The document is a PICO worksheet for a clinical practice issue regarding bedside reporting versus board reporting. It outlines the PICO question, defines the elements, and identifies the practice issue as inconsistent use of bedside reporting. The author will gather evidence through literature searches, guidelines, and patient preferences to determine if bedside reporting increases patient safety, nurse satisfaction, and positive outcomes compared to board reporting.
PICO WorksheetWhat is the PICO question Does the use of a s.docx
1. PICO Worksheet
What is the PICO question? Does the use of a standardized
bedside report versus board reporting help
increase patient safety, nurse’s satisfaction and positive
outcome?
Define each element of the question below:
P- (Patient, population, or problem): patients and nurses
I- (Intervention): bedside reporting
C- (Comparison with other treatment/current practice): bedside
reporting
O- (Desired outcome): Increase in patient’s safety, satisfaction
and outcome.
What is the practice issue/problem? Bedside reporting has been
an issue in practice to this day. It serves as open communication
between
nurses at shift change, allowing nurses to exchange necessary
patient information to ensure continuity of care and patient
safety. It also allows
the patient the ability to contribute to his or her plan of care.
Most importantly, it allows the oncoming nurse an opportunity
to meet, assess the
patient and ask questions. Unfortunately, not all nurses are
being compliant with this practice for that reason I chose this
topic to help and
encourage nurses the importance of bedside reporting.
What is the practice area?
_x__ Clinical
___ Education
___ Administration
___ Other
2. How was the practice issue identified? (check all that apply)
__x_ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community practice
__x_ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
___ Other:
What evidence must be gathered? (check all that apply)
_x__ Literature search
__x_ Guidelines
___ Expert Opinion
__x_ Patient Preferences
___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other
Search terms:
Key words I used for my PICO: bedside report, bedside
reporting and patient safety, bedside shift report, bedside
handoff.
Databases to search: First of, I chose peer-reviewed nursing
journals and continuing education resources based on the best
evidence
available that provides credible, current, authoritative,
evidence-based resources. I must search information that is
relevant to my topic to a
database that provides articles and journals that are designed to
3. allow easy find and use high-quality research evidence to
support the practice of
bedside reporting.
Database such as : school library, Cochrane Library,
Sciencedirect, Lippincott Nursing Center, Nursing Reference
Center Plus
Search Strategies: first, Initial strategy with my topic and with
using the advance search, I will expand my research using “key
terms” and
find plenty of resources about bedside reporting.
PICO Worksheet
What is the PICO question? Does the use of a standardized
bedside report versus board reporting help
increase patient safety, nurse’s satisfaction and positive
outcome?
Define each element of the question below:
P- (Patient, population, or problem): patients and nurses
I- (Intervention): bedside reporting
C- (Comparison with other treatment/current practice): bedside
reporting
O- (Desired outcome): Increase in patient’s safety, satisfaction
and outcome.
What is the practice issue/problem? Bedside reporting has been
an issue in practice to this day. It serves as open communication
between
nurses at shift change, allowing nurses to exchange necessary
patient information to ensure continuity of care and patient
safety. It also allows
the patient the ability to contribute to his or her plan of care.
Most importantly, it allows the oncoming nurse an opportunity
to meet, assess the
patient and ask questions. Unfortunately, not all nurses are
4. being compliant with this practice for that reason I chose this
topic to help and
encourage nurses the importance of bedside reporting.
What is the practice area?
_x__ Clinical
___ Education
___ Administration
___ Other
How was the practice issue identified? (check all that apply)
__x_ Safety/risk management concerns
___ Unsatisfactory patient outcomes
___ Wide variations in practice
___ Significant financial concerns
___ Difference between hospital and community practice
__x_ Clinical practice issue is a concern
___ Procedure or process is a time waster
___ Clinical practice issue has no scientific base
___ Other:
What evidence must be gathered? (check all that apply)
_x__ Literature search
__x_ Guidelines
___ Expert Opinion
__x_ Patient Preferences
___ Clinical Expertise
___ Financial Analysis
___ Standards (Regulatory, professional, community)
___ Other
Search terms:
Key words I used for my PICO: bedside report, bedside
5. reporting and patient safety, bedside shift report, bedside
handoff.
Databases to search: First of, I chose peer-reviewed nursing
journals and continuing education resources based on the best
evidence
available that provides credible, current, authoritative,
evidence-based resources. I must search information that is
relevant to my topic to a
database that provides articles and journals that are designed to
allow easy find and use high-quality research evidence to
support the practice of
bedside reporting.
Database such as : school library, Cochrane Library,
Sciencedirect, Lippincott Nursing Center, Nursing Reference
Center Plus
Search Strategies: first, Initial strategy with my topic and with
using the advance search, I will expand my research using “key
terms” and
find plenty of resources about bedside reporting.
Evidence Appraisal Worksheet
Your Name: Razelflor Kelsen
Date: Jan 12, 2017
Your Instructor’s Name: Prof. Candice Phillips
Purpose: To find evidence to support an intervention that will
change the outcomes.
Directions: Type your search question below. Find AT LEAST
FOUR sources to support the need for change and the potential
intervention you have selected to solve the problem. At least
three of your sources must be peer-reviewed articles. The fourth
source
could be another peer-reviewed article or a reliable, credible
source. Look in your text for ideas of other sources that can be
used.
6. Using the table below, insert and describe your four chosen
resources.
Step 1: APA Reference for the article. You will need to list the
reference for the source in APA format. Be careful when using
built-in
APA formats and library citations. They may not be in APA
format. Refer to Chapter 7 of your APA manual.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
Strength of Research
Discuss the strength
of the sources.
Report if evidence is
7. High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
1
Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
value of bedside shift reporting
8. enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
participants from
different clinical
cohorts: general
surgery (16),
nephrology (10), OB
and Respirology (7)
and average working
9. as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
bedside reporting. The
information in the
article is about the
study conducted was
enough information
that cover my
proposed intervention.
10. The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
working in a fast-
paced environment
and time is vital. I
must know my
patients in short time
and by doing bedside
reporting, I will be
11. able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
Safety and Nurse
Accountability” is an
Article that was
written on behalf of
Emergency Nurses
Association. An
article that was based
12. in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
which safety factors must
be considered. Factors
included: multiple nurses
care for a single patient,
high acuity patients with
rapid decision of care with
time constraints, high
13. volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
to ask questions and
clarification and lastly goal
# 13 “Encourage patients’
active involvement in their
own care as a safety
strategy” in which patients
can give additional
14. information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
Protocols for Improving Patient
Care. Nursing Clinics Of North
America, 50(Pathophysiology
and Care Protocols for Nursing
Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
15. Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
article also provided a
Sample hand-off
report sheet for Labor
and Delivery and
sample protocol for
hand-off bedside
report on an
16. obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
streamline their work
and avoid unnecessary
overtime. The article
points out several
factors with the
implementation of
bedside reporting-
17. formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
violation of HIPAA.
4
Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
Handing Off Safety at the
18. Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
(N=47), mostly
female. Data was
collected for 6 months
through semi-
structured interviews.
The primary
contribution of this
19. study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
which, at the change
of shift, can promote
patient safety by
identifying risks
specific to their patient
and reduce the
possibility of harm and
20. good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
Strength of Research
Discuss the strength
of the sources.
21. Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
1
Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
22. value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
participants from
different clinical
cohorts: general
surgery (16),
nephrology (10), OB
and Respirology (7)
23. and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
bedside reporting. The
information in the
article is about the
study conducted was
enough information
that cover my
24. proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
working in a fast-
paced environment
and time is vital. I
must know my
patients in short time
and by doing bedside
25. reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
Safety and Nurse
Accountability” is an
Article that was
written on behalf of
Emergency Nurses
Association. An
26. article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
which safety factors must
be considered. Factors
included: multiple nurses
care for a single patient,
high acuity patients with
rapid decision of care with
27. time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
to ask questions and
clarification and lastly goal
# 13 “Encourage patients’
active involvement in their
own care as a safety
strategy” in which patients
28. can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
Protocols for Improving Patient
Care. Nursing Clinics Of North
America, 50(Pathophysiology
and Care Protocols for Nursing
Management), 735-747. doi:
29. 10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
article also provided a
Sample hand-off
report sheet for Labor
and Delivery and
sample protocol for
hand-off bedside
30. report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
streamline their work
and avoid unnecessary
overtime. The article
points out several
factors with the
implementation of
31. bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
violation of HIPAA.
4
Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
32. Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
(N=47), mostly
female. Data was
collected for 6 months
through semi-
structured interviews.
The primary
33. contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
which, at the change
of shift, can promote
patient safety by
identifying risks
specific to their patient
and reduce the
34. possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
Strength of Research
Discuss the strength
of the sources.
35. Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
1
Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
36. & ... Cardoso, R. (2013). The
value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
participants from
different clinical
cohorts: general
surgery (16),
nephrology (10), OB
37. and Respirology (7)
and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
bedside reporting. The
information in the
article is about the
study conducted was
enough information
38. that cover my
proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
working in a fast-
paced environment
and time is vital. I
must know my
patients in short time
39. and by doing bedside
reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
Safety and Nurse
Accountability” is an
Article that was
written on behalf of
Emergency Nurses
40. Association. An
article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
which safety factors must
be considered. Factors
included: multiple nurses
care for a single patient,
high acuity patients with
41. rapid decision of care with
time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
to ask questions and
clarification and lastly goal
# 13 “Encourage patients’
active involvement in their
own care as a safety
42. strategy” in which patients
can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
Protocols for Improving Patient
Care. Nursing Clinics Of North
America, 50(Pathophysiology
and Care Protocols for Nursing
43. Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
article also provided a
Sample hand-off
report sheet for Labor
and Delivery and
sample protocol for
44. hand-off bedside
report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
streamline their work
and avoid unnecessary
overtime. The article
points out several
factors with the
45. implementation of
bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
violation of HIPAA.
4
Groves, P. S., Manges, K. A., &
46. Scott-Cawiezell, J. (2016).
Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
(N=47), mostly
female. Data was
collected for 6 months
through semi-
structured interviews.
47. The primary
contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
which, at the change
of shift, can promote
patient safety by
identifying risks
specific to their patient
48. and reduce the
possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
Strength of Research
Discuss the strength
49. of the sources.
Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
1
Jeffs, L., Acott, A., Simpson, E.,
50. Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
participants from
different clinical
cohorts: general
surgery (16),
51. nephrology (10), OB
and Respirology (7)
and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
bedside reporting. The
information in the
article is about the
study conducted was
52. enough information
that cover my
proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
working in a fast-
paced environment
and time is vital. I
must know my
53. patients in short time
and by doing bedside
reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
Safety and Nurse
Accountability” is an
Article that was
written on behalf of
54. Emergency Nurses
Association. An
article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
which safety factors must
be considered. Factors
included: multiple nurses
care for a single patient,
55. high acuity patients with
rapid decision of care with
time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
to ask questions and
clarification and lastly goal
# 13 “Encourage patients’
active involvement in their
56. own care as a safety
strategy” in which patients
can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
Protocols for Improving Patient
Care. Nursing Clinics Of North
America, 50(Pathophysiology
57. and Care Protocols for Nursing
Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
article also provided a
Sample hand-off
report sheet for Labor
and Delivery and
58. sample protocol for
hand-off bedside
report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
streamline their work
and avoid unnecessary
overtime. The article
points out several
59. factors with the
implementation of
bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
violation of HIPAA.
4
60. Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
(N=47), mostly
female. Data was
collected for 6 months
through semi-
61. structured interviews.
The primary
contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
which, at the change
of shift, can promote
patient safety by
identifying risks
62. specific to their patient
and reduce the
possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
Strength of Research
63. Discuss the strength
of the sources.
Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
1
64. Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
participants from
different clinical
cohorts: general
65. surgery (16),
nephrology (10), OB
and Respirology (7)
and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
bedside reporting. The
information in the
article is about the
66. study conducted was
enough information
that cover my
proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
working in a fast-
paced environment
and time is vital. I
67. must know my
patients in short time
and by doing bedside
reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
Safety and Nurse
Accountability” is an
Article that was
68. written on behalf of
Emergency Nurses
Association. An
article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
which safety factors must
be considered. Factors
included: multiple nurses
69. care for a single patient,
high acuity patients with
rapid decision of care with
time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
to ask questions and
clarification and lastly goal
# 13 “Encourage patients’
70. active involvement in their
own care as a safety
strategy” in which patients
can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
Protocols for Improving Patient
Care. Nursing Clinics Of North
71. America, 50(Pathophysiology
and Care Protocols for Nursing
Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
article also provided a
Sample hand-off
report sheet for Labor
72. and Delivery and
sample protocol for
hand-off bedside
report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
streamline their work
and avoid unnecessary
overtime. The article
73. points out several
factors with the
implementation of
bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
violation of HIPAA.
4
74. Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
(N=47), mostly
female. Data was
collected for 6 months
75. through semi-
structured interviews.
The primary
contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
which, at the change
of shift, can promote
patient safety by
76. identifying risks
specific to their patient
and reduce the
possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
Strength of Research
77. Discuss the strength
of the sources.
Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
1
78. Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
participants from
different clinical
79. cohorts: general
surgery (16),
nephrology (10), OB
and Respirology (7)
and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
bedside reporting. The
information in the
80. article is about the
study conducted was
enough information
that cover my
proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
working in a fast-
paced environment
81. and time is vital. I
must know my
patients in short time
and by doing bedside
reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
Safety and Nurse
Accountability” is an
82. Article that was
written on behalf of
Emergency Nurses
Association. An
article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
which safety factors must
be considered. Factors
83. included: multiple nurses
care for a single patient,
high acuity patients with
rapid decision of care with
time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
to ask questions and
clarification and lastly goal
84. # 13 “Encourage patients’
active involvement in their
own care as a safety
strategy” in which patients
can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
Protocols for Improving Patient
85. Care. Nursing Clinics Of North
America, 50(Pathophysiology
and Care Protocols for Nursing
Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
article also provided a
Sample hand-off
86. report sheet for Labor
and Delivery and
sample protocol for
hand-off bedside
report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
streamline their work
and avoid unnecessary
87. overtime. The article
points out several
factors with the
implementation of
bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
violation of HIPAA.
88. 4
Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
(N=47), mostly
female. Data was
89. collected for 6 months
through semi-
structured interviews.
The primary
contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
which, at the change
of shift, can promote
90. patient safety by
identifying risks
specific to their patient
and reduce the
possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
91. Strength of Research
Discuss the strength
of the sources.
Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
92. 1
Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
participants from
93. different clinical
cohorts: general
surgery (16),
nephrology (10), OB
and Respirology (7)
and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
bedside reporting. The
94. information in the
article is about the
study conducted was
enough information
that cover my
proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
working in a fast-
95. paced environment
and time is vital. I
must know my
patients in short time
and by doing bedside
reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
Safety and Nurse
96. Accountability” is an
Article that was
written on behalf of
Emergency Nurses
Association. An
article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
which safety factors must
97. be considered. Factors
included: multiple nurses
care for a single patient,
high acuity patients with
rapid decision of care with
time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
to ask questions and
98. clarification and lastly goal
# 13 “Encourage patients’
active involvement in their
own care as a safety
strategy” in which patients
can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
99. Protocols for Improving Patient
Care. Nursing Clinics Of North
America, 50(Pathophysiology
and Care Protocols for Nursing
Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
article also provided a
100. Sample hand-off
report sheet for Labor
and Delivery and
sample protocol for
hand-off bedside
report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
streamline their work
101. and avoid unnecessary
overtime. The article
points out several
factors with the
implementation of
bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
violation of HIPAA.
102. 4
Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
(N=47), mostly
103. female. Data was
collected for 6 months
through semi-
structured interviews.
The primary
contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
which, at the change
104. of shift, can promote
patient safety by
identifying risks
specific to their patient
and reduce the
possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
article
105. Strength of Research
Discuss the strength
of the sources.
Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
practice?
106. 1
Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
consist of female
107. participants from
different clinical
cohorts: general
surgery (16),
nephrology (10), OB
and Respirology (7)
and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
about the change to
108. bedside reporting. The
information in the
article is about the
study conducted was
enough information
that cover my
proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
practice since I am
109. working in a fast-
paced environment
and time is vital. I
must know my
patients in short time
and by doing bedside
reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
Improves Patient
110. Safety and Nurse
Accountability” is an
Article that was
written on behalf of
Emergency Nurses
Association. An
article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
high-risk environment in
111. which safety factors must
be considered. Factors
included: multiple nurses
care for a single patient,
high acuity patients with
rapid decision of care with
time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
which it gives opportunity
112. to ask questions and
clarification and lastly goal
# 13 “Encourage patients’
active involvement in their
own care as a safety
strategy” in which patients
can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
Ferguson, T. D., & Howell, T.
113. L. (2015). Bedside Reporting.
Protocols for Improving Patient
Care. Nursing Clinics Of North
America, 50(Pathophysiology
and Care Protocols for Nursing
Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
and postpartum). The
114. article also provided a
Sample hand-off
report sheet for Labor
and Delivery and
sample protocol for
hand-off bedside
report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
the nurses’ ability to
115. streamline their work
and avoid unnecessary
overtime. The article
points out several
factors with the
implementation of
bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
includes potential
116. violation of HIPAA.
4
Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
population of this unit
117. (N=47), mostly
female. Data was
collected for 6 months
through semi-
structured interviews.
The primary
contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
report is a tool by
118. which, at the change
of shift, can promote
patient safety by
identifying risks
specific to their patient
and reduce the
possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.
Evidence Appraisal
Worksheet
PICO Question: Does
the use of a standardized
bedside report versus
board reporting help
increase patient safety,
nurse’s satisfaction and
positive outcome?
APA Reference for Article
Give the APA-formatted
reference for the article.
Type of Source
*Research: Peer-reviewed
119. article
Strength of Research
Discuss the strength
of the sources.
Report if evidence is
High, Good, or Low/
Major Flaw. Use the
tools on page 238-244
of your text and
discuss the reasons
why you have
assigned a particular
level of quality.
Brief Description of
Research
Address the questions.
*How does the information in
the article apply to the project
problem or proposed
intervention?
*Summarize in your own
words.
* Include results of the study
and how these results are
applicable to your project.
* What is the recommendation
of the source for clinical
120. practice?
1
Jeffs, L., Acott, A., Simpson, E.,
Campbell, H., Irwin, T., Lo, J.,
& ... Cardoso, R. (2013). The
value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient
safety. Journal Of Nursing Care
Quality, 28(3), 226-232. doi:
10.1097/NCQ.
0b013e3182852f46
Research: Peer-reviewed
article
“Value of Bedside
Shift Reporting” is a
study to explore
nurse’s experiences
and perceptions
associated with
implementation of
bedside nurse-to-nurse
shift handoff
reporting. The authors
used interviews to
conduct this
qualitative study that
was undertaken in an
inner city, acute care
teaching hospital. The
sample was adequate
for the design that
121. consist of female
participants from
different clinical
cohorts: general
surgery (16),
nephrology (10), OB
and Respirology (7)
and average working
as a nurse was 0.5-41
years. The authors
noted that the study
has limitations due to
the study participants
came from 1 hospital
and most of the
responses were
positive about the
change. The study
findings were stated
clearly and concluded
how nurses positively
viewed the change
and implementation of
bedside reporting in
sense of improving
patient safety and
enhancing their
accountability.
The research article
covers the importance
of bedside reporting in
clinical practice. The
study highlighted both
nurses and patient
positive outcome
122. about the change to
bedside reporting. The
information in the
article is about the
study conducted was
enough information
that cover my
proposed intervention.
The interview consists
of two data set (1)
clarifying information
and intercepting errors
and (2) visualizing
patients and
prioritizing care. Both
themes of the study
reflect positive
outcome and provides
opportunity for nurses
to make change based
on the safety benefits
that promotes
wellbeing of the
patients. In addition,
the results of the study
prove that
implementing this
practice to my
organization will
improve patient flow
and allow immediate
identification,
intercept and correct
medical errors. Being
an ED nurse, I can
take advantage of this
123. practice since I am
working in a fast-
paced environment
and time is vital. I
must know my
patients in short time
and by doing bedside
reporting, I will be
able to assess and
triage my patients
accordingly. Authors
recommended the
need to continue to
invest in building
organization and the
importance to learn
effective strategies for
transferring
information regarding
patient care during
handoff.
2
Baker, S. J. (2010). Evidence-
Based Practice: Bedside Shift
Report Improves Patient Safety
and Nurse Accountability.
Journal Of Emergency Nursing,
36355-358. doi:10.1016/j.jen.
2010.03.009
Research: Peer-reviewed
article
“Bedside Shift Report
124. Improves Patient
Safety and Nurse
Accountability” is an
Article that was
written on behalf of
Emergency Nurses
Association. An
article that was based
in EBP about the
importance of Bedside
reporting in the
Emergency
Department. The
quality of the article is
good because it
discussed the benefits
to the staff and
patients. Lastly, the
authors of the article
provided information
about how to
implement bedside
reporting and tips for
success in the
practice.
The article provided all the
information about my
project problem and
proposed intervention and
outcome. According to the
article “Patient safety” is
the main reason why we
strive to implement bedside
reporting especially in the
ED. It is a fact that ED is a
125. high-risk environment in
which safety factors must
be considered. Factors
included: multiple nurses
care for a single patient,
high acuity patients with
rapid decision of care with
time constraints, high
volume of patient flow
with unpredictable illness
and communication
barriers to patient and
families. With all these
factors, bedside reporting
can alleviate the stressful
environment in the ED
because it’s an excellent
way to build teamwork,
ownership and
accountability. In addition,
the article also included in
respond directly to The
Joint Commission’s
National Patient Safety
Goals including goal
#1 :“Improve the accuracy
of Patient identification”
because reporting at
bedside, I will able to meet
the patient and checking
the armband for
identification, goal 2E “
Improve effectiveness of
communication among
caregivers managing hand-
off communication” in
126. which it gives opportunity
to ask questions and
clarification and lastly goal
# 13 “Encourage patients’
active involvement in their
own care as a safety
strategy” in which patients
can give additional
information and
opportunity to update about
their plan of care. These
safety goals correspond to
intervention and desired
outcome. Moreover, the
article provided great tips
on how to implement
bedside report in the ED
such as reviewing patients
chart before entering the
room, ability to perform
safety checks such as fall
risks, medications,
diagnostics/ test performed
while updating the
whiteboard, and lastly can
educate the patient about
the latest update of their
treatment plan. Being an
ED nurse, this article is a
great source and provided
abundant information that
supports my intervention
and outcome.
3
127. Ferguson, T. D., & Howell, T.
L. (2015). Bedside Reporting.
Protocols for Improving Patient
Care. Nursing Clinics Of North
America, 50(Pathophysiology
and Care Protocols for Nursing
Management), 735-747. doi:
10.1016/j.cnur.2015.07.011
Research: Peer-reviewed
article
The quality of
evidence in regards to
my project is High.
The article provided
enough evidence as to
the cause of the
problem, challenges
and benefits and
provided research
study to address the
issue. The authors
provided sample
surveys for Obstetrics
unit measuring nurse
job satisfaction. It
consists of 10
questions to improve
shift-to-shift
communications
between nurses, health
team members and
patients on the
separate units (labor
and delivery, nursery,
128. and postpartum). The
article also provided a
Sample hand-off
report sheet for Labor
and Delivery and
sample protocol for
hand-off bedside
report on an
obstetrics. In
conclusion, the article
support my
intervention that
bedside reporting is an
issue and must able to
adopt this practice to
promote safety
standards.
The information in the
article is relevant to
the problem since it
provided many facts
on bed side reporting.
It starts out with
background
information to key
research findings to
challenges nurses face
today while
conducting bedside
reporting. Validation
of accurate
information between
shifts promotes patient
safety. Another benefit
of bedside reporting is
129. the nurses’ ability to
streamline their work
and avoid unnecessary
overtime. The article
points out several
factors with the
implementation of
bedside reporting-
formulate a committee
that include nurses and
other team members.
Second, develop a
measurable goal and a
clear plan. Third, a
tool must be
developed for use
during end shift report
and lastly, educate the
nurses and implement
the process in the unit.
In addition, the
authors discussed that
appropriate protocols
must be established
during the transition
using patient-centered
care is necessary.
Article
recommendation
supports bedside
reporting as best
practice standard
however further
investigations need to
be done especially the
challenges which
130. includes potential
violation of HIPAA.
4
Groves, P. S., Manges, K. A., &
Scott-Cawiezell, J. (2016).
Handing Off Safety at the
Bedside. Clinical Nursing
Research, 25(5), 473. doi:
10.1177/1054773816630535
Research: Peer-reviewed
article
“Handing Off Safety
at the Bedside” is an
article that describes
how bedside nurses
can use nursing
bedside shift report to
keep patient safe. A
study was conducted
in a 31-bed pediatric
unit with patients ages
from birth-18 years.
Nurses cared for 3-4
patients at a time and
bedside reporting was
established on this
unit approximately 4
years prior to study
and had been
“hardwired” into the
unit process and
culture. The
131. population of this unit
(N=47), mostly
female. Data was
collected for 6 months
through semi-
structured interviews.
The primary
contribution of this
study is a description
of how nurses use
bedside report to keep
patients safe. The
quality of evidence of
this article in regards
to my problem is
High.
The information in this
article provides facts
of the importance of
bedside reporting. It is
a nurse driven process
and reinforcement of
bedside report process
can impact patient
safety and promote
patient satisfaction.
The study provided
three main advantages
emerged at bedside:
early assessment,
direct visualization
and single patient
focus. In conclusion,
the article clearly
stated that the Bedside
132. report is a tool by
which, at the change
of shift, can promote
patient safety by
identifying risks
specific to their patient
and reduce the
possibility of harm and
good outcome. It can
also recover from
errors and decrease the
risk of harm both
immediately and
ongoing throughout
the shift.