Evaluating the Effects and Process of Nurse Bedside Shift Report on Nurse’s Perceptions of Communication Patterns, Nurse Satisfaction, and Patient Involvement
Repository Posting Date2018-03-26T18:11:26Z
Author(s)Shank, Heidi M.
TypeDNP Capstone Project
Level of EvidenceOther
Research ApproachTranslational Research/Evidence-based Practice
Keywordsevidence based nursing; evidence-based practice; nursing-patient encounters; nursing service, hospital
CINAHL HeadingsShift Reports; Nurse Attitudes; Patient Centered Care; Patient Bedside; Job Satisfaction; Nursing Practice, Evidence-Based; Nurse-Patient Relations; Nursing Staff, Hospital
Background: A growing body of evidence identifies transitions of care as vulnerable points in the care continuum where vital information is often omitted and inadequate communication occurs. Nurse shift report has been identified as a vulnerable communication point. Specifically, research has suggested that more effective communication between healthcare providers can improve care to patients and subsequently result in better outcomes. Problem: Nurse shift report lacks consistency and is not done at the patient bedside. An effective nurse bedside shift report process that provides a focused assessment of key items and involves patients is essential. Purpose: The purpose of this evidence-based practice project is to examine the PICOT question: Among adult patients on a medical surgical unit, how does the use of a standardized nurse bedside shift report process compared to other nurse shift report processes improve communication patterns, nurse satisfaction, and patient involvement over 3 months? Theoretical Model: This quality improvement project was guided by the Iowa Model of Evidence-Based Practice to Promote Quality Care and Lewin’s change management theory. Methods: The Agency for Healthcare Research and Quality Nurse Bedside Shift Report Checklist was implemented and the 17-item Nurse Assessment of Shift Report Survey was used to evaluate the effects of the process change on nurse perceptions of communication patterns, nurse satisfaction, and patient involvement. Central line infection rates were used as an indicator to identify the 8 effectiveness of line visualization. Results: A total of 55 nurses participated in education about the process change; 25 nurses completed the survey pre-implementation and at 3 months. There was a significant difference in patient involvement in care (p = .004) but, no statistically significant differences on any of the other questions on the survey. There was a positive trend in nurse’s perceptions of patient involvement in nurse bedside shift report on communication patterns, nurse satisfaction, and patient involvement. In addition, there was a clear process change in the nurse bedside shift report after the implementation of this quality improvement project. Conclusions: Although this EBP project is not able to demonstrate statistically significant effects of a standardized nurse bedside shift report, a larger sample size and longer implementation period, may have provided more promising results.
DescriptionUniversity of Toledo & Wright State University DNP Consortium
Advisor(s)Walsh, Mary Eileen
Date of Publication2018-03-26
NotesThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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