Shift change is one of the challenging moments for continuity care of patient in the hospital. On shift and off shift nurses exchange vital information and duties during transition of care. In other words shift change report is also know as Nurse Knowledge Exchange (NKE), it is important in order to ensure efficiency, quality and safety of the patient. Nurses are responsible for delivering excellent care no matter what the circumstances. End of the shift nurses are exhausted and shift report usually occurs at nursing station or outside patient’s room. When it occurs away from the patient, it compromises the safety and quality of patient. Allowing patient involved in bedside report gives opportunity to hear what has occurred throughout the shift …show more content…
Involvement of patient and family during NKE at the bedside give opportunity to hear what has occurred through out the shift and next step in care. Studies found that “after implementing bedside shift report, hospitals reported increase in patient satisfaction score and improvements in nurse-patient relationship” (AHRQ, n.d.). Implementation of NKE at the bedside is not an easy process. Staff involvement with multidisciplinary team is necessary in order to monitor and feedback during implementation process. Nursing staff may resist NKE due to various reasons. We need to acknowledge and address potential challenges and concern in order to successful implementing NKE at the bedside. Step by step planning, education and training is necessary to encourage nurses to embrace the concept of NKE at the bedside. Nurses need to realize NKE at the bedside enhance quality care, nurses’ accountability and patient satisfaction. It may be helpful to implement this strategy initially on small scale like single unit first. This will help to identifying what worked well and what did not. This will give feed back then able to look for refine the approach as necessary and then spread the strategy to more units with wide scale. Nurses should be educating on how to conduct NKE at the
This method uses a correct transfer of medical vital information of the patients during shift change that needs immediate attention, SBAR is achievable for nurses and identification of any error in information transfer process can be possible easily. This technique enhances the communication between health professionals and increase patient
The QSEN initiative is the progression of quality and safety of education for nurses that began in 2005 and has been continued over the past eight years. It is a multi-phase process that shows current and future nurses how to apply knowledge, skills, and attitudes to their everyday nursing activities(QSEN, 2013, 1). Nurses and student nurses can use their knowledge, skills and attitudes to help prevent never events such as hospital acquired conditions. Never events are medical errors that could have been serious and preventable. They could have been caused by poor communication, lack of proper nursing skills, or simply just negligence. QSEN can also be used to improve nursing outcomes for everyone involved in the healthcare field.
Transitioning from Registered Nurse (RN) to Nurse Practitioner (NP) can bring many challenges. This transition begins when a person starts graduate education and doesn’t end until a few years after gaining the position of NP. Having a proper support system, a job that is interesting, and a keen sense of self-awareness are all important factors to a successful transition. Using appropriate coping mechanisms can make this transition much easier. Knowing the possible obstacles and understanding how to overcome them will also ease the change.
Patients expect instant response to call lights due to today’s technological advancements. This can negatively impact nurse stress and cause contempt toward the patient. However, the expectation to respond promptly improves safety and encourages frequent rounding. Also, aiming for high patient satisfaction scores on the HCAHPS/Press Ganey by fulfilling patient requests can overshadow safe, efficient, and necessary healthcare. Although patient satisfaction is important, ultimately, the patient’s health takes precedence over satisfying patient and family requests, especially when those requests are unnecessary, harmful, or take away from the plan of care (Junewicz & Youngner, 2015). The HCAHPS/Press Ganey survey focuses on the patient’s perception of care. The problem with this aspect of the survey is that the first and foremost goal of nurses should not be to increase a patient’s score based on perception. According to an article in Health Facilities Management, the nurse’s top priority is to provide the safest, most quality care possible for patients with the resources they are given (Hurst, 2013). Once this has been accomplished, the nurse can then help the patient realize that the most
For this practice guideline, the original development panel of six members included; a Chief Nursing Officer, Charge Nurse, Clinical Nurse Specialist, Clinical Practice Facilitator, a Professor from a School of Nursing, and an Education Coordinator. The revision panel members included; a Chief of Nursing & Professional Practice, an Assistant Lecturer from York University, a Clinical Nurse Specialist, Clinical Practice Facilitator, a Nursing Professional Development Educator, an Internist/Geriatrici...
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
As new nursing graduates begin the process of transition into the nursing practice. There are many challenges and issues which are associated throughout the transition. New graduates may embark their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss and critically reflect nursing key challenges that student nurses may face, throughout the process of the transition phase. The nursing key challenges chosen for this essay include professionalism, preparation, personal factors, competency factors, patient- centered care and job satisfaction. These nursing challenges will be thoroughly discussed and supported by current evidenced based research and nursing literature.
Resistance to change must be overcome before moving to the second stage. The second stage is the change stage. A change in feelings, behavior, thoughts or all three (Nursing Theory, 2015). This stage includes the “movement”. For this stage to be effective staff must be “on board”. The staff have to be involved and understand the benefits to themselves and patients in order to make the change. Nurse J. can lead staff and support changes to ensure better care for the patients. The staff behavior and thoughts regarding asking for help need to become a necessity, part of everyday practice. The third stage of Lewin’s change theory is refreezing (Nursing Theory, 2015). This step includes the staff using the implemented changes without deviation. The education regarding the new changes must be followed by practicing the new changes and applying the new changes with every patient, every time, until the new changes are “second nature”. The implementation of new staffing criteria and education of sedation policy are needed in this scenario. Every staff member, new and old, must be educated on the policy and updated every time when there is a change if applicable. Staffing grid should be implemented and staff need to
K. Lynn Wieck, RN, PhD, FAAN, is the Jacqueline M. Braithwaite Professor, College of Nursing, The University of Texas at Tyler, Tyler, TX, and CEO, Management Solutions for Healthcare, Houston, TX; Jean Dois, RN, PhD, NEA-BC, FACHE, is the System Director for Quality and Nursing, CHRISTUS Health System, Houston, TX; and Peggy Landrum, RN, PhD, is Clinical Professor, College of Nursing, Texas Woman 's University, Houston,
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
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.
As an NP K.W. often needs to collaborate with other disciplines and thus this competency holds a major role in the care of patients to drive high-quality and cost-effective care (National Organization of Nurse Practitioner Faculties, 2012).
Nursing is the balance between art and science. Caring is an important aspect that patients expect but also is knowledge in current practices. Integrating current practices into care improves quality outcomes. Evidence-based practice is the best approach in planning care for patients, it is the basis for proven, factual outcomes that we expect. Experience and personal opinions are great assets but are not sound ideals to provide safe and effective care. Evidence-based practice uses clinical judgment with selective research to deliver the most effective, cost-efficient outcomes (Wilkinson et al., 2014). Standards are held to the highest of quality, helping to reduce or eliminate errors. Standardizing healthcare to science and evidence-based practice helps to reduce variations among facilities (Stevens, 2013). All healthcare professionals need to adopt this practice in order for its success. With more participation, quality of care increases, the patient is the core
Nursing is a great career choice that can be very rewarding and has many benefits that come with the job. One downside to nursing is the scheduling because it runs on a shift system, it can lead to many problems. Nurses often have to work long hours, that can last sometimes more than twelve hours at a time. Working this long can lead to problems on the job, as well as health problems and trouble sleeping.
Objective: Implement that nurses use the same handoff report at change of shift with patient at bedside by May 2018.