2. Learning Objectives
1. The audience will be able to identify the current practice for reporting
2. The audience will be able to describe the benefits of bedside reporting on patient
satisfaction
3. The audience will be able to list the benefits of bedside reporting for nurses
4. The audience will be able to describe why nurse satisfaction is important to
bedside report implementation
5. The audience will be able to identify the importance of change of shift
communication to patient safety
6. The audience will be able to identify the importance of patient satisfaction to
improve the hospital’s ratings and financial reimbursement
3. PICO Question
• Population: Adults in the acute care setting
• Intervention: Handoff Reporting at the bedside
• Comparison: Shift-report at the nurse’s station
• Outcome: Increase in nurse and patient satisfaction
measured by internal and external surveys
• Question: For adult patients in the acute care
setting, does bedside reporting increase patient and
nurse satisfaction compared to reporting at the
nurses’ station ?
4. Significance to the Patient
• American Nurses Association estimates that 80% of
serious medical errors involve miscommunication
between caregivers when patients are transferred or
handed off (Reinbeck & Fitzsimons, 2013)
• In response to the Joint Commission’s National
Patient Safety Goals, Bedside reporting has been
supported as improving patient safety, patient-
centered care, and nurse communication as well as
reduce medical errors (Gregory, Tan, & Tilrico, 2014)
http://www.qualitycheck.org/consumer/search
QCR.aspx
5. Significance to the Patient
Continued
• Improving patient satisfaction and involvement in
care (Evans, Grunawalt, McClish, Wood, & Friese,
2012)
• The Institute of Medicine also identified
communication as a vulnerable aspect of patient
safety and recommends that care be patient-centered
and that information should be shared freely with the
patient, keeping the patient the center of control
(Reinbeck & Fitzsimons, 2013)
6. Significance to the Nurse/Hospital
• Bedside reporting would…
– Boost nursing teamwork and accountability (Sand-
Jecklin & Sherman, 2014)
– Provide the opportunity to reduce nursing errors
(Gregory, Tan, & Tilrico, 2014)
– Improve effectiveness of communication within the
healthcare team (Radtke, 2013)
http://nursinglink.monster.com/benefits/articles/21550-how-to-be-a-team-player
7. Significance to the Nurse/Hospital
Continued
• Currently nurses struggle with time management at
end of shift and the ability to leave on time (Maxson,
Derby, Wrobleski, & Foss, 2012)
• Adoption of value-based purchasing and pay-for-
performance measures being implemented in the
near future (Reinbeck & Fitzsimons, 2013)
9. Current Practice
Penn State Health St. Joseph Medical Center
currently has the practice of bedside reporting
as a policy according to our clinical instructor.
However, on 2N this policy is not being
followed or enforced.
10. Consideration: Benefits of Bedside
Reporting for Nurses
• Increase in nurse-to-nurse accountability, medication
reconciliation, and the ability to communicate with
physicians immediately after handoff. (Radtke, 2013)
• Allows the nurse a chance to look at the patient and
ask questions to gain a better understanding of the
clinical picture. (Reinbeck & Fitzsimons, 2013)
• Nurses indicated that bedside shift report actually took
less time than previous methods of report. (Cairns et.
al., 2013)
11. Summary of Evidence: Bedside
Reporting
• Patients’ satisfaction improved significantly in being
involved in their plan of care for the day (Maxson et al.,
2012)
• Patients reported feeling safer and more comfortable
with their healthcare staff (Bradley & Mott, 2014)
• Patients felt more in control and involved in their health
(Reinbeck & Fitzsimons, 2013)
http://www.starpt.com/star-scores-99-patient-satisfaction
12. Summary of Evidence: Bedside
Reporting Continued
• Improved communication between the patients and
nursing staff and builds a better nurse-patient
relationship (Radtke, 2013)
• For nurses, it increases nurses’ accountability,
communication, and nursing teamwork (Reinbeck &
Fitzsimons, 2013)
13. Summary of Evidence: Bedside
Reporting Continued
• Reduced medication errors, readmission rates, patient length
of stay, and patient falls (Sand-Jecklin & Sherman, 2014)
• Report time decreased or remained the same after
implementation of bedside reporting (Evans et. al., 2012)
• Improves cost effectiveness of the hospital by decreasing
readmission rates and increasing staff retention rates
(Wakefield et. al., 2012)
14. Recommendations for Nursing Practice
• In 2012, the Joint Commission determined that
nursing priorities should include patient safety and
communication. Implementing bedside shift report
would be a step towards this goal by allowing
patients and families to be active participants in the
nursing shift handoff procedure. (Gregory, Tan, &
Tilrico, 2014)
• Nurses should view the change as necessary and
“buy-into” this policy change (Radtke, 2013)
15. Recommendations for Nursing
Practice Continued
• Nurses should implement bedside report using a
gradual transition and a standardized format such as
ISBAR or other step by step format (Wakefield et.
al., 2013)
• Provide nurses with a handout describing the
contents of bedside reporting (Evans et. al., 2012)
• Nurses should be supported by their Nurse
Managers, committees, and other staff members
(Sand-Jecklin & Sherman, 2014)
16. Example of a standardized format
for Bedside Report from AHRQ
17. References
1. Bradley, S., & Mott, S. (2014). Adopting a patient-centred approach: An investigation into the introduction of bedside handover to three rural hospitals. Journal Of Clinical Nursing, 23(13/14),
1927-1936 10p. http://doi.org/10.1111/jocn.12403
2. Cairns, L. L., Dudjak, L. A., Hoffman, R. L., & Lorenz, H. L. (2013). Utilizing Bedside Shift Report to Improve the Effectiveness of Shift Handoff. Journal Of Nursing Administration, 43(3),
160-165. doi:10.1097/NNA.0b013e318283dc02
3. 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
4. Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012). Bedside nurse-to-nurse handoff promotes patient safety. MEDSURG Nursing, 21(3), 140-145.
5. Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014). Bedside shift reports. Journal of Nursing Administration, 44(10), 541-545.
http://doi.org/10.1097/NNA.0000000000000115
6. Radtke, K. (2013). Improving patient satisfaction with nursing communication using bedside shift report. Clinical Nurse Specialist: The Journal For Advanced Nursing Practice, 27(1), 19-25.
http://doi.org/:10.1097/NUR.0b013e31827770
7. Reinbeck, D. M., & Fitzsimons, V. (2013). Improving the patient experience through bedside shift report. Nursing Management, 44(2), 16-17.
http://doi.org/10.1097/01.NUMA.0000426141.68409.00
8. Sand-Jecklin, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Journal of Clinical Nursing, 23(19), 2854-2863.
http://doi.org/10.1111/jocn.12575
9. Wakefield, D. S., Ragan, R., Brandt, J., & Tregnago, M. (2012). Making the transition to nursing bedside shift reports. Joint Commission Journal On Quality & Patient Safety, 38(6), 243-253.
