Patient Safety

BEDSIDE SHIFT REPORTS
AND IMPLICATION ON
PATIENT SAFETY: PICOT

This will include your PICOT question, problem and a critical appraisal doing a literature review. With the final project, you will identify if the studies are clinically significant
and answer your research question. With this final project clinical appraisal process you will include a discussion of an intervention to be use for projected outcome and can
be applied to nursing practice. Use this PICOT question: How effective is nursing bedside shift reporting in reducing medical errors in comparison to nursing shift reporting at
the nurses station? Speaker notes required for this PowerPoint presentation. Key Elements for final project: TITLE OF PLANNED STUDY: Come up with a short and eye catching
title. Introduction: What is the problem or topic of interest? PICOT Question: Include your PICOT question : How effective is nursing bedside shift reporting in reducing
medical errors in comparison to nursing shift reporting at the nurses station? Purpose: �A clear, concise statement of the specific goal or focus of study� Background and
Significance to Care (Introduction): Briefly describe what is already know about the problem and why it continues to be a problem, or of significance to nursing practice.
Include facts/ data with citations. Describe an applicable nursing theory framework you will use for your nursing research plan. *Complete a Literature Review related to your
PICOT question/ problem: (6-8 slides) 6 nursing research articles- Scholarly, peer-reviewed, 5 years or newer.–(this can only be a qualitative or quantitative research) no
systematic or meta-analysis reviews. Each nursing research article summary should include: Research type/ design, method used,

Participant description and sample size

Purpose of study

Strengths/ limitations

Data collection and statistical test used.

Findings/ outcomes.

Note: A paragraph of each article can be included in the speaker notes of the presentation.

Include APA citations in slide and speaker notes. Compare and contrast: the 6 studies related to similarities and differences. (2-3 slides) Summarize how the studies relate to
or answer your PICOT question/ problem/ intervention. Address any clinical significance from the studies reviewed related to your PICOT question. *Application: The Plan:
Develop Your Own Nursing Research Study: EBP Improvement or Change Plan (3 – 4 slides) Method and design: What research method and design will you use to answer your
research question? (Quantitative/ Qualitative, experimental, descriptive, grounded theory, etc.

What participants/ population will you use and how will they be selected? What is your sample size and why? What setting will you use for your study site? Example: Nursing
unit.

Intervention: What nursing intervention will you use for a change or improvement in nursing practice? Is it EBP from your literature review studies?

Data collection: Describe your data collection process/ approach and tools used to collect measurable data. Will you use a tool already developed or design your own?

Data analysis: What statistical test will you use to help measure and answer your research question? Describe (Example: T Test. If you are doing a qualitative study, explain
the process of thematic coding and patterns needed to answer your research question.)

Outcome/ Results: Discuss if the projected outcome is measurable and outcome answers your research question. **Implication to Nursing Practice: (1 slide) Describe how your
projected study plan can be applied to nursing practice. **Conclusion- summarize the presentation. (1slide)

Problem Statement

Importance of nursing bedside reporting

Effects on patient safety when bedside reporting is utilized as compared to nursing
station reporting

Error margin reduction

Involvement of the patient

Improvement of quality of healthcare, patient safety

Effective communication a prerequisite

(Ballantyne, 2019; Streeter, Harrington, & Lane, 2015)

Picot Question

How effective is nursing bedside shift reporting in reducing medical errors in comparison to nursing shift
reporting at the nurses’ station?

Provides the basis of the study

Seeks verification using evidence-based studies, practices and literature

Aids in provision of the relevant questions and hypothesis statement

Tests the effectiveness of nursing bedside shift reporting

(Streeter, Harrington, & Lane, 2015)

Purpose Statement

Significance, relevance and effectiveness of nursing bedside shift reporting

Best practice between beside and nursing station reporting and handing over after shift

Evidences from studies reviewed in support for bedside shift reporting

Impact on quality of healthcare, patient safety and outcomes

(Roslan & Lim, 2017).

Background Information

Bedside shift reporting more reliable as it provides information regarding specific patient

Patients right to as questions and make informed decisions upheld.

Improved patient safety as little margin of error is left

Improved collaboration between family, patient and nurses

Leads to better outcomes

Effective communication established between nurses and with patients

(Bogani & Correia, 2018)

Nursing Theory Framework

Conceptual framework provided by nursing theories

Guidelines for execution of evidence based practices

Papleu’s theory of interpersonal relations

Aids in communication at a personal level with the patient the incoming shift nurse

Patients need s are highlighted. Provides a channel for effective communication

Patient safety and satisfaction

Nurse’s satisfaction are also met.

(Dorvil, 2018; Vines, Dupler, Van Son, & Guido, 2014)

Literature Review

Birmingham, P., Buffum, M. D., Blegen, M. A., & Lyndon, A. (2015). Handoffs and
Patient Safety: Grasping the Story and Painting a Full Picture. Western Journal of
Nursing Research, 37(11), 1458-1478. doi:10.1177/0193945914539052

Qualitative research with a grounded theory design

Method: Constructivist grounded theory methodology

Purpose: To find out the perception of nurses to bedside shift reporting and impact on patient
safety

21 registered nurses in a 124 bed capacity government facility

Data collected using questionnaires and ethnographic observations

Analysis using constant comparison, open, focused, and theoretical coding

Limited by intra-shift disruptions and strengthened by communication

Bedside shift reporting led to improved patient safety and improved nurses communication

(Birmingham, Buffum, Blegen, & Lyndon, 2015).

Literature Review

Bogani, 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(2018), 84-89.
doi:10.1016/j.pedn.2018.02.008

Purpose: Explore the relationship and perception of patients nurses and patient and family in
bedside shift reporting

Method: Ethnographic exploratory-descriptive qualitative analysis

40 participants: 25 nurses 15 patients and family members

Semi-structured questionnaires used as prompts for the recorded interviews

Data analysis by two individuals

Results indicative of the impact of collaborative effort in improving patient safety

Limitations by the number of participants

(Bogani & Correia, 2018).

Literature Review

Bresson, V., Cadorin, L., Pellegrinet, D., Bulfone, G., Stevanin, S., & Palese, A. (2019).
Bedside shift handover implementation quantitative evidence: Findings from a scoping
review. Journal of Nursing Management, 27(4), 815-832. doi:10.1111/jonm.12746

Purpose: investigate outcomes processes and research methods on bedside shit reports

Method: Scope review of primary, quasi-experimental and mixed-method qualitative study

234 studies included in the scope review

Data charting using Situation Background Assessment Recommendation (SBAR) model

Limitation as some of the studies may have been missed if they were not on the databases explored

Strength is that various outcomes were reviewed in one scoop

Results indicative that the outcomes including patient safety favorably affected by bedside shift
reporting.

(Bresson et al., 2019).

Literature Review

Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014). Bedside shift reports: What
does
the
evidence say? The Journal of Nursing Administration, 44(10), 541-545.

Purpose is to investigate the various factors such as outcomes and the impact of bedside shift reporting

Method : Mixed method qualitative scope review

Data bases include MEDLINE, PubMed, and Ovid supported by computer assisted program

33 studies with various outcomes and research criterion used

Strength was that various outcomes explore at a go

Limitation was due to missed studies that were not in the searched databases

Findings reveal that the outcomes were positively impacted by bedside shift including patient safety

(Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014).

Literature Review

Roslan, S. B., & Lim, M. L. (2017). Nurses’ perceptions of bedside clinical handover in a medical-
surgical unit: An interpretive descriptive study. Proceedings of Singapore Healthcare, 26(3),
150-157.

Purpose was to investigate nursing perception to bedside shift reporting

Method was an interpretive descriptive ethnological qualitative study

semi structured questionnaires, and prob questions used in recorded and transcribed interviews

Thematic and coded data analysis

participants selected for a single ward in an acute tertiary facility

Limited the number of respondents hence not entirely representative

Easy fast and convenient research

Findings concluded the perceptions of nurses towards bedside shift reporting impacted outcomes

(Roslan & Lim, 2017)

Literature Review

Streeter, A. R., Harrington, N. G., & Lane, D. R. (2015). Communication behaviors
associated with the competent nursing handoff. Journal of Applied Communication
Research, 43(3), 294-314.

Purpose: role of communication behaviors in the effectiveness of nurse bedside handoff

Anonymous, cross-sectional online survey, a qualitative design

Data collection using online questionnaires

Multivariate analysis of variance was used to conduct data analysis

Limitation due to no personal researcher-respondent touch

Cheap easy to conduct and no researcher bias

Communication behaviors during handoff impacted the patient outcomes

(Streeter, Harrington, & Lane, 2015).

Comparison

Qualitative research studies with various designs

Basis of evidence based practices and their impact on patient and nursing outcomes

Attitudes and perceptions towards bedside shift reporting

Different outcomes explored from the studies

Effect and impact of bedside shift reporting on outcomes highlighted

(McAllen, Stephens, Swanson-Biearman, Kerr, & Whiteman, 2018; Bresson et al., 2019).

Contrast

Different outcome emphasis based n perceptions.

Limitations also varied

Study methods and designs different

Varying recommendations form all six reviewed articles

Highlighted barriers to effective bedside shift reporting

Perceptions and attitudes differ hence varying impact on outcomes

(Vines, Dupler, Van Son, & Guido, 2014).

Implementation

Purpose is to understand the impact on nursing’s bedside shift reporting on patient safety

Method: grounded theory study with an ethnographic exploratory-descriptive qualitative
analysis

Basis for an assessment of the impact of implemented strategies on patient safety

Picot question would be the basis of research

Data sources including Ovid, MEDLINE, PubMed, EBSCO, CINAHL, and Scopus

(Ballantyne, 2019; Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014).

Implementation: Data collection and Analysis

Thematic, coded, multivariate data analysis

Number of articles would be limited to 40 or less

Nursing unit articles of preferred

Peer-reviewed scholarly articles

Supplementary data rom units that have been consistent for over one year

Semi-structured administered questionnaire used, recorded and transcribed using
thematic guidelines

Data measured though outcomes

(Bogani & Correia, 2018)

Implementation: Results

Impact on various patient and nursing outcomes

Patients introduced to incoming nursing personnel and thus can raise concerns about their health

Maintenance of patient confidentiality

Interpersonal relationship established.

Patient safety improvement

Efficient and effective nursing communication established

Overall improvement of healthcare provision

(Dorvil, 2018).

Implication in Nursing

Improved healthcare provision and service delivery

Efficient communication

Better patient and nursing outcomes and satisfaction

Patient safety

(Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014).

Conclusion

In conclusion, nursing bedside shift report is essential in the improvement of
communication , quality of healthcare, patient satisfaction, and patient safety as
compared to nursing station reporting and hence should be implemented through
conceptional framework which will adopt and execute the evidences provided by
research and studies .

References

Ballantyne, H. (2019). Undertaking effective handovers in the healthcare setting. Nursing Standard, 34(8).

Birmingham, P., Buffum, M. D., Blegen, M. A., & Lyndon, A. (2015). Handoffs and Patient Safety: Grasping
the
Story and Painting a Full Picture. Western Journal of Nursing Research, 37(11), 1458-1478.

Bogani, 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(2018), 84-89.

Bresson, V., Cadorin, L., Pellegrinet, D., Bulfone, G., Stevanin, S., & Palese, A. (2019). Bedside shift handover
implementation quantitative evidence: Findings from a scoping review. Journal of Nursing Management,
27(4), 815-832.

Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability.
Nursing Management, 49(6), 20-25.

Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014). Bedside shift reports: What does the
evidence say? The Journal of Nursing Administration, 44(10), 541-545.

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