Evidence Based Practice And The Decision Making Process For Patient Care

Evidence Based Practice And The Decision Making Process For Patient Care

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Finding the Research Evidence
The Evidence-Based Practice (EBP) is the mixture of knowledge, evidence, and clinical expertise into the decision-making process for patient care. The EBP consists of various steps and ensures the optimal clinical outcomes before reaching patients’ bedside. The intent of this paper to define the process of collecting the appropriate resources and conducting a search on the following PICO question, “On the general surgical unit the implementing of bedside shift report lead to an increase in patient satisfaction with care, compared to different types of handoff communication.”
Summaries of the resources
The paper “Bedside Shift-to-Shift Handoffs a Systemic Review of Literature” (Mardis et al., 2015) provides a systemic literature review on the articles that published on bedside shift report topic in six years, 2008-2014. Several associations and organizations identify the bedside shift report as one of the potential solutions to medical errors. Given this, the bedside shift report is considered as a critical measure to improve the quality of care, improve patients’ satisfaction, and decrease the errors. In this paper, multiple articles were reviewed and perceived an improvement in nursing and patients’ satisfaction. However, the majority of reviewed pieces of literature were not applying the clear patient outcomes metrics or comparison to evaluate the effectiveness of bedside shift report. The fact that more than forty articles were included in the review and did not recognize the strong evidence of bedside shift report as the best practice has prompted to explore the effects of bedside shift report more extensively.
The “Improving Patient Satisfaction with Nursing Communication Using Bedside Sh...


... middle of paper ...


... an improvement of patients’ satisfaction with bedside shift report. This study focused on assessment of specific benefits of bedside shift reports considering possible barriers and implementing the solution for identified barriers. The study provides near to ideal clinical situation to evaluate the precise outcomes, which is highly valuable in new practice change implementation.
Summary
For the last decade, several sources identify the lack of adequate communication during the shift changes as a source of crucial errors. The innovation of bedside shift report perceived as an inherent solution to minimize mistakes and deliver a high-quality patient-centered care. Today several projects, studies, and articles are available on this clinical problem. However, it is critical to assess the available context properly before bringing the innovations to patients’ bedside.

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