NRS 493 GCU Improving Patients Quality of Care Through Bedside Shift Report Summary

Improving Patients’ Quality of Care through Bedside Shift Report NRS 493 Capstone Project Change Proposal Outline 01 Background 02 Objective 03 Proposed Intervention 04 Literature Outline 06 Resources Needed 07 Anticipated Measurable Outcomes 08 Evaluation of Intervention Background and Objective BACKGROUND • • • Primary goal of healthcare organizations is to provide high-quality care to patients Improving quality of patient care → improvement in patient’s experience → increase in satisfaction to treatment Communication is vital to quality patient care BACKGROUND Improvement in bedside shift reporting Improve communication Improvement in patient care OBJECTIVES • To promote and encourage autonomy among nurses • To complement existing interventions of improving patient safety and care Proposed Intervention and Evidence-based Literature PROPOSED INTERVENTION • Implementation of effective bedside shift reporting • Involves patients and incoming and outgoing nurses EVIDENCE-BASED LITERATURE Nurses have a crucial role in • ensuring patient information exchange • maintaining accountability, and • being responsible to their colleagues, which are vital to patient safety (Schirm et al., 2018) EVIDENCE-BASED LITERATURE Situations that can have adverse effects to patient experiences include • gap in the clarity of patient information • faults in technological tools (Schirm et al., 2018) EVIDENCE-BASED LITERATURE • NRS 493 GCU Improving Patients Quality of Care Through Bedside Shift Report Summary

A bedside shift report seeks to address patients’ issues at a particular time during clinical treatment, including their safety issues, treatment details, history, and conditions (McAllen et al., 2018) Implementation Plan and Resources Needed Implementation Plan 01 Initial Pilot Selection Careful selection of piloting unit 02 Intermediate Formation of Team A multi-disciplinary team including nurses, physicians, patients and their family members need to be developed 03 Intermediate Pilot Implementation Implementation in the selected piloting unit with considerations to management and logistics policies 04 Final General Adoption Implementation of the change proposal across entire healthcare institutions depending on the scale of its benefits compared to those of the traditional reporting systems Resources Needed E • Intervention Framework • Funding • Support The Plan • Surveys • Interviews • Questionnaire • Patients • Incoming Nurses • Outgoing Nurses The Assessment Tools The Participants Anticipated Outcomes and Evaluation Anticipated Outcomes Improvement in communication between incoming and outgoing nurses More effective patient management Increase in patient satisfaction Increase in patient admissions as a result of improvement in quality of patient care EVALUATION OF INTERVENTION • • • • • Patient Satisfaction Survey Interviews Feedback Questionnaires Admissions Expenses and Revenue By solving issues such as the lack of adequate communication and interaction between nurses and patients, which are common problems, patient care quality can consequently be improved (Radtke¸2015) References • • • • • • • • Bigani, 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, 84–89. Ford, Y., Heyman, A., & Chapman, Y. L. (2015). Patientsʼ Perceptions of Bedside Handoff. Journal of Nursing Care Quality, 29(4), 371–378. NRS 493 GCU Improving Patients Quality of Care Through Bedside Shift Report Summary

l Foster-Hunt, T., Parush, A., Ellis, J., Thomas, M., & Rashotte, J. (2015). Information structure and organization in a change of shift report An observational study of nursing hand-offs in a Pediatric Intensive Care Unit. Intensive & Critical Care Nursing, 31(3), 155–164. Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A Qualitative Study of the Change-of-Shift Report at the Patients’ Bedside. The Health Care Manager, 35(4), 294–304. McAllen, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., & Whiteman, K. (2018). Moving shift report to the bedside: An evidence-based quality improvement project. OJIN: The Online Journal of Issues in Nursing, 23(2). Ofori-Atta, Judymae MSN, BSN, RN; Binienda, Maura BSN, RN; Chalupka, Stephanie MSN, EdD Bedside shift report, Nursing (2019): August 2015 – Volume 45 – Issue 8 – p 1-4 Radtke, K. (2015). Improving patient satisfaction with nursing communication using bedside shift report. Clinical nurse specialist CNS, 27(1), 19–25. Schirm, V., Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A research and evidence-based practice initiative. Applied Nursing Research, 40, 20–25. THANK YOU Scholarly Activities This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10. Overview This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you. Problem This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more. Solution This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section. Opportunity This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse? Program Competencies Addressed This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP. © 2017. Grand Canyon University. All Rights Reserved. …