course materials

1. NRS 493 GCU Improving Patient Care through Bedside Report Proposal
NRS 493 GCU Improving Patient Care through Bedside Report Proposal ON NRS 493 GCU
Improving Patient Care through Bedside Report ProposalCreate a proposal inclusive of
sections for each content focus area in the course. For this project, apply evidence-based
research steps and processes required as the foundation to address a clinically oriented
problem or issue in future practice.CHANGE PROJECT TITLE: Improving patient care
through bedside reportDevelop a 1,250-1,500 written project that includes the following
information as it applies to the problem, issue, suggestion, initiative, or educational need
profiled in the capstone change proposal:1.Background2.Clinical problem
statement.3.Purpose of the change proposal in relation to providing patient care in the
changing health care system.4.PICOT question.-Among patients admitted to the hospital (P)
how do nurses’ bedside shift reports (I), compared to traditional reports outside of patients’
rooms (C), affect the occurrence of adverse events (O) during hospital stay (T)?–
Population: Patients admitted to the hospital– Intervention: Nurses’ bedside shift report–
Comparison: Traditional reports outside patient’s room– Outcome: The occurrence of
adverse events– Time: During hospital stay5.Literature search strategy
employed.6.Evaluation of the literature.7.Applicable change or nursing theory
utilized.8.Proposed implementation plan with outcome measures.9.Discussion of how
evidence-based practice was used in creating the intervention plan.10.Plan for evaluating
the proposed nursing intervention.11.Identification of potential barriers to plan
implementation, and a discussion of how these could be overcome.12.Appendix section, if
tables, graphs, surveys, educational materials, etc. are created.Review the PICOT Question
Paper, Literature Review for this assignment.Prepare this assignment according to the APA
guidelines. An abstract is not required.NRS 493 GCU Improving Patient Care through
Bedside Report Proposalattachment_1attachment_2Unformatted Attachment
PreviewRunning head: BEDSIDE SHIFT REPORT Improving Patient Care through Bedside
Shift Report Grand Canyon University NRS 493 Professional Capstone and Practicum August
18, 2020 1 BEDSIDE SHIFT REPORT 2 Improving Patient Care through Bedside Shift Report
Patient safety and quality of care are major aspects of consideration in nursing. As such,
evidence-based practice (EBP) in nursing is often striving to produce the best outcomes in
enhancing patient safety and the quality of care. Out of these concerns the use of nurse
reporting is one of the major aspects and routines that have been established as means of
enhancing patient safety. This project focuses on comparison of patient bedside reporting
and traditional reporting in reducing adverse events among patients. PICOT Question:

2. Among patients admitted to the hospital (P) how do nurses’ bedside shift reports (I),
compared to traditional reports outside of patients’ rooms (C), affect the occurrence of
adverse events (O) during hospital stay (T)? Population: Patients admitted to the hospital
Intervention: Nurses’ bedside shift reports Comparison: Traditional reports outside of
patients’ rooms Outcome: The occurrence of adverse events Time: During hospital stay The
issue of focus for this project is the safety of patients in the healthcare organization. This
problem can be described in relation to evidence-based solution. In producing positive
patient outcomes, the focus of this project is delivering an evidence-based solution for
reducing adverse events and near misses in in-patient care settings. In relation to evidence-
based solution, the problem of patient safety thus relies on the research to produce a
solution that has been highlighted as effective through previous interventions. Reliance on
this research thus promotes outcomes in the healthcare organization. BEDSIDE SHIFT
REPORT 3 Secondly, the focus on the issue of safety can be viewed from a nursing
intervention point of view. A nursing intervention is described as the actual treatment and
activities that the nurse engages in to reach patient goals in the treatment process (Butcher,
Bulechek, Dochterman, & Wagner, 2018). Therefore, they are based on patient health goals
and the nurses’ experience, knowledge, and skills. NRS 493 GCU Improving Patient Care
through Bedside Report ProposalThe issue of patient safety relates to nursing interventions
through the need to implement dedicated actions to increase patient safety. In this case,
bedside reports are aimed at reducing information gaps and enhancing continuity of care
for better patient outcomes. Moreover, the problem of patient safety affects patient care as
well as nursing practice. Patient care involves all those activities that the nurse takes to
enhance and maintain the physiological as well as psychosocial state of the patient towards
recovery (Black, 2019). Safety of patients is part of patient care and a part of nursing
practice roles. Lack of safety affects patients’ recovery adversely by impacting the different
aspects of the patient’s health. Low safety thus shows low quality of patient care.
Additionally, the role of the nurse is to provide the best environment for the patient to
recover and hence enhancing patient safety is part of the role of nursing practice. Bedside
reports are aimed at enhancing continuity of care and part of continuity is to enhance care
outcomes through quality and safety. The PICOT issue is thus tied to nursing practice and
the process of patient care towards the best outcomes in the healthcare setting. Overall, the
problem of safety connects to health care agencies through the regulations as well as
penalties that healthcare organizations pay for neglecting the safety of patients. Basically,
health care agencies advocate for the best quality of patients while also pushing for the
minimization of adverse events and near misses in healthcare organizations. To achieve
these health care agency goals, healthcare organizations utilize different approaches
including proper reporting and other interventions to reduce the rates of these occurrences.
The proposed BEDSIDE SHIFT REPORT intervention is the adoption of bedside reporting as
opposed to traditional reporting approaches. The reasoning behind this intervention is that
bedside reporting is likely to enhance outcomes through better coordination of care and
continuity. In relation to health care agency, the organization remains in charge of patients’
safety and enhancing outcomes based on rules and regulations set by governmental
agencies. 4 BEDSIDE SHIFT REPORT 5 References Black, B. (2019). Professional nursing E-

3. Book: Concepts & challenges. Elsevier Health Sciences. Butcher, H. K., Bulechek, G. M.,
Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions classification (NIC)-E-
Book. Elsevier Health Sciences. Literature Evaluation Table Student Name: Change Topic (2-
3 sentences): Topic: Improving Patients’ Quality of Care through Bedside Shift Report.
Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (PeerReviewed), and Permalink
or Working Link to Access Article Reference: McAllen, E.R., Stephens, K., SwansonBiearman,
B., Kerr, K., Whiteman, K (April 9, 2018) “Moving Shift Report to the Bedside: An
EvidenceBased Quality Improvement Project” OJIN: The Online Journal of Issues in Nursing
Vol. 23, No. 2. Reference: Bigani, D. K., & Correia, A. M. (2018). On the Same Page: Nurse,
Patient, and Family Perceptions of Change-of-shift Bedside Report. Journal of Pediatric
Nursing, 41, 84–89. Reference: Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A
Qualitative Study of the Change-of-Shift Report at the Patients’ Bedside. NRS 493 GCU
Improving Patient Care through Bedside Report ProposalThe Health Care Manager, 35(4),
294–304. https://doi.org/10.1097/hcm. 0000000000000125 Reference: Ford, Y., Heyman,
A., & Chapman, Y. L. (2015). Patients? Perceptions of Bedside Handoff. Journal of Nursing
Care Quality, 29(4), 371–378. https://doi.org/10.1 097/ncq.000000000 0000056 Web
Link: https://ojin.nur singworld.org/ MainMenuCat egories/ANA Marketplace/A
NAPeriodicals/ OJIN/TableofC ontents/Vol23-2018/No2May2018/Articles- Web Link:
Permalink: https://journals.lww.com/he https://lopes.idm.oclc
althcaremanagerjournal/Abs .org/login?url=https:// tract/2016/10000/A_Qualita
search.ebscohost.com tive_Study_of_the_Change_ /login.aspx?direct=tru
of_Shift_Report.3.aspx e&db=edo&AN=130 462037&site=edslive&scope=site&cus
tid=s8333196&group id=main&profile=eds 1 © 2015. Grand Canyon University. All Rights
Reserved. Web Link: https://journals.lww .com/jncqjournal/A bstract/2014/10000/
Patients__Perceptio ns_of_Bedside_Ha ndoff__The_Need.1 0.aspx PreviousTopics/Moving -
Shift-Reportto-theBedside.html Article Title and Year Published Moving Shift Report to the
Bedside: An Evidence-Based Quality Improvement Project On the Same Page: Nurse,
Patient, and Family Perceptions of Change-of-shift Bedside Report A Qualitative Study of the
Change-of-Shift Report at the Patients’ Bedside Patients’ Perceptions of Bedside Handoff
The Need for a Culture of Always Year Published: 2016 Year Published: 2015 Year
Published: 2018 Year Published: 2018 Research Questions (Qualitative) /Hypothesis
(Quantitativ e) Purposes/Ai m of Study Design (Type of Quantitative , or Type of
Qualitative) Setting/Sam ple Methods: Intervention /Instruments Analysis Key Findings
Recommend ations Explanation of How the Article Supports EBP/Capsto ne Project © 2017.
Grand Canyon University. All Rights Reserved. Criteria Article 5 Author, Journal
(PeerReviewed), and Permalink or Working Link to Access Article Reference: Schirm, V.,
Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A research
and evidencebased practice initiative. Applied Nursing Research, 40, 20–25.
https://doiorg.lopes.idm.oclc.org/10. 1016/j.apnr.2017.12.004 Article Title and Year
Published Article 7 Article 8 Reference: Foster-Hunt, T., Parush, A., Ellis, J., Thomas, M., &
Rashotte, J. (2015). Information structure and organization in change of shift reports: An
observational study of nursing hand-offs in a Pediatric Intensive Care Unit. Intensive &
Critical Care Nursing, Permalink: 31(3), 155–164. https://lopes.idm.oclc.org/

4. https://doilogin?url=https://search.eb org.lopes.idm.oclc.org/1 scohost.com/login.aspx?di
0.1016/j.iccn.2014.09.00 rect=true&db=edselp&A 4 N=S0897189717301118&
site=edsPermalink: live&scope=site&custid=s https://lopes.idm.oclc.or
8333196&groupid=main g/login?url=https://searc &profile=eds1 h.ebscohost.com/login.a
spx?direct=true&db=cc m&AN=103357319&sit e=ehost-live&scope=site Reference: Radtke
K. (2015). Improving patient satisfaction with nursing communication using bedside shift
report. Clinical nurse specialist CNS, 27(1), 19– 25. https://doi.org/10. 1097/NUR.0b013
e3182777011 Reference: Ofori-Atta, Judymae MSN, BSN, RN; Binienda, Maura BSN, RN;
Chalupka, Stephanie MSN, EdD Bedside shift report, Nursing2019: August 2015 Volume 45
Issue 8 – p 1-4 doi: 10.1097/01.NU RSE.000046925 2.96846.1a Evaluation of bedside shift
report: A research and evidence-based practice initiative Improving Patient Satisfaction
With Nursing Communication Using Bedside Shift Report Year Published: 2018 Article 6
Information structure and organization in change of shift reports: An observational study of
nursing hand-offs in a Pediatric Intensive Care Unit Year Published: 2015 Web Link:
https://pubmed.n cbi.nlm.nih.gov/2 Web Link: 3222024/ https://journals.l
ww.com/nursing /Fulltext/2015/0 8000/Bedside_s hift_report__Im plications_for_p
atient.20.aspx Year Published: 2015 Research Questions (Qualitative) /Hypothesis © 2017.
Grand Canyon University. All Rights Reserved. Bedside shift report Implications for patient
safety and quality of care Year Published 2015 (Quantitativ e) Purposes/Ai m of Study
Design (Type of Quantitative , or Type of Qualitative) Setting/Sam ple Methods:
Intervention /Instruments Analysis Key Findings Recommend ations Explanation of How
the Article Supports EBP/Capsto ne © 2017. Grand Canyon University. All Rights Reserved.
…NRS 493 GCU Improving Patient Care through Bedside Report Proposal