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Qualitative research review on nursing handoff report
The importance of providing accurate nursing handover
Quantitative research on bedside reporting
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A literature review was conducted using CINAHL and PubMed to locate relevant articles published from 2010-2017. Keywords were education, bedside, shift report, bedside nursing, and communication were all searched in varied combinations. The search resulted in 20 suitable articles for review. Welsh, Flanagan, & Ebright (2010) examined factors that influenced exchanging shift report in their 2010 study. They analyzed nurses’ evaluations of different report styles. The authors discovered that bedside report improves professional communication. The article suggests that bedside reporting helps assure that nurses are no longer side-tracked by socialization or interjections of personal opinions like they can be during other types of handoffs.
The adoption of clinical information systems is one way that healthcare organizations are making an effort to improve patient safety, provide a means to exemplify regulatory compliance, and facilitate exchange of patient information between care providers (Kirkley & Stein, 2004; Nadzam, 2009). To achieve this goal, Barnes-Jewish Hospital (BJH) recently implemented a new CPOE/clinical documentation system. One of the objectives of the new system was to give bedside clinicians a standardized electronic tool, known as the Clinical Summary, for bedside shift hand-off reporting. Soon after go-live, it was identified that the standard nursing Clinical Summary did not meet specialized the reporting needs of the nurses on the Women and Infants divisions. Consequently, an application enhancement request was submitted. The goal of this project is to synthesize the knowledge gained throughout this Masters Degree program to initiate, plan, and execute changes to the current clinical documentation system to provide a standardized Clinical Summary review screen to meet the specialized hand-off reporting needs of the nurses on the Women and Infants divisions at BJH. This paper includes project objectives, a supporting evidence-based literature review, project methodology, formative and summative evaluation criteria, and a graphical timeline with a narrative description for the Women and Infants Clinical Summary project.
We strive to provide high value care. Nurses play an enormous role in providing this care. We must provide safe and quality care while communicating with our patients. We do this through hourly rounding on patients to ensure all needs are met. Showing compassion to her patients can help improve both mental and physical health (Bramley, & Matiti, 2014). Spending this time allows us to get to know our patients and create a deeper connection with them. Nursing managers also make daily rounds to check on patients and ensure they are receiving the best possible care. Their complaints and suggestions are taken into consideration allowing them to be included in their care. Managers tracked these complaints to allow for staff
Identifying the handoff practices currently in use will demonstrate the endeavor to examine options and recommend approaches for the future. Diverse forms of handoffs at different occasions for a large group of physicians, medical residents, nurses, allied health professionals and student clinicians from different disciplines have created inconsistencies. Besides, the bedside shift report has impacted patient and family satisfaction with the continuum of care. Examining a number of models, protocols, tools, standards and trends concerning patient-centered handoffs will highlight implications for the best practice. Recommendation for safer and more effective handoffs to improve practice and reach sustainable outcomes will be discussed to promote multidisciplinary approaches for patient-centered care. The transfer of critical information and accountability for patient care from one clinician to another is an essential component of communication in
...., Johnson, D., & Thomas, C. M. (2009). The sbar communication technique: teaching nursing students professional communication skills. Nurse Educator, 34(4), 176-180.
...Apler, J. P. (2006). Professional nurse communications skills sets in health care team interactions. Journal of Professional Nursing , 22 (2), 180-189.
The qualitative paper selected was 'A qualitative study of shift handover practice and function' (Kerr, 2001) and the quantitative paper was 'A Pilot study to show the loss of important data in nursing handover'(Pothier D., Monteiro P., Nooktlar M. et al., 2005). These will now be critiqued in turn.
The registered nurse should communicate clearly her expectation of the task to be accomplished, when and where information should be reported, observations that are expected to be recorded/reported and specific patient concerns that require immediate attention. The nurse would then assess the understanding of the expectation and clarification if needed. Open and mindful communication improves delegation and increase patient safety. Besides verbal communication, non-verbal communication is very important. The nurse’s body language should reflect what she is verbalizing (Yoder-Wise,
Sand-Jeklin and Sherman (2014) studied seven medical-surgical units by having a control group who did their regular routine and an experiment group that implemented bedside reports. As the experiment concluded there were some positive outcomes such as, better communication between the nurses, more involvement from the patient, also fewer falls and medication errors were found based on the study. On the contrary, the study showed that some nurses had negative attitudes toward the amount of time to take to complete bedside reports, and some nurses wasn’t consistent with the implementations of the reporting (Sand-Jeklin and Sherman, 2014). This study shows not only does bedside reporting had positive outcomes, but also some nurses was not satisfied with the format. So the consumer of the article it is important to weigh both the positive and the negative and come on with what could work for
The needs of the patient and society has been the first priority of all other considerations in health care since early 1980s, and professionalism plays a critical role in nurturing it. Professionalism and trust are like two sides of the same coin or as co-requisites of each other: both enhance better patient-provider relationships and play a prominent role of encouraging patients to come for the follow up care in a timely fashion, to promoting the reputation of the organization. Communication and team work promotes better coordination between patient and provider just like in aviation, where it saves thousands of airline accidents. Team play and effective communication between the healthcare staff, promotes overall well-being of patients,
...ffectively communicated back to other members of the multi-disciplinary team. It 's important that critical information is effectively communicated as it 's an essential component of risk management. Similarly, effective thorough handovers are essential to nursing practice in terms of continuity and quality of patient care. An example of miscommunication or missing information contributes to a number of patient safety incidents (British Medical Association 2004). The nursing staff on the ward delivered both verbal and written handover at the end of the shift to the new team, in order to ensure vital information surrounding the patient 's wellbeing were passed on as research suggests that a typed sheet with a verbal handover results in minimal data loss which is therefore likely to reduce patient safety incidents and improve patient centred care (Pothier et al. 2013).
The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how that it is a fundamental part of nursing and skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the
Robinson, F. P., Gorman, G., Slimmer, L., & Yudkowsky, R. (2010). Perceptions of effective and ineffective nurse–physician communication in hospitals.Nursing Forum, 45(3), 206-216.
Nurses are well aware of the time constraints that often impact not only the time they have to spend with individual patients, but also the quality of their documentation (Hemsley et al., 2012). Nurses often choose time with patients over proper documentation. When this occurs, there is a high risk that crucial information will not be relayed to staff on other shifts (Casey & Wallis, 2011). There needs to be understanding between nurses and managers about how information is relayed and recorded between all members of the health care
Evans, D., Grunawait, J., McClish, D., Wood, W., & Friese, C. R. (2012). Bedside Shift-to-Shift Nursing Report: Implementation and Outcomes. MEDSURG Nursing, 21(5), 281-292 12p.
Being able to communicate effectively in a professional manner is vital in most, if not all, career paths. This statement brings up some important questions. Do potential employers really care about an applicant’s communication skills? How will I use communication skills in my own career? How has college improved my own professional communication skills? Understanding how to communicate in a professional manner can help people in their careers and I feel improving my own communication skills will benefit me now and in the future.