Dissertation/Thesis Abstract

Nursing Change-of-Shift Report at the Inpatient’s Bedside (BSR)
by Jimmerson, Joseph David, Ph.D., University of Arkansas for Medical Sciences, 2020, 87; 27834262
Abstract (Summary)

Introduction/Purpose: The purpose of this study was to better understand the lived experience of nurses during nurse bedside shift report (BSR) in order to expand on the existing body of knowledge. The aims of this study were to identify and describe acute care nurses’ perceptions of the following: process of BSR, appropriate content for BSR, and barriers and facilitators related to implementation of BSR.

Background: BSR improves satisfaction, quality, and safety. Yet, BSR occurs infrequently across hospitals that have attempted implementation. Further research is needed to understand what content is most appropriate to discuss during BSR and what the barrier and facilitators are from the clinical nurses’ perspective.

Methods: A phenomenological qualitative study was conducted at an acute care 500 bed, academic medical center located in southern United States. Clinical nurses (n=22) and nursing supervisors (n=12) from every inpatient division were recruited and interviewed. The iPARIHS was the sensitizing framework. Thematic analysis was performed.

Results: Eleven themes were identified: 1) time constraints and clinical nurse’s workflow must be taken into consideration; 2) a modified approach is necessary; 3) process and specific critical content should be individualized so that it is meaningful for all parties involved; 4) specific critical content that should be discussed outside the patient’s room; 5) specific critical content that should be discussed inside the patient’s room; 6) execution of BSR is possible; 7) the innovation, BSR, was not adapted to fit nurses’ context; 8) the perceived driver behind BSR was hospital administration (outer context); 9) nursing culture, inner context, was barrier to implementing BSR successfully; 10) majority of nurses, recipients, think that BSR is better than traditional report outside the patient’s room but not convinced it’s worth the effort; and 11) opportunity to improve facilitation of BSR implementation was evident.

Discussion/Conclusion: Results from this study should be used to inform the practice BSR so the desired outcomes of patient and family satisfaction, nursing quality, and patient safety, can be realized. This study should influence future research aimed at identifying strategies for successful implementation of BSR successfully.

Indexing (document details)
Advisor: Wright, Patricia
Commitee: Beverly, Claudia, Cowan, Patricia, Curran, Geoffrey, King-Jones, Tammy
School: University of Arkansas for Medical Sciences
Department: Nursing Science
School Location: United States -- Arkansas
Source: DAI 81/11(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Nursing
Keywords: Barriers, Facilitators, Hand-off, Patient hand-off, Shift report
Publication Number: 27834262
ISBN: 9798643199281
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