman, K.
(2018). Moving shift
report to the bedside:
An evidence-based
quality improvement
project. OJIN: The
Online Journal of
Issues in
Nursing, 23(2).
Most hospital falls short
of meeting their
objective, achieving
patient satisfaction.
This study aimed to
investigate how nurse
bedside shift report
improves patient
satisfaction.
Survey
94
Questionnaires
The results reveal that
Nurse bedside shift
report increases patient
and nurse satisfaction.
Palumbo, J. (2015).
Implementing Bedside
Shift Report: An
Evaluation of Change
in Practice. Journal of
Nursing Studies 2(15),
1-90.
Most hospitals and
health centers have not
universally accepted
and implemented nurse
bedside shift report.
This is due to poor
implementation
strategies that health
administrators adopt.
Survey
89 respondents
Questionnaires
Re-education of nurses
improves their capacity
and commitment to
nursing bedside shift
report.
The study aimed to
investigate whether
offering education
would enhance their
acceptance and
implementation of
nurse bedside shift
reports
Scheidenhelm, S., &
Reitz, O. E. (2017).
Hardwiring bedside
shift report. JONA: The
Journal of Nursing
Administration, 47(3),
147-153.
Failure by nurses to
fully implement
bedside reporting
affects patient
satisfaction.
The study aimed to
assess the impacts of
nurse compliance with
bedside report on
patient satisfaction.
Quasi-experimental
149
Survey questionnaires
Patient satisfaction
increases with nurse
compliance with
bedside shift reporting.
Literature summary table for qualitative studies
Author, title, year in
APA reference
citation
Research Problem
and Purpose
Research Method
Sample/Population
Data collection
method
Major
findings/themes
Dorvil, B. (2018). The
secrets to successful
nurse bedside shift
report implementation
and sustainability:
nursing
management, 49(6), 20.
It is challenging to
sustain nurse bedside
shift reports in real
practice.
Document review
25 articles
Document review
Nurse bedside shift
report increases nurse
satisfaction.
The strategy of
successful and
sustainable nurse
bedside shift report
Successful adoption of
nurse bedside shift
report requires an
understanding of five
steps of adopting
innovation and
technology.
Miller, K., Hamza, A.,
Metersky, K., &
Gaffney, D. M. (2018).
Nursing transfer of
accountability at the
bedside: partnering
with patients to pilot a
new initiative in
Ontario community
hospitals. Patient
Experience
Journal, 5(1), 90-96.
Most nurses fail to
implement an effective
nurse to nurse shift
reporting system,
thereby leading to
patient dissatisfaction.
The purpose of the
study is to investigate
the perception of
patients towards nurse
bedside shift report.
Focus group
133 articles
Audio recordings
The results reveal that
the bedside shift report
increases patient
involvement.
Running head: PART III-EVIDENCE BASED PRACTICE CHANGE
Part III- Evidence-Based Practice Change; Summary and Critique of Literature
Hortensia Corredera
Larkin School of Nursing
07/11/2020
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PART III-EVIDENCE BASED PRACTICE CHANGE
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Part III- Evidence-Based Practice Change; Summary and Critique of Literature
Ford, Y., & Heyman, A. (2017). Patients’ perceptions of bedside handoff: further evidence
to support a culture of always. Journal of nursing care quality, 32(1), 15-24.
Patient care transfer is a problem within many healthcare settings that have been found to
result in errors. The study’s primary objective was to identify the patients’ perception of the
bedside handoff with the help of direct and quantitative analysis. The researchers used a survey
of 103 adult medical-surgical patients (Ford and Heyman, 2017). The results showed mean
responses to the parameters in the survey were higher for those patients that experienced a
bedside handoff compared with those that received sporadic responses. It showed that registered
nurses’ handoff had a positive impact on the patient’s perception of safety and general
satisfaction. It was concluded that the end of shift bedside handoff was most effective when it
was done consistently. The sample size was homogenous and small. The patients that agreed to
participate in the survey were mainly self-selected and so may not be considered representative
of the more significant patient population. Another weakness of the results revolves around the
recruitment methods and characteristics, which limits the generalization of the findings.
McAllen, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., & Whiteman, K. (2018).
Moving shift report to the bedside: An evidence-based quality improvement project. OJIN:
The Online Journal of Issues in Nursing, 23(2).
Many hospitals fail to meet patient satisfaction. The study focused on a strategy of
incorporating bedside report to the basic nursing care as a way of enhancing patient safety in the
PART III-EVIDENCE BASED PRACTICE CHANGE
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hospital. The study was done on a 532-bed acute care survey of a facility located in the Midwest
(McAllen et al. 2018). The bedside reports were incorporated into the standard nursing
operations and studied over four months. During the period, the researchers studied fall rates,
captured the HCAHPS and Press Ganey® score, the nurses’ responses to a satisfaction survey
(McAllen et al. 2018). The main findings showed that patient fall rates went down by 24 per
cent, and the nurse’s satisfaction rates improved by 67 per cent following the introduction of the
bedside report survey (McAllen et al. 2018). Also, the HCAHPS and Press Ganey® findings
showed improvement in 2 of the three nursing units. The conclusion was that by implementing
bedside reporting, there was a positive effect on patient satisfaction, safety, and nurse satisfaction
survey (McAllen et al. 2018). The problem with the findings is that the quality improvement
design used and the specificity does not allow for generalization of results in other settings.
Palumbo, J. (2015). Implementing Bedside Shift Report: An Evaluation of Change in
Practice. Journal of Nursing Studies 2(15), 1-90.
Many healthcare facilities are yet to implement nurse bedside shift reporting. The study’s
primary aim was to determine if retraining the nurses on the use of bedside shift report would
encourage their compliance. The study focused on the one acute-care hospital where the bedside
nurses developed and adopted a shift reporting protocol based on best practices. The protocol
was used for three months, and a survey was administered (Palumbo, 2015). The results of the
review process at the end of the three months showed that the bedside shift reporting was not
collectively accepted and applied. Guided by the findings, a re-training program was initiated
and a 2-week training done. 89 respondents were interviewed on the bedside shift report
initiative (Palumbo, 2015). The results showed there was a strong perception of the change to
PART III-EVIDENCE BASED PRACTICE CHANGE
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their practice. Re-training showed that nurses could be committed to performing bedside
reporting of certain conditions were supported. The researchers concluded that ongoing
evaluation is needed in promoting patient safety, improving the outcomes, among other patients’
satisfaction responses. The results are tied to other factors and conditions within the hospital,
touching on nurses’ satisfaction. Therefore, it is not possible to conclude that it is the retraining
that brought about the change.
Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside shift report. JONA: The
Journal of Nursing Administration, 47(3), 147-153.
Nurses fail to fully implement bedside reporting, which in turn affects the quality of
service they offer. The study’s primary focus was to enhance nurse agreement with bedside
reports to raise patient satisfaction scores. The researchers used a quasi-experimental within the
group and comparing the pre and post-implementation of the patient satisfaction scores units
(Scheidenhelm & Reitz, 2017). The surveys were conducted on two units within a community
hospital. Also, the researchers compared the compliance with bedside reporting before and after
implementation. After five months of introducing the bedside reporting, and the nurses
complying to the reporting, the patient scores went up in both units (Scheidenhelm & Reitz,
2017). The results concluded that change management approaches and uniform bedside reporting
are essential to increasing nurse compliance to processes, leading to improved patient
satisfaction. The drawback of the study is that other factors within the facility can influence the
respondents. Also, the study was done in 2 units of a community hospital, which makes it
challenging to generalize on other facilities within the urban setting that attend to a bigger
population of patients.
PART III-EVIDENCE BASED PRACTICE CHANGE
Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and
sustainability: nursing management, 49(6), 20.
The study focuses on the problem of sustaining a bedside shift report. It is believed that
through sustaining the bedside, reporting could lead to a successful sustainability practice. The
researchers used a literature review of studies on the topic area published between 2006 and
2016. They carried out a systematic review on electronic search engines CINAHL, MEDLINE,
and PubMed using keyword phrases like bedside handoff, bedside nurse report, and others. The
search yielded 25 articles. The results showed that successful adoption of nursing bedside
reporting is time-consuming and calls for a thorough examination of the individuals,
environment, and organizational culture. A five-step process implementation with the frontline
staff’s help could help in successful implementation and ensure its sustainability. It was
concluded that a good implementation requires a good understanding of the management
processes, mentorship skills, and well-thought-out and executed process for its implementation.
It is not safe to generalize the results given that other factors linked to the environment and
training of nurses can affect the successful implementation of bedside reporting.
Miller, K., Hamza, A., Metersky, K., & Gaffney, D. M. (2018). Nursing transfer of
accountability at the bedside: partnering with patients to pilot a new initiative in Ontario
community hospitals. Patient Experience Journal, 5(1), 90-96.
Within most healthcare settings, there is a failure by the nurses to implement nurse shift
reporting, which results in patient dissatisfaction effectively. The study’s primary objective was
to look at the family members, patients, and nurses’ perceptions linked to the bedside nurses’
transfer of accountability (TOA) (Miller et al. 2018). The researchers used focus groups that
5
PART III-EVIDENCE BASED PRACTICE CHANGE
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were done before and after the implementation of nurse shift reporting. The focus group sessions
were audio-recorded, transcribed, and then analyzed with the help of content analysis (Miller et
al. 2018). The results showed positive outcomes such as improved patient safety, well-informed
patients, communication was done more between the staff, and so on (Miller et al. 2018). The
strength of the research findings is that it relied on information from all stakeholders; the nurses,
patients, and family members. However, the inconsistencies in TOA applicability and procedures
make it challenging for generalized observations. The results could potentially be different in
another setting.
PART III-EVIDENCE BASED PRACTICE CHANGE
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References
Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and
sustainability: nursing management, 49(6), 20.
Ford, Y., & Heyman, A. (2017). Patients’ perceptions of bedside handoff: further evidence to
support a culture of always. Journal of nursing care quality, 32(1), 15-24.
McAllen, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., & Whiteman, K. (2018). Moving
shift report to the bedside: An evidence-based quality improvement project. OJIN: The
Online Journal of Issues in Nursing, 23(2).
Miller, K., Hamza, A., Metersky, K., & Gaffney, D. M. (2018). Nursing transfer of accountability
at the bedside: partnering with patients to pilot a new initiative in Ontario community
hospitals. Patient Experience Journal, 5(1), 90-96.
Palumbo, J. (2015). Implementing Bedside Shift Report: An Evaluation of Change in Practice.
Journal of Nursing Studies 2(15), 1-90.
Scheidenhelm, S., & Reitz, O. E. (2017). Hardwiring bedside shift report. JONA: The Journal of
Nursing Administration, 47(3), 147-153.
PART III-EVIDENCE BASED PRACTICE CHANGE
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