Ample supports your concerns? According to Bradley

Ample communication is
necessary to sustain a safe and trusting patient environment. Shift report is
the process where there is a transfer of information regarding the patient’s
current status, recent history and any new information that the next person
caring for the patient will need to know. There are many facilities that continue
to have shift handoff report at the nurse’s station or the medication cart. According
to Taylor (2015), miscommunication among healthcare providers has led to eighty
percent of errors in the medical field. Sharing current information at the
bedside encourages patients and their families to participate in the decision-making
process for their care. Researchers have identified positive opinions reported
by nurses toward bedside report. Across the various studies discussed below,
many nurses that utilized the bedside method explained that there was a marked
reduction in communication errors among staff. It was also found that this
method improved teamwork and encouraged responsibility more than report outside
of the patient’s room.

What evidence supports your concerns?

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According to Bradley and Mott (2013), results of the
study they evaluated suggested that patients preferred the bedside handoff process
over the nursing station report handoff method. The main changes that were
found by patients included the process of handoff at the bedside allowing patients
to have the ability to know who will be caring for
them as well as feeling included in conversations related to their care. Additionally, a study completed by
Scheidenhelm & Reitz (2017) indicated
that staff described an increase in the amount of patient involvement in their
care because of the change to handoff report at the bedside. Again, it is
evident that bedside shift report improves patient and family satisfaction. By
viewing the exchange of medical information between nurses, anxiety that the
patient and family may be feeling has been reported to decrease (Bruton,
Norton, Smyth, Ward, & Day, 2016). This process also increases their trust in the nurse’s capability as a
care provider.

Results of the review by Vines, Dupler, Van
Son and Guido (2014) showed that
bedside report increased patient contentment as nurses kept them informed, and
the nursing and physician staff included the patient in decisions regarding
their medical care. The studies reviewed offer evidence that supports the use
of bedside report as a superior report handoff practice within the clinical
setting, with increases in patient and nurse satisfaction exhibited continually.

As found in one assessment of the outcomes of bedside report, patient falls at
the change of shift were greatly reduced after the change was implemented at the
multiple medical facilities where the study was performed (Bradley & Mott,
2014).

How
does this situation impact the cost of healthcare delivery?

The practice of report at the nurse’s station or
medication cart could potentially lead to adverse events or medication errors. The
process of patient handoff during change of shift can unintentionally lead to
patient harm because of important information errors. Handoff reports that missed
vital information have been directly related to errors, close calls and sentinel
events (Bruton et al., 2016). Implementing the practice of bedside report has
been shown to reduce miscommunication and misinformation, which in turn can
prevent these costly mistakes. This can include extended hospital stays due to hospital-associated
infections, additional cost of unnecessary medications and diagnostic procedures
and many more instances.  

            In summary, based on the literature
reviewed regarding the implementation of bedside handoff in the clinical
setting, a change to shift report at the bedside upholds a facility wide stance
of safety and satisfaction for all patients. The decision by nurses and
administration to improve satisfaction and patient safety continues to promote
quality patient care while increasing effective communication. The results of
the above-mentioned studies collectively demonstrate the benefits that bedside
handoff has for patients, their families, and the nursing staff. The outweighs
the barriers of implementation.

 

 

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