Effective communication ensures patient safety and quality care. Shift report is multi-faceted, and if not conducted in a consistent manner, can be a source of errors. Implementing bedside report places focus on the patient's values and needs and meets Quality and Safety Education for Nurses (QSEN) competencies, including patient-centered care. Bedside reporting with an established template improves patient safety, as well as nurse and patient satisfaction. The investigator expected that by implementing nurse and patient education while establishing a bedside reporting template, there would be an increase in nurse and patient satisfaction, improved bedside reporting frequency, and a decrease in patient safety alerts.
This advanced scholarly project was conducted at a Midwest hospital including approximately 160 nurses in various departments. A nonrandomized control pretest and posttest assessed nurse satisfaction with bedside report frequency. The requirements of the reporting template were established by the Council for Nursing Excellence (CFNE). Education on the template included nurse training and patient brochures before implementation. Additional assessments examined patient satisfaction scores and safety alerts. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores provided details on patient satisfaction, while Iris alerts offered information on patient safety as it related to communication or a lack thereof.
HCAHPS scores revealed inconsistencies throughout the various units while Iris alerts provided minor quantities of data. Nurse survey results demonstrated a decrease in nurse satisfaction with the new template, as well as a reduction in the verification of report; however, there were improvements in satisfaction for all other areas examined including the frequency of report while including the patient, sufficiency of report, the ease of including the patient in report, as well as the belief that information is not lost during the reporting process.
|Commitee:||Peterson, Regina, Rennegarbe, Richelle|
|Department:||School of Nursing and Health Professions|
|School Location:||United States -- Illinois|
|Source:||DAI-B 80-08(E), Dissertation Abstracts International|
|Subjects:||Nursing, Health education|
|Keywords:||Alerts, Bedside, Education, Effects, Frequency, Handoff, Hcahps, Implementation, Nurse, Nurse satisfaction, Patient, Patient satisfaction, Report template, Reporting, Safety, Satisfaction, Shift report, Template|
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