Bedside reporting

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This is our Nursing Management professional presentation for bedside reporting

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  • Effective communication increases patient safety
  • There are inherent problems and benefits for nurses in each type of reporting
  • Communication failures during shift reports are the leading cause of sentinel events in US (Joint Commission)
  • Patient involvement – patient feels adequately cared for due to the additional informationVisual learning – the nurse can see the lines and drains and from this visual signal may be prompt different questions
  • Time consuming – Nurse may have to answer additional patient questions and may require additional patient teaching - however this ensures better patient careLack of privacy – If the patient’s room is shared, lack of patient privacy could be an issueInterrupting rest – Shift change typically occurs during rest periods – 0700Elevate patient anxiety – Medical jargon or deteriorating condition may elevate anxiety and cause a stress response
  • Patients are a resource during change of shift report and should be included in the discussion of care
  • Bedside reporting

    1. 1. Bedside Reporting<br />Role Development and Nursing Management<br />Erin Voyles, Wendi Woolley, Dan Schmit<br />
    2. 2. How bedside reporting relates to nursing<br />Bedside reporting is “a strategy that includes the patient in the reporting process” during change of shift report (Caruso, 2007).<br />Shift change is when nurses hand responsibility of patient care to another nurse andthis time period isa critical component of patient safety<br /> Detailed communication of patient status is essential to best quality nursing care <br />
    3. 3. Types of shift change report<br />Written report<br />Phone recording<br />Tape recording<br />Verbal report in designated room<br />Verbal report at nurses’ station<br />Verbal report at patient’s bedside<br />
    4. 4. Problems surrounding shift change reporting<br />Providing adequate information<br />Including patient regarding plan of care<br />Communication deficits<br />
    5. 5. The Challenge<br />2007 National Patient Safety Goals forHospitals (Joint Commission, 2006)<br />Implementing a standardized approach in change of shift reporting<br />Improving communication among caregivers and reducing sentinel eventsthat resultedfrom gaps in communication (Laws & Amato, 2010)<br />
    6. 6. Benefits to bedside reporting<br />Patient empowerment<br />Patient involvement<br />Patient centered with emphasis on team effort<br />Patient becoming an additional resource (Caruso, 2007)<br />Visual learning<br />
    7. 7. Disadvantage of bedside reporting<br />Time consuming<br />Lack of privacy for patient information<br />Interrupting rest<br />Elevated patient anxiety<br />
    8. 8. What is being done?Key Practice Points<br />Bedside communication meets the needs of both patients and nurses (Laws & Amato 2010)<br />Bedside reporting reassures patients that the nursing staff works as a team and allows the patient to see a transfer of responsibilities<br />
    9. 9. Results of Implementing Beside Reporting Protocol (Laws & Amato, 2010)<br />Posttest survey results of implementation found that nurses believed there was:<br />Improved<br />Patient safety<br />Patient collaboration in plan of care<br />Accuracy of information<br />Patient visualization of diagnosis<br />Staff satisfaction including encouragement of teamwork and accountability<br />Improved planning and prioritization of nursing interventions <br />
    10. 10. Results continued<br />Laws & Amato (2010) found that the biggest challenge wasengaging patient during report<br />Laws & Amato suggestedutilization of champion nurses that can communicate effectively with patient regarding plan of care<br />
    11. 11. Patient Participation<br />Timonen & Sihvonen (2000) identified main reasons by patients for lack of participation during bedside report: <br />tiredness, difficulties in formulating questions, lack of encouragement, difficulties with the language used, nurses concentrating more on their papers than on them, and brevity of reporting sessions<br />Nurses reported that patients took a more active role in report than patients thought<br />
    12. 12. Patient Participation<br />Suggestions to nurses to improve patient participation during bedside reporting:<br />Encouraging patient to ask questions<br />Using common, everyday language<br />Concentrating on patients<br />Giving patients more time<br />
    13. 13. TCAB initiative<br />Transforming Care at the Bedside (TCAB)<br />This initiative implemented three changes to improve communication of patient care:<br />Moved location of change of shift report to bedside<br />Implemented the safety huddle (brief meeting with all team members prior to bedside rounds)<br />Established nurse-physician “intentional” rounds at bedside<br />* “The current challenge in health care is to create an environment in which open and transparent communication is the norm rather than the exception.”<br />Chapman, 2009<br />
    14. 14. Positive Patient Results of Improved Communication<br />Patients reports from the TCAB initiative:<br />Enjoyment of nurses and physicians coming in room together to talk to them<br />A different and better experience than previous hospitalizations<br />Higher patient satisfaction<br />
    15. 15. Positive Staff Results of Improved Communication<br />Staff reports from the TCAB initiative:<br />Nurses believed that they were apart of an effective work environment<br />TCAB units indicated a voluntary turnover less than other units in the hospital<br />
    16. 16. Improving Communication for the sake of the patients…<br />“Multiple tests of change have produced a sustained culture of reliable, patient-centered care in which all caregivers continually strive for optimal communication.”<br />- Chapman, 2009<br />
    17. 17. Synthesis<br />Given the current studies supporting bedside reporting, those in the nursing profession should aim to increase communication tools that increase patient participation. According to Timonen & Sihvonen, bedside reporting gives the patient an active role in their own care. The overall goal is to provide optimal health care for the patient, and utilizing bedside reporting is a venuefor facilitate that goal. <br />
    18. 18. References<br />Caruso, E. (2007). The evolution of nurse-to-nurse bedside report on a medical-surgical cardiology unit. Medsurg Nursing, 16(1), 17-22. <br />Chapman, K.B. (2009). Improving communication among nurses, patients, and physicians: A series of changes leads to cultural transformation at a TCAB hospital. American Journal of Nursing, 119(11), 21-25. doi: 10.1097/01.NAJ.0000362013.53342.17<br />Laws, D. & Amato, S. (2010). Incorporating bedside reporting into change-of-shift report. Rehabilitation nursing, 35(2), 70-74. <br />Timonen, L. & Sihvonen, M. (2000). Patient participation in bedside reporting on surgical wards. Journal of Clinical Nursing, 9, 542-548. <br />

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