course materials

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

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

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

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