Running head BEDSIDE SHIFT REPORT ESSAY
Evidence supports the use of a standardized shift report form during shift-to-shift report with the benefits of an efficient and succinct communication between nurses, a decrease in unnecessary overtime, an increase in patient safety, and an increase in nurse satisfaction.The aim of this project was to develop and implement a standardized communication method with a shift report form, educate bedside nurses on the use of the standardized shift report form, and evaluate nurses’ perception and satisfaction with usingthe form.Nurses’ perception and satisfaction with using a standardized shift report form was measured by comparing their responses to a questionnaire provided before and after the implementation of the shift report form. Bedside nurses were educated on the standardized shift report form which followed the communication method DD-BSR. The standardized communication method DD-BSR focuses on the top five patient care items when giving report: 1) Diagnosis, 2) Diet which includes how the patient takes their medication, 3) Bowel and bladder, 4) Safety/skin and lines, and 5) Readiness, how the patient transfers. Kurt Lewin’s three-stage change theory guided the implementation of the standardized communication method. The Mann-Whitney U Test was used to investigate whether there was statistical significance between nurses’ perception and satisfaction with shift-to-shift report before and after using a standardized shift report form. Even though the results of this project did not show a statistical significant difference, the standardized communication method developed in this project DD-BSR may be further applied to projects or studies improving communication during shift report.Keywords: shift-to-shift repo rt, shift report,hand off, handoff tool, standardized communication, bedside shift report IMPLEMENTATION OF A STANDARDIZED SHIFT REPORT FORM 5 Implementation of a Standardized Shift Report Form On a patientcare unit shift-to-shift report occurs two to three times a day depending on the staffing schedules of 8 or 12 hour shifts. During this time “essential patient information” (para 1, Athwal, P., 2009) is transferred to the next shift for the continuation of consistent and safe patient care.Zou and Zhang (2016) reportsThe Joint Commission (TJC) found poor communication during shift-to-shift report asthe leading cause of sentinel events. The Joint Commissionfound that 65% ofthe 3000 sentinel events examined, communication breakdown was the root cause and the Agency for Healthcare Research and Quality (AHRQ) (2013) noted that communication breakdown isconnected to 70% of patient adverse events(Rogers, 2017). Additionally miscommunication is responsible for patient harm inmore than 80% of medical malpractice lawsuits(Vines, Dupler, Van Son, & Guido, 2014).Effective communication is essential for the transfer of consistent, quality, and safe patient care (Reinbeck & Fitzsimons, 2013). Several causescontribute to a failing shift-to-shiftreport: inadequate formal tools to support the transfer of care, a lack of an expected standardization, multiple interruptions,languageissues including accents,and a lack of common knowledge. Shift-to-shift reporting without a structured report form can lead to omissions, rambling, and deficient patient information (Athwal, P., 2009).Additionally insufficient communication may result in delayed orinaccurate patient care, extend apatients stay, contribute to unnecessary preventable spending, decreasesatisfaction, and possibly patient harm(Scheidenhem & Reitz, 2017). This DNP projectwillbe developing and implementing a standardized reporting form supported byevidence-basedpractice for use onaNerve, Muscle and BoneInnovation Centerin a rehabilitation hospital.BackgroundIn 2006 The Joint Commission (TJC)established hand-off communication as a National IMPLEMENTATION OF A STANDARDIZED SHIFT REPORT FORM 6Patient Safety Goal (The Joint Commission, 2017). In 2009 TJC established the standardization of shift-to-shift report as a National Client Safety Goal (Vines, Dupler, Van Son & Guido, 2014).Since TJC established hand-off communication as a National Patient Safety Goal there has been an increase inassessing and critiquingthe value of patientcareinformation, shift report time, and the standardization of shift report (Cornell, Townsend Gervis. Yates& Vardaman, 2014). According to Vines (2014) shift-to-shift report should consist of current information, treatment and discharge planning, and any changes to the patient. Handoff report can occur anytime during treatment however the risk for miscommunication occurs during shift-to-shift report (Vines, et al, 2014). Utilizing astandardized shift-to-shift report form is a strategy to meet the National Client Safety Goal. An emergency department (ED)study found that utilizing a standardized written report form resulted increasedaccuracy of patient information, staff satisfaction, and saved nurses time (Riesenberg, Leitzsch, & Cunningham, 2010). Inadequate shift-to-shift report can result in treatment delay, improper patient care, treatment omissions, and adverse events (Gaden, & Lincoln, 2016). Furthermore poor communication can lead to decreased patient and staff satisfaction and unexpected costs (Scheidenhelm& Reitz,2017). SignificanceUsinga standardized shift report form is significant to theNerve, Muscle, and Bone Innovation Centeras a method topromote quality patient outcomes, maintainthe unit budget by decreasing unnecessary nurse overtime, decreasing patient treatment omissions by improving communication, and serving as a reportguide tool forthe unitnurses.Sufficient nurse to nurse reportis not only significant from a safety aspect but also from a financial standpoint. Healthcare facilities improve communication methods in order provide exceptional patient care with the anticipation of Medicare reimbursement (Reinbeck & Fitzsimo
BEDSIDE SHIFT REPORT ESSAY
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