Clinical Nurse Leader Report

Great Essays
Clinical Leadership Theme

The aim of this Clinical Nurse Leader (CNL) project is to improve the communication and collaboration among the nurses at Rosewood Care Center’s sub-acute unit. The implementation of bedside reporting to standardize the process of shift handoffs will be part of an evidence-based nursing quality improvement project of the unit. The goal is to develop a change in nursing practice that will ensure the delivery of safe, quality, and effective patient care. The project focuses on the CNL’ core curriculum of Quality Improvement and Safety under the role of an Outcomes manager, who integrates data, knowledge, and information to assess and promote positive patient outcomes (AACN, 2013).
The CNL functions within the microsystem
…show more content…
Yet, communication and collaboration were cited as the leading causes of patient harm across healthcare facilities (King & Gerard, 2016). The Agency for Healthcare Research and Quality (2013) reported that at least 70 % of patient adverse events are attributed to communication breakdowns between caregivers. Most of the nurse-to-nurse communications occur during the change-of-shift reports, between the outgoing and incoming nurses. This especial moment is when the outgoing nurse transfers critical information pertinent to the patient including lab results, new medication orders, new recommendations from other disciplines, and any changes in patient’s condition. It is imperative that at this moment, the transfer of information must be complete, accurate, and consistent. Standardizing the process of shift handoffs through bedside reporting can help improve the effectiveness of nurse-to-nurse communication, which is essential in ensuring patient …show more content…
Effective transfer of patient information from nurse-to-nurse is vital to ensure safety and positive patient outcomes. Wakefield, Ragan, Brandt, and Tregnago (2012) emphasized that bedside reporting has been linked to better patient involvement, improved effectiveness of communication among nurses, and enhanced nursing teamwork and accountability. By relocating the shift handoffs from the nurse’s station to the patient’s bedside, the patients can be more involved with their care, the nurses are better able to prioritize their tasks, and the nurses will no longer have to rely on the report given to them because both outgoing and incoming nurses can compare their assessments. The goal of the project is to develop a standardized approach to nursing shift handoffs, which will be achieved by implementing the process of bedside shift reporting in the sub-acute unit. The specific aim statement of the CNL project is to have 80% participation of all the nurses with bedside shift reporting, improve nurse satisfaction score with shift handoffs by 25% within 6 months. The overall global aim is to improve the nurse-to-nurse communication and collaboration during shift handoffs at Rosewood Care Center’s sub-acute unit. Improving the nurse-to-nurse communication will lead to improved patient care, reduction in errors and near misses, greater nurse satisfaction, and eventually improved

Related Documents

  • Superior Essays

    First #1 Personal Learning Objective: by the end of semester I will demonstrate effective communication by proving comprehensive shift to shift RN hand off report on at least one patient. I gave shift to shift hand off report for five of my patients between the two shifts. As I continue to practice I 'm growing and becoming more confident in report and more thorough. Next, #2 Personal Learning Objective :by the end of semester I will demonstrate effective time management by providing holistic care for at least 2 of the three patients without the help or assistance of my preceptor. I cared for six patients total between my two shifts .…

    • 1148 Words
    • 5 Pages
    Superior Essays
  • Decent Essays

    Effective communication is necessary to report critical patient changes in a timely fashion in a clear succinct manner. Such communication may be nurse-to-physician, nurse to family, nurse-to-patient or nurse-to-nurse, as well as nurses to other members of the healthcare team. The development…

    • 317 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    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.…

    • 230 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    On the telemetry unit at St. Joe hospital, there are ideally 7 RN and LPNs staffed when all 31 beds are filled. This makes for a 4:1 nurse to patient ratio. These RNs have various responsibilities which include assessing patients and their conditions, administering medications as prescribed and understanding patient information in order to make critical decisions about care. The RN on the floor also has the responsibility to educate the patient on various interventions and what to expect upon discharge (Taylor, 2011). A patient care tech (PCT) is also stationed on the floor and is responsible for bed baths, feedings, vital signs, and toileting.…

    • 1014 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    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.…

    • 141 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Transforming Care at the Bedside [TCAB] is allowing positive changes to be made within the medical profession. The communication alternative made for shift change is one that is allowing a nurse the ability to place a face to their patients. Outcomes from being able to visually see patients is numerous. An important aspect is nurses can then truly empathize with a patient as they battle their medical obstacles. A patient becomes a person when they are visually present rather then the words on a typed and recorded report.…

    • 307 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Bedside Shift Report

    • 2083 Words
    • 9 Pages

    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.”…

    • 2083 Words
    • 9 Pages
    Great Essays
  • Decent Essays

    Bedside shift reports have been shown that patients and their families really like them. Patients have stated that they feel like they are receiving consistency in care and that they feel like they are being involved in their care plan. Mrs. Thayer likes to give constructive feedback to her employees. Her feedback is given in an honest and supportive way of communication. For this, her employees respect her.…

    • 419 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Secondary to the implementation of evidence based practice, mentorship of bedside care providers, and quality improvement projects, the CNL will increase effectiveness and efficiency. The CNL will not directly affect the responsibility of the staff at the bedside, however, with increased knowledge comes increased responsibility, and via mentoring and education, the CNL will move staff from novice to expert. In addition, the CNL role will facilitate a decrease length of stay, improve patient outcomes utilizing research based interventions that reduce errors and increase safety (Stavrianopoulos,…

    • 1210 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Bedside Reporting Policy

    • 1056 Words
    • 5 Pages

    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.…

    • 1056 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Patient Handoff Case Study

    • 1088 Words
    • 4 Pages

    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).…

    • 1088 Words
    • 4 Pages
    Superior Essays
  • Superior Essays

    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”…

    • 1446 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Handover Is Atime Essay

    • 116 Words
    • 1 Pages

    HANDOVER IS Atime-honoured tradition and staff on every incoming shift must receive a report of patients’ status before commencing care. Some nurses refuse to tend to patients until after a formal handover, illustrating its perceived importance. The skill to carry out a handover, and provide the relevant information, is not taught during nurse training, but is learnt on the ward. It is not an objective event, relaying only facts, but has a subtle and sometimes unrecognised purpose.…

    • 116 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Promoting Healthy Work Environments The American Association of Critical-Care Nurses (AACN) is committed to bringing its influence and resources to create healthy, safe, and humane work environments that respect the rights and responsibilities of all people, including patients, their families, nurses, and other health care professionals (AACN, 2016). In order to create these healthy work environments for patients, nurses, and healthcare professionals, the AACN created Standards for Establishing and Sustaining Healthy Work Environments. The six standards: skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition, and authentic leadership give healthcare professionals the framework necessary for healthy and safe work environments, as well as, give professionals opportunities necessary for growth and development (AACN). After…

    • 1013 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    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…

    • 1929 Words
    • 8 Pages
    Improved Essays

Related Topics