NRS 493 Grand Canyon University Quality of Services in Health Discussion

Literature Evaluation Table Student Name: Topic: Ensuring that the quality of care offered to patients is improved through the implementation of bedside shift reports. Creating a practice that will bring patients and practitioners together will assist in the level of accountability of the practitioners. Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Reference: McAllen, E.R., Stephens, K., SwansonBiearman, B., Kerr, K., Whiteman, K (April 9, 2018) “Moving Shift Report to the Bedside: An EvidenceBased Quality Improvement Project” OJIN: The Online Journal of Issues in Nursing Vol. 23, No. 2. Reference: 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. Reference: 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. https://doi.org/10.1097/hcm. 0000000000000125 Reference: Ford, Y., Heyman, A., & Chapman, Y. L. (2015). Patientsʼ Perceptions of Bedside Handoff. Journal of Nursing Care Quality, 29(4), 371–378. https://doi.org/10.1 097/ncq.000000000 0000056 Web Link: https://ojin.nur singworld.org/ MainMenuCat egories/ANA Marketplace/A NAPeriodicals/ OJIN/TableofC ontents/Vol23-2018/No2May- Web Link: Permalink: https://journals.lww.com/he https://lopes.idm.oclc althcaremanagerjournal/Abs .org/login?url=https:// tract/2016/10000/A_Qualita search.ebscohost.com tive_Study_of_the_Change_ /login.aspx?direct=tru of_Shift_Report.3.aspx e&db=edo&AN=130 462037&site=edslive&scope=site&cus tid=s8333196&group id=main&profile=eds 1 © 2015. Grand Canyon University. All Rights Reserved. Web Link: https://journals.lww .com/jncqjournal/A bstract/2014/10000/ Patients__Perceptio ns_of_Bedside_Ha ndoff__The_Need.1 0.aspx 2018/ArticlesPreviousTopics/Moving -Shift-Reportto-theBedside.html Article Title and Year Published Research Questions (Qualitativ e)/Hypothe sis (Quantitati ve) Purposes/A im of the Study Design (Type of Quantitativ e, or Type of Qualitative ) Moving Shift Report to the Bedside: An EvidenceBased Quality Improvement Project Year Published: 2018 Is there an improvement in the quality of service based on the implementatio n of a BSR? Determining whether implementing BSR in comparison to the standard shift reports is likely to increase the level of nurse satisfaction and improve the safety of patients Literature review On the Same Page: Nurse, Patient, and Family Perceptions of Change-of-shift Bedside Report A Qualitative Study of the Change-of-Shift Report at the Patients’ Bedside Year Published: 2016 Year Published: 2018 Patients’ Perceptions of Bedside Handoff The Need for a Culture of Always Year Published: 2015 What perception do the practitioners and patients have towards the BSR? What impact on the quality of care does the integration of the bedtime shifts have on the quality of care offered? To evaluate the level of appreciation that people may have regarding the bedside reports. To evaluate the perception that nurses, patients and family members have in reference to the bedside report shift in the pediatric setting To evaluate the effects of the change of shift report on the attitude of the patients Evaluate the impact that the perception that patients may have towards bedside handoff Exploratorydescriptive qualitative study Cross-sectional study Descriptive study © 2017. Grand Canyon University. All Rights Reserved. Setting/Sa mple Methods: Interventio n/Instrume nts Analysis Key Findings Recommen dations Explanatio n of How the Article Supports EBP/Capst one Project Criteria Patients with critical conditions Literature analysis The pediatric settings Tertiary healthcare facility offering inpatient services The researchers relied on the use of interview Interview to the involved patients and practitioners The impact of The level of The level of continuity of the perception towards care was examined in this implementatio the practices was study. n of the analyzed. bedside shift report was analyzed. Having this There is an increase The use of bedside report practice put in in the level in the helped in the provision of place helps in perceived barriers as adequate information, which the well as patient safety included the visualization to improvement as a result of the the involved patients. of the quality implementation of of services this practice. offered. Healthcare There requires an Nurses need to develop a practitioners increase in the positive attitude towards the need to be motivation that is bedside reporting approach. taught offered to the regarding the significant healthcare need to sectors in relation to increase the the use of the bedside quality of shift report. health services. This article It offers an insight It provides information offers an into the perception regarding the practices that insight into the that some people may can be considered to assist practices that have and the in the overall improvement need more measures that are of the attitude towards the improvement needed to overcome practice. to assist in some of the possible resolving the barriers. health challenges that are experienced. Article 5 Article 6 Article 7 © 2017. Grand Canyon University. All Rights Reserved. inpatient medicalsurgical departments The use of descriptive analysis The patient perception was analyzed. A large number of patients know more about the benefits of the bedside shift reports. The level of training offered to patients about the benefits of this practice. It allows the patients to gain a positive attitude towards the method of health improvement. Article 8 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article Title and Year Published Reference: Schirm, V., Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A research and evidencebased practice initiative. Applied Nursing Research, 40, 20–25. https://doiorg.lopes.idm.oclc.org/10. 1016/j.apnr.2017.12.004 Reference: 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, Permalink: 31(3), 155–164. https://lopes.idm.oclc.org/ https://doilogin?url=https://search.eb org.lopes.idm.oclc.org/1 scohost.com/login.aspx?di 0.1016/j.iccn.2014.09.00 rect=true&db=edselp&A 4 N=S0897189717301118& site=edsPermalink: live&scope=site&custid=s https://lopes.idm.oclc.or 8333196&groupid=main g/login?url=https://searc &profile=eds1 h.ebscohost.com/login.a spx?direct=true&db=cc m&AN=103357319&sit e=ehost-live&scope=site NRS 493 Grand Canyon University Quality of Services in Health Discussion

Reference: Radtke, K. (2015). Improving patient satisfaction with nursing communication using bedside shift report. Clinical nurse specialist CNS, 27(1), 19– 25. https://doi.org/10. 1097/NUR.0b013 e3182777011 Evaluation of bedside shift report: A research and evidence-based practice initiative Improving Patient Satisfaction with Nursing Communication Using Bedside Shift Report Year Published: 2018 Information structure and organization in a change of shift report: An observational study of nursing hand-offs in a Pediatric Intensive Care Unit Reference: Ofori-Atta, Judymae MSN, BSN, RN; Binienda, Maura BSN, RN; Chalupka, Stephanie MSN, EdD Bedside shift report, Nursing2019: August 2015 Volume 45 Issue 8 – p 1-4 doi: 10.1097/01.NU RSE.000046925 2.96846.1a Web Link: https://pubmed.n cbi.nlm.nih.gov/2 Web Link: 3222024/ https://journals.l ww.com/nursing /Fulltext/2015/0 8000/Bedside_s hift_report__Im plications_for_p atient.20.aspx Bedside shift report Implications for patient safety and quality of care Year Published Year Published: 2015 2015 What effect does the What effect on Is there an integration of the patient communication improvement in hand-offs have on dies the bedside patient safety positive information shift report have? through the use change in the healthcare of the bedside settings? shift report? Year Published: 2015 Research Questions (Qualitativ e)/Hypothe sis (Quantitati ve) What are the main contributions of nurses towards the implementation of the bedside shift report? Purposes/A im of the Study Evaluate the level of participation of nurses in the creation of a healthy Gain a positive understanding of the way the information is determine if standardizing shift report © 2017. Grand Canyon University. All Rights Reserved. To evaluate the implication on safety that the environment for the patients transferred in the handsoff Correlational study Cross-sectional study improves patient satisfaction with nursing communication Experimental Setting/Sa mple Nursing sector offering inpatient services Pediatric intensive care unit Surgical intermediate care Critical healthcare sector Methods: Interventio n/Instrume nts Interview Observations and interviews Interview and observation Interview Analysis The analysis completed aimed at analyzing the attitude that the practitioners show towards the practice. The satisfaction that the patients have was analyzed Key Findings There was an increase in the way practitioners perform based on the implementation of this. NRS 493 Grand Canyon University Quality of Services in Health Discussion

The level of satisfaction and quality of services the patients are offered was analyzed. There was a notable increase in patient safety and satisfaction. Recommen dations More nurses need to be taught on how they can improve the rate of appreciation. The primary analysis involved the assessment of the rate and levels of information integration as well as the consequences involved with repetition. There was a significant reduction in the rate of wrong treatment as a result of the implementation of this practice. The creation and improvement of the rate at which the computer is required to assist in improving the level of performance of this system. Explanatio n of How the Article Supports EBP/Capst one Since the capstone aims at improving the rate of usage of the shift report, this article is necessary since it will make it easy for the increased appreciation of this practice. Design (Type of Quantitativ e, or Type of Qualitative ) bedside shift reports may have Correlational study The level of satisfaction of the patients and other stakeholders tend to increase based on this. Patients and More practices family members need to be need to be trained considered to regarding the bring about practices and the more patient benefits that it safety. will bring to them. It offers a deeper It provides ideas understanding of on the safety the benefits of measures that the practice and need to be the need to followed and the consider it. effect that they may have. This article supports the main capstone since it offers an insight into some of the practices that need more attention in order to assist in the improvement of quality of health services provided. © 2017. Grand Canyon University. All Rights Reserved. © 2017. Grand Canyon University. All Rights Reserved. Running head: BEDSIDE SHIFT REPORT Improving Patient Care through Bedside Shift Report Grand Canyon University NRS 493 Professional Capstone and Practicum August 18, 2020 1 BEDSIDE SHIFT REPORT 2 Improving Patient Care through Bedside Shift Report Patient safety and quality of care are major aspects of consideration in nursing. As such, evidence-based practice (EBP) in nursing is often striving to produce the best outcomes in enhancing patient safety and the quality of care. Out of these concerns the use of nurse reporting is one of the major aspects and routines that have been established as means of enhancing patient safety. This project focuses on comparison of patient bedside reporting and traditional reporting in reducing adverse events among patients. PICOT Question: Among patients admitted to the hospital (P) how do nurses’ bedside shift reports (I), compared to traditional reports outside of patients’ rooms (C), affect the occurrence of adverse events (O) during hospital stay (T)? Population: Patients admitted to the hospital Intervention: Nurses’ bedside shift reports Comparison: Traditional reports outside of patients’ rooms Outcome: The occurrence of adverse events Time: During hospital stay The issue of focus for this project is the safety of patients in the healthcare organization. This problem can be described in relation to evidence-based solution. In producing positive patient outcomes, the focus of this project is delivering an evidence-based solution for reducing adverse events and near misses in in-patient care settings. In relation to evidence-based solution, the problem of patient safety thus relies on the research to produce a solution that has been highlighted as effective through previous interventions. Reliance on this research thus promotes outcomes in the healthcare organization. BEDSIDE SHIFT REPORT 3 Secondly, the focus on the issue of safety can be viewed from a nursing intervention point of view. A nursing intervention is described as the actual treatment and activities that the nurse engages in to reach patient goals in the treatment process (Butcher, Bulechek, Dochterman, & Wagner, 2018). Therefore, they are based on patient health goals and the nurses’ experience, knowledge, and skills. NRS 493 Grand Canyon University Quality of Services in Health Discussion

The issue of patient safety relates to nursing interventions through the need to implement dedicated actions to increase patient safety. In this case, bedside reports are aimed at reducing information gaps and enhancing continuity of care for better patient outcomes. Moreover, the problem of patient safety affects patient care as well as nursing practice. Patient care involves all those activities that the nurse takes to enhance and maintain the physiological as well as psychosocial state of the patient towards recovery (Black, 2019). Safety of patients is part of patient care and a part of nursing practice roles. Lack of safety affects patients’ recovery adversely by impacting the different aspects of the patient’s health. Low safety thus shows low quality of patient care. Additionally, the role of the nurse is to provide the best environment for the patient to recover and hence enhancing patient safety is part of the role of nursing practice. Bedside reports are aimed at enhancing continuity of care and part of continuity is to enhance care outcomes through quality and safety. The PICOT issue is thus tied to nursing practice and the process of patient care towards the best outcomes in the healthcare setting. Overall, the problem of safety connects to health care agencies through the regulations as well as penalties that healthcare organizations pay for neglecting the safety of patients. Basically, health care agencies advocate for the best quality of patients while also pushing for the minimization of adverse events and near misses in healthcare organizations. To achieve these health care agency goals, healthcare organizations utilize different approaches including proper reporting and other interventions to reduce the rates of these occurrences. The proposed BEDSIDE SHIFT REPORT intervention is the adoption of bedside reporting as opposed to traditional reporting approaches. The reasoning behind this intervention is that bedside reporting is likely to enhance outcomes through better coordination of care and continuity. In relation to health care agency, the organization remains in charge of patients’ safety and enhancing outcomes based on rules and regulations set by governmental agencies. 4 BEDSIDE SHIFT REPORT 5 References Black, B. (2019). Professional nursing E-Book: Concepts & challenges. Elsevier Health Sciences. Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). NRS 493 Grand Canyon University Quality of Services in Health Discussion

Nursing Interventions classification (NIC)-E-Book. Elsevier Health Sciences. 1 Strategic Plan Summary Grand Canyon University NRS 493 September 6, 2020 2 Strategic Plan Summary The nursing practice intervention, which is explicitly improving patient care through the bedside shift report, will be implemented in the capstone project change proposal using nursing theory utilization and application as a strategy. The person (patient) concept, in theory, will play a crucial role in ensuring the safety of the patient during the nursing intervention practice. The strategy is expected to have minimal errors on patient’s medication and maximum effectiveness on communication between nurses and patients and among the nurses. Effectiveness in the patient’s communication and safety enhanced by the strategy promises a long-term effect in the medical field on implementing the practice. The concept of environment in nurse theory utilization covers population and persons relying on the Naval Medical Center Camp Lejeune. The interaction of communication, environment, and the nurse practice intervention suggests that the strategy suits the proposal. Potential challenges like errors in medical records and communication barriers would be solved through the process. References So Woo Lee. (2014). Overview of nursing theory / So Woo Lee 58 Overview of nursing theory (Vol. 12, pp. 58–67). nhs.ac.jp/journal/PDF/12_2/12_2_3.pdf Retrieved from http://www.oita- …