Bedside Shift Report

BEDSIDE SHIFT REPORT: INCREASING PATIENT SAFETY AND SATISFACTION
Aubree Sherbourne
Kent State University

Introduction Throughout this paper we are going to look at Bedside shift report, also known as BSSR. As nurses, it is important to look at patient safety, and satisfaction in depth, and what we can do to help increase these. In the following paragraphs BSSR will be looked at in several different ways. Literature supporting the increase of safety and satisfaction of patient’s can be found throughout the paper, as well as implementation plans, and education plans for the implementation of BSSR throughout hospitals, and other patient care areas. This Capstone Presentation will address several different aspects of BSSR,
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Staff participation can as well be a complication associated with bedside shift report. Some nurses feel that by giving shift report in the room with the patient, and allowing them to ask questions, the amount of time spent in shift report can be lengthy. Several studies have found that nurses are less likely to give shift report at the bedside based on this lengthy process. Bedside shift report is found to not increase the amount of time giving shift report, but actually allows nurses to spend less time giving report.
Bedside shift report also allows nurses the opportunity to plan their day, and to schedule tasks based on patient situation. When completing bedside shift report, nurses are increasing their efficiency, by completing part of their assessment during shift report. “While doing shift report, a nurse is able to assess the patient’s orientation, and speech all while gaining the information needed to care for the patient. “Direct observation of the patient by both the off-going and oncoming RTs promotes accountability between shifts and makes it less likely that inaccurate or incomplete information will be passed along.” (Eckbold & Dombroski, 2012,
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Patient safety, satisfaction, and nursing teamwork can grow as a direct result of moving shift report from the nurse’s station to the bedside. Nursing is an ever-changing field, and patient needs are ever changing as well. Bedside shift report is a step in the current direction nursing is heading towards. “The Agency for Healthcare Research and Quality (AHRQ) defines BSR as “An opportunity to make sure there is effective communication between patients and families and nursing staff.” It also states that one of the rationales for BSR is the creation of an environment where patients, families, clinicians, and hospital staff work together to improve the quality and safety of care.” (Affori-Atta, 2015) While nursing continues to grow and change, I believe that bedside shift report will continue to be an irreplaceable part of nurse and patient

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