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The Importance Of Patient Information In Nursing Practice

opinion Essay
1205 words
1205 words
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Introduction
One of the most critical pieces of information in a hospital setting is the transfer of patient information from one shift to the next. This is commonly known as “hand off”, “report off” or “shift report” to the next shift. Providing the right type and right amount of patient information is critical for continuity of patient care, and there are several different ways that this handoff is currently done in facilities today. Methods of handoff can include verbally in the unit, verbal at the bedside, electronic reporting, handwritten noted, audiotape, or even by memory (Friesen, et al, 2016).
Current nursing practice at your healthcare setting that requires change
The Current Nursing Practice
The current nursing practice for hand …show more content…

Audio taped reports are too restrictive and do not allow for questions or clarifications and thus may not provide all of the critical information needed for the oncoming nurse to provide quality patient care. One study found that communication breakdowns contributed to 43% of reported incidents, and that two-thirds of the communication issues were related to issues concerning the handoff of data from shift to shift (Friesen, et al., 2016). If not provided with the appropriate information during report, staff must then do additional research of the chart or hunt down the outgoing nurse to get the …show more content…

When nursing is comfortable with the bedside report process, communication is enhanced and quality of patient care is enriched.
Nurse Managers and Nurse Executives Within this facility, Nurse Managers and Nurse Executives are responsible for the development and implementation of policies and would need to support and advocate for the facility-wide change to bedside reporting. By developing a protocol and defining the procedure for bedside reporting, Nurse Managers and Nurse Executives will create the policies that nurses follow within the facility, and also set up a process for quality assurance and compliance of the new policy within the regulations of the Joint Commission.

In this essay, the author

  • Explains that transferring patient information from one shift to the next is critical for continuity of patient care. handoff can be done verbally in the unit, verbal at the bedside, electronic reporting, handwritten noted, audiotape, or even by memory.
  • Explains the current nursing practice for hand off of patient information at shift change is via an audiotaped report.
  • Argues that a more effective patient-centered reporting process would enhance patient safety and allow the patient to provide input to their nurse.
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