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Bomba and Prakash (2005) said that in order to implement bedside handover effectively, nurse bedside shift report strategy is used because it is the effective means of implementing bedside handover within hospitals. This strategy is adaptable and flexible to the culture and environment of any sort of hospital due to which this strategy is given importance. This strategy serves as the guidance that provides questions and choices for the leaders of hospital for implementation of this strategy. The implementation of this strategy is considered as helpful on small-scale because it would provide proper training to the nurses regarding making use of bedside handover properly towards treatment and care. Some of the steps that must be considered at …show more content…
the time of implementing this strategy to bedside handover in clinical setting are as follows: Step 1: Creating a Multidisciplinary Team to Recognise Improvement Areas It is analysed from the research study of Thompson et al (2004) that some important parts of the process are recognising and planning areas of improvement. Particular key aspects that must be considered at the time of implementing this strategy are given below: Creating Multidisciplinary Team Kicken et al (2012) stated in his research that hospital nurses, leaders, management staff, key clinical, family advisors, and patient are the main members of this team. The families and patients along with unit staff must be engaged in the process. Responsibilities of patient and family advisors in implementing this staff are: • Providing feedback regarding the current process of shift report • Helping the nurse in making use of bedside handover at the time of changing shift • Taking active part in the training of nurses related to bedside handover • Observing nurses at the time of bedside handover and providing feedback on their effective working Identifying Challenges in Handing Bedside Report According to Patterson (2012), many of the staff members may be resistant to adopt change of bedside handover. Therefore, it is important to demonstrate to the nurses that bedside report serves as an expectation instead of option. It is the duty of nursing management and leadership that they must hold staff accountable for performing bedside handover. Moreover, the nurses should not take extensive time in handing over reports because the patient as well as their families can get disturbed with extensive interaction between nurses. Setting Aims in Implementing Bedside Handover Smeulers et al (2014) argued that at the time of implementing this strategy, it is important for the management of hospital to develop and set proper aims for implementing bedside handover. The aim should be linked to the important functions and aspects that must be considered by the nurses at the time of handing over documents in bedside nursing. Step 2: Implementing Nurse Bedside Shift Report Strategy Matic et al (2011) stated that once the aims are set, the management must prepare nurses regarding the implementation of this strategy.
This is the stage in which all the tools that the nurses would use to ensure effective bedside handovers must be decided and highlighted so that records can be maintained. One of the most important tools is Bedside Shift Report Checklist that must be provided to the shifting nurse as per the environment of hospital. Moreover, after deciding for tool, the person who will be responsible for checking and reviewing the effective working of the strategy would also be decided. This would assist the management in analysing the areas where improvement is needed and about the areas that are working effectively. Therefore, this stage of the strategy is very important for management, nurses, and patients because on it the further processes and functions would be dependent. Apart from this, bedside handover has the aim to make patients feel relax and comfortable about the treatment process which needs to be fulfilled with the help of implementation of this strategy. Hence, the hospital has to ensure at the time of implementation of Nurse Bedside Shift Report Strategy that all the features are working properly and this strategy would integrate effectively with the functions of the bedside nursing and …show more content…
handover. Discussion and Conclusion Discussion It is analysed from the literature review that bedside handover is gaining significant among hospitals because of the benefits associated with it.
However, in order to implement bedside handover some of the strategies must be considered to make sure that nurses communicate the information related to patient to another nurse efficiently at the time of changing shifts. Moreover, it is also observed that many of the gaps are there in the research base. These gaps comprises of need to assess the attitudes, motivation, and cognitive processing of clinicians in terms of care planning. In addition to this, the contribution of language, cultural issues, and shared meanings towards good communication is also the research gap. This depicts the fact that bedside handover is the type of nursing handover in which document related to patient care is transferred from one nurse to another at changing shift. With the help of this handover type, the chances of error declines as nurses meet face to face and exchange documents on their own in the presence of patient and family members (Drach‐Zahavy & Hadid, 2015; Bomba & Prakash,
2005). It is found that bedside handover can accomplish huge numbers of the patient-nurse advantage identified in the literature, including acknowledgment of the connection between the patient participation to obtain better results. Moreover, in spite of favourable approaches towards the patient-as-accomplice way to deal with consideration among medical caretakers, a few structures, conventions, and practice boundaries can moderate against successful execution of patient-centred information exchange. For instance, proficient limits taking into account progressive rank and the professional autonomy that permits a few individuals from the medicinal services group to avoid patient data or correspondence from others lessens data sharing. Furthermore, procurement of a workable movement structure that guarantees covering moves and creating predictable conventions for patient allocation could likewise review auxiliary hindrances to change as per the requirements (Chaboyer, et al., 2010; Stone, et al., 2010). It is found that the role of bedside nursing practice is very important in the process of supporting an individual to recover from the illness in an accurate manner. However, it is a prior duty of the top officials of hospitals to provide all sorts of assistance in terms of high quality care services such as bedside nursing that would help the patients to cope with the challenging situation in a more accurate manner. Furthermore, it is imperative for the success of a hospital that they must consider effective ways of treatment or care for the reason that this is the only way through which they can easily satisfy the requirements of their customers. For that reason, the bedside handover nursing practice is the most imperative technique that assists the organisations to provide high quality services to their patients in a more effective manner. It is found that bedside handover nursing practices might require extensive amount of resources that discourage a common person to avail these services regularly that is why it a core duty of the state to provide assistance in terms of funding these hospitals to utilise this practice within their institution for every patient (Poletick & Holly, 2010; Caligtan, et al., 2012). However, it is found that most of the large health care institutions are quite keen to implement bedside handover activity to facilitate their people in order to cope with the difficult situation viably. It is along these lines obscure whether the experience of progress would be comparative in different settings. Then again, change takes place in the disposition, inspiration, and comprehension of the specialist, subsequently; it is useful to start arranging with a system in order to get the accurate results. In addition, this was exemplified in the healing facility experienced with bedside handover, where worries about the care had been managed in the connection of a more extensive quality change activity. Furthermore, collecting information sketching out issues, for example, staff disappointment with different types of handover made it simpler for clinical managers to influence the staff at the bedside of the requirement for change. It is observed that utilising exploration information and in addition subjective familiarity with the need to change can affect state of mind and inspiration, rendering change less debilitating (Wakefield, et al., 2012; Kitson, et al., 2014). It is noted that the bedside handover nursing practices require workers that are quite capable and skilful in managing the complex situation viably. For that reason, it is a core duty of the top officials of health care institution tom provides training to their workers in order to perform their part viably. However, the training of health care workers help the organisation to improve their overall productivity and efficiency that would help them to encourage more customers to visit frequently without any hesitation. The role of health care workers in the effective bedside handover nursing practices is very crucial for the reason that they are solely responsible to manage the core things viably and the margin of error is quite low for them. For that reason, they have to perform their part very consciously in order to get the goals and objectives of this considered practice. However, evaluating the efficiency of handover practice can give the clinician with an indulgent of where possible places for enhancement in the clinical handover might be present (Tobiano, et al., 2013; Kerr, et al., 2011).
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.
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
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multi-lingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharged teaching is by providing direct checklist for patient and family to follow. One must understand that these approaches will enforce the staff nurses and other health care providers to develop the safe patient transition to home.
7). In an article by Rosalina Butao, RN, MSN, “Hitting Two Birds With One Bullet: Bedside Shift Reporting; “bedside reporting solidifies compliance to the Joint Commission’s 2009 National Patient Safety Goals: improve the accuracy of patient identification, improve communication among caregivers and encourage patient’s active involvement in their own care” all of which improves patient safety (Butao, 2010 p. S50). In a synthesis of literature by Sherman, et al., (2013), patient benefits include the patient being more knowledgeable and involved in their health care, improved the relationship between the nurse and patient, also improving patient satisfaction, as well as patient safety thus decreasing the number of falls, and increasing discharge times (p. 310). Bedside reporting allows the patient and family the opportunity to intervene during
Following the QSEN model, this problem is a concern that falls under the safety category. The Institute of Medicine defines safety as, “minimizes risk of harm to patients and providers through both system effectiveness and individual performance” (IOM, 2003). A nurse manager must address this problem because without nurses who are able to work, patients cannot be taken care of in a safe and effective way. As a nurse manager, it would be ...
Introduction 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 it is a fundamental part of nursing and the skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the perception of the quality of care that patient perceives they received based not on the care it’s self but on the patient-nurse communication.. Purpose/Problem/Hypothesis
The end of shift handover nursing report is the time when the off going nurse hands over patient care to the oncoming nurse. During this process critical information about patient’s status and plan of care must be communicated properly. Conducting the shift-to-shift report at the bedside allows patients and families to become involved in their care. It also lets them participate in the sharing of information, which ensures that patient, family and team goals are identified and aligned. Bedside shift-to-shift nursing reports increases patients’ satisfaction, improves the nurse-patient relationship, decreases patient falls, discharge time occurs faster, strengthens teamwork, and leads to better nurse
Professor Cantu and Class, The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but to every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete, conveying all pertinent information about that patient. The article discusses why we have problems with handoffs, and different methods for handoff styles.
“Communication is the heart of nursing… your ability to use your growing knowledge and yourself as an instrument of care and caring and compassion” (Koerner, 2010, as cited in Balzer-Riley, 2012, p. 2). The knowledge base which Koerner is referring to includes important concepts such as communication, assertiveness, responsibility and caring (Balzer-Riley, 2012). Furthermore, communication is complex. It includes communication with patients, patient families, doctors, co-workers, nurse managers and many others. Due to those concepts and the variety of people involved, barriers and issues are present. Knowing how to communicate efficiently can be difficult.
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
It is essential for a nurse to be able to demonstrate and practice professional communication skills, provision of information and handover to provide a holistic approach to treating and caring for patients. Professional communication skills not only allows the nurse to provide different methods and tactics to communicate with patients of different needs and ages, but it enables the nurse to understand and to give the best possible care and outcome for the patient. Provision of information and handover is another major point for nurses and relates to professional communication. Nurses need to be able to get a detailed diagnosis from the patient through communication, and therefore allows for the nurse to handover vital information to other doctors or nurses who take over to provide the correct and best possible treatments and care. The nursing profession requires a nurse to uphold professional communication, provision of information and handover in order to care for the patient with the right treatment, and to provide the best health outcome.
Firstly, Nurses must develop the right communication tools when dealing with their patients. For example most nurses do bedside reporting, before they change their shift in the morning, therefore they would be relaying information to the other nurse about the patient they dealt with during the night. The nurse that is going off shift would give a report to the incoming nurse in the presence of the patient. He or she has to discuss the condition of the patient, medications and the procedures so the next nurse would be on the same level. Most nurses in the General Hospital do their reporting by the bedside of their patients.
Goal: Improve nursing handoff during change of shift with incoming and outgoing nurses by providing a standard hand of flow sheet, to improve patient safety and quality of care
Communication in the nursing practice and in healthcare is important because when talking with patients, their families, and staff, the nurse and the nursing student needs to be able to efficiently express the information that they want the other person to understand. “Verbal communication is a primary way of transmitting vital information concerning patient issues in hospital settings” (Raica, 2009, para. 1). When proper communication skills are lacking in nursing practice, the chances of errors and risks to the patient’s safety increases. One crucial aspect of communication that affects the patient care outcome is how the nurse and the nursing student interacts and communicates with the physicians and other staff members. If the nurse is not clear and concise when relaying patient information to other members of the healthcare team the patient care may be below the expected quality.