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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.
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.
Not only is professional communication important in the portrayal of a good nursing image and behaviour, it also plays a vital role in patient care and health outcomes. The ANMC standards serve as a good guidance on the need to establish therapeutic relationship through effective communication. As nurses spend relatively more time with patients, they play a significant role in bridging a patient and doctor. Hence, it is would help for nurses to constantly hone their communication skills through experience over time.
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
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 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. There is no specific hand-off tool that is universal. With that being said it is important that research continues so that possibly in the
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
...Apler, J. P. (2006). Professional nurse communications skills sets in health care team interactions. Journal of Professional Nursing , 22 (2), 180-189.
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.
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,
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.
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,
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.
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
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.