Why bedside reporting

Since nurses reported spending time in the rooms giving care during BSR, it may be beneficial to have patient care assistants available during BSR. Additionally, a system to track, measure, and evaluate the types of issues or errors found during BSR would be beneficial to further describe improvements to patient safety gained with BSR. For example, medication error reporting was not part of the project outcome measures, but was later identified as an issue discovered and mitigated during BSR.

Nurses mentioned discovery of intravenous fluid concerns and possible medication inaccuracies during BSR, but these were not quantified in the audits or in the formal medication error reporting process. Future projects should consider exploring medication safety with the implementation of BSR.

Nursing leaders face implementation of numerous practice changes. This project focused on the immediate change period; however, maintaining the process and anchoring BSR into daily practice can be challenging. Caruso , Evans et al. Sharing success stories Education is the beginning of obtaining buy-in from staff. McAllen has more than 40 years of experience as a medical surgical nurse, critical care nurse, nurse educator, unit manager, critical care director, and Vice President of Patient Care Services.

She has over twenty years of clinical experience in pediatric endocrinology, critical care, and toxicology. Swanson-Biearman has been an educator for 17 years in both nursing and physician assistant education.

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Submitted by Dr. Many aspects of patient care require thorough and complete reporting of conditions, procedures, medications, and follow up.

The adverse events that may potentially follow from lack of appropriate reporting could be related to the lack of essential information acquired from professional communication within the patient room.

The potential gaps in nursing communication, especially during shift reporting, may result in medical errors.

The traditional methods of reporting at the nursing station may result in mistakes or lack of addressing issues that may be otherwise discovered through providing rounds at the bedside at the beginning of each shift. The use of bedside reporting also allows for the patient to participate in his or her own care, providing an avenue for the patient to be an active part of the health team. As a part of the health team, the patient is routinely aware of care plans, interventions, progress, changes, and discharge plans.

The communication at the bedside may also decrease anxiety in the patient, as the patient may distinctly feel part of the health team. In the clinical setting, there are patients who may not be actively engaged in the plan of care due to induced sedation, coma, head injury or trauma. The benefits of bedside reporting, in cases where patients are unconscious, should be strongly considered by management when implementing change in critical care areas. Nursing leaders who want to achieve successful dissemination and sustainability of bedside shift report must have a good understanding of process management and relationship building, mentoring skills, and a well-planned and well-executed implementation process.

National Center for Biotechnology Information , U. Nursing Management. Nurs Manage. Published online May Author information Copyright and License information Disclaimer. The author has disclosed no financial relationships related to this article. Published by Wolters Kluwer Health, Inc. The work cannot be changed in any way or used commercially without permission from the journal. Copyright Wolters Kluwer Health, Inc. All rights reserved. Open in a separate window.

Nurse bedside shift report Nurse bedside shift report, or handoff, has been defined in the literature as a process of exchanging vital patient information, responsibility, and accountability between the off-going and oncoming nurses in an effort to ensure safe continuity of care and the delivery of best clinical practices. Patient experience with bedside shift report Systematic literature review studies point out that implementing nurse bedside shift report can improve the patient experience with care as related to nurse communication.

Nursing satisfaction with bedside shift report Evidence strongly supports that bedside shift report increases nurse satisfaction. Financial impact of bedside shift report Nonplanned incidental overtime creates a financial burden for hospitals. Sustainability of bedside shift report Nurse bedside shift report is a practice that becomes an established habit, but it's often a challenge to change the old reporting process and sustain the new practice.

A successful adoption The adoption of nurse bedside shift report is a time-consuming process that requires careful examination of the current unit or organizational culture, environment, and individuals. Making the transition to nursing bedside shift reports. Bradley S, Mott S. Adopting a patient-centred approach: an investigation into the introduction of bedside handover to three rural hospitals. Towards patient-centred care: perspectives of nurses and midwives regarding shift-to-shift bedside handover.

Bedside nursing handover: a case study. Investigating bedside nursing report: a synthesis of the literature. Improving client and nurse satisfaction through the utilization of bedside report. Sand-Jecklin K, Sherman J.

A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Bedside shift-to-shift handoffs: a systematic review of the literature. Patients' views on bedside nursing handover: creating a space to connect.