Title: Increasing Patient Satisfaction by Moving Nursing Shift Report to the Bedside.

Clinical Question:

P (Population/Problem) Among patients and families

I (Intervention) does implementation of bedside nurse to nurse shift report.

C (Comparison) versus a non-bedside nurse to nurse shift report.

O (Outcome) increase patient/family satisfaction during hospitalization.

Target Population for the Recommendation:

Inclusion criteria: All hospitalized patients; if under age of 18, with caregiver present.

Exclusion criteria: Patients/Parents electing not to participate.

Recommendation:

It is recommended that nurses perform bedside shift to shift report, to increase patient/family satisfaction.
 Citations Year Purpose
Maxson, Derby, 2012 Nurse-to-nurse beside
Wrobleski, & Foss, handoff allows the
oncoming nurse to
visualize the patient and
ask questions of the
previous nurse.
It encourages pateints to
be involved actively in
their care and allows
standardized
communication between
nursing shifts.
Radtke, 2013 The objective of this study
was to determine if
standardizing shift report
improves patient
satisfaction with nursing
communication.
Sand-Jecklin, 2013 To quantify quantitative
Sherman, outcomes of a practice
change to a blended form
of bedside nursing report.
Sample Design Results/conclusion Recommendations
A convenience sample Survey design was Fifteen nurses with a mean of 2 years in Use of bedside nursing handoff promotes
of 60 patients was adopted the profession completed the pre- and staff accountability, two-person IV
enrolled, 30 before the post-survey. A majority of staff were not medication reconciliation, and patient
practice change and 30 satisfied with the current shift change satisfaction.
after the change. report, but statistical improvement was
All nursing staff were achieved after the practice change. Also,
invited to participate. statistical improvement was achieved with
patients' satisfaction with involvement in
their plan of care.
Patients after Survey design was Monitoring of patient satisfaction was This process was instituted organization-
discharged were adopted continued for 3 months. There was a rise wide. Reaching the goal of 90%
surveyed in patient satisfaction in nursing satisfaction in the area of patient
communication to 87.6%, an increase perceptions of nursing communication is
from 75% in the previous 6 months. This the overall goal of this program.
score did not meet the goal of 90%, but
did show that this practice change did
impact this particular area of patient
satisfaction.
Seven medical-surgical Quasi-experimental We found statistically significant Several positive outcomes were
units in a large pre- and post improvements post implementation in documented in relation to the
university hospital implementation four patient survey items specifically implementation of a blended bedside shift
implemented a blend of design impacted by the change to bedside report. report, with few drawbacks. Nurse
recorded and bedside Nursing perceptions of report were attitudes about report at the final data
nursing report. significantly improved in the areas of collection were more positive than at the
patient safety and involvement in care and initial post implementation data collection.
nurse accountability post implementation.