Shadowing Ms. Jennifer Dreher, Clinical Nurse Specialist (CNS) and Patient Educator at Bethesda North Hospital, provided insight on her daily tasks and the profession. Ms. Dreher works in the Orthopedics department where she is actively involved in several meetings and performs coordination of care for numerous patients. She is also training Mrs. Laura Moffat, a floor nurse at the hospital studying to become a CNS. During my shadowing experience, I attended two meetings and accompanied Ms. Dreher on rounds to patient rooms.…
A Case Study1 In conclusion, the results of this study can be used to assist nursing leaders in developing a design for the implementation of bedside report. Implementation may however, require various design strategies for different nursing units in order to accomplish the same outcome A Case Study2 A case study of the implementation of bedside report Background Communication of information in healthcare is a vital component to providing safe patient care.…
This mixed descriptive case study was done to describe the structures, processes, and perception of the outcomes of bedside handover in nursing. This study included observation of 532 handovers and 34 nurse interviews. Two separate hospitals were used in this study. One hospital using team nursing and bedside handover had been used for over a year, the second hospital using a variety of nursing models and bedside handover just being implemented, just stopping verbal report in a separate staff room.…
In hospitalized adults, how does nurse-to-nurse bedside shift change report compare to non-bedside shift change report affect patient and nursing satisfaction during medical-surgical ward duration of stay? A Successful Method of Bedside Shift Change Report. In this research, implementation of better communication between patient and nurses brings greatest accomplishment for better health outcomes. With an inevitable change in nursing, nurses are challenged to perform their duties and scope of responsibilities beyond their capabilities at any given times. A competent nurse strives to provide a higher quality of patient’s care.…
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.”…
B3b. Research in this area is limited but supports the move from current practices to a bedside handoff model. Most of the studies show current practices to be varied and non-standard. One study found a wide range of handoff styles within one medical center’s 23 wards. These styles varied from group handoffs,…
The goal of this article is to establish the basis of safe handover between the off going nurse and on coming nurse along with the involvement of the patient and family. Bedside reporting has shown to increase patient engagement, education, responsibility and caregiver support. The nursing aspect of bedside reporting is considered an opportunity to improve communication and accountability between nurses, decrease medication errors and patient falls. A quasi-experimental pre- and post testing design was used to test the effectiveness of bedside reporting.…
Both studies focus on improving patient safety and communication. By working in the health care system, these two studies enhance one’s own practice. Zou & Zhang (2015) in study one describes the importance of nursing handoff and the importance of patient safety throughout this process. It is a time where the oncoming nurse is able to acquire necessary information and ask questions.…
Safe staffing ratios reduce incidences of nurse burn out, and tired nurses who might miss an important assessment/problem after working long…
Bedside Reporting Policy Everyday throughout many hospitals and acute care facilities, nurses are receiving and handing off shift report at nursing stations. Handling report at the desk in no way involves visualizing the actual patient, or including them in their own plan of care. This way of reporting is becoming a huge safety issue and is leaving enormous room for miscommunication and error. Many hospitals around the world have begun to implement a mandatory bedside reporting policy. This policy is put into play to help the nurses as well as patients become involved in the shift report.…
Background Information A literature review of patient handoff, and communication gaps of patient information during intrahospital patient transfers. The communication of complete and accurate patient information can be challenged, because of increasingly fast-paced and complex health care environments. Patient Handoff refers to, the process of transferring primary authority and responsibility for providing clinical care to a patient from one departing caregiver to one oncoming caregiver. Caregivers include attending physicians, resident physicians, physician assistants, nurse practitioners, registered nurses, and assistant care providers (Patterson, & Wears, 2010).…
Patient Care Handoffs Brooke Grider Indiana University Kokomo School of Nursing Patient Care Handoffs Scope of the Problem When working in health care there are many responsibilities that need to occur to ensure patients’ health, safety, and happiness. Many of these obligations include informing the patients, making them feel important, and taking precautions when regarding their safety. One major area of importance that has lead to a multitude of patient accidents and problems is what is called patient care handoffs. Patient care handoffs are defined as when “providers exchange information and transfer responsibility for and control over a patient at shift change or when moving the patient from one service or institution to another”…
Fryer (2013) describes human factors as the key to optimal practice management of process and system design as it builds on the limitations and capabilities in the workforce. Human Factors can improve both staff and patient safety and also reduce the risk of harm (Pezzolesi et al, 2013). In the nursing profession the National Health Service (as cited in Fryer, 2013) stress that the design of human factors is particularly vital as the ‘caring’ profession is especially vulnerable to high, unsupervised workloads indirectly and directly related with the nurse’s scope of practice and role. This essay highlight the importance of adopting human factors principles and approach, particularly in clinical handover to continuously improve patient care and the healthcare system (Pezzolesi et al 2013). Healthcare Human Factors techniques are vital safety-critical environments.…
Within the local hospital, continual complaints of non-comprehensive and inadequate end-of-shift reports stands out as a chief concern. With the concern of inadequate handovers, the concern of poor communication among nurses in the medical-surgical department and a lack of teamwork also are noted. A voiced concern among nurses about the amount of errors rooted in poor communication within the facility also sparks interest into a change to improve communication processes. Therefore, the facility recognizes a need for change and willingness to attempt to improve the patient handover process. Additionally, a large number of new graduate nurses and new hires have occurred…
In this incident, the staffs fail to communicate effectively with the patients. Therefore, miscommunication problem is the right cue of causing the patients’ situation. Collect information I started to observe the nursing activities on shift and I found out that the handover was done at the nursing station and the involvement of the patients were low. I noticed an increasing…