NRS 493 Improving Patient Care Through Bedside Report Research Paper

Running head: PROJECT CHANGE Improving Patient Care through Bedside Report Grand Canyon University NRS 493 Professional Capstone and Practicum Prof. Colleen Darrow September 23, 2020 1 PROJECT CHANGE 2 Background The primary goal of health care organizations is to provide high-quality care to patients. It consists of improving patient experience and satisfaction while undergoing treatment. Patient care entails enhancing safety, reducing pain, pallor, and pulse to improve their conditions. However, various challenges exist, such as disconnection in terms of doctorpatient communication. Nowadays, medical providers are seeking improvised ways to increase the delivery of services and patient care. Various research identifies bedside shift as a significant innovation towards awareness and efficiency in the health care setting. This paper seeks to analyze how to improve patient care through bedside shift reporting. Clinical problem statement Communication and doctor-patient relationships are vital concepts that facilitate the delivery of effective care. In essence, the patient should provide adequate information regarding their health and history. The doctors can then provide the right diagnosis that will not affect the patient’s health negatively. The healthcare sector displays a considerable dissatisfaction amongst the nurses, patients, family, and staff due to a lack of adequate knowledge (Bigani and Correia, 2018). It is an existing problem that rises more with the emergence of technological advancements such as electronic records. Mostly, patients desire to communicate their immediate needs and acquire information concerning their progress. Therefore, a shift is necessary to solve the existing gap in quality patient care. NRS 493 Improving Patient Care Through Bedside Report Research Paper

Purpose of the change proposal The health care systems, has since sought after increasing the quality of care and revenue generation. However, they fail to address an underlying issue of nurse and patient satisfaction in terms of patient care. The change proposal brings revolution to the healthcare setting that is inclusive of all aspects that improves patient care delivery. The traditional PROJECT CHANGE 3 reporting system consists of inequities in time, adverse effects, and lack of satisfaction. In this case, it is not an efficient method that will drive the organization to enhance patient safety. The primary outcome of bedside shift reporting is increased patient safety and satisfaction. It is an evidence-based solution to the existing patient dissatisfaction in the health care setting. In this case, the change proposal will reduce adverse events and near misses when taking care of the patients. More so, it incorporates the role of communication and awareness in patient health and safety. It is imperative to abide by the ethical principle of autonomy that grants the patient the right to acknowledgment. The change incorporates other previous interventions that increase patient care safety. 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)? The change proposal seeks to increase the number of patients admitted to the health care organization. It presents the intervention of introducing the nurses’ bedside shift report in the health care system. The proposal compares the outcomes to the traditional words outside the patient’s room. The main objective of the proposal is to reduce the patient stay in the hospital while it increases patient care efficiency. Literature search strategy employed The literature search commences with identifying the research question for the proposed change. In this instance, the question is how to improve patient care through bedside shift reporting. The research will keep a record of essential words and phrases relevant to solve the problem. Further, the documents will help search for similar research PROJECT CHANGE 4 papers and data in various databases and website resources. The report will seek to review peer-reviewed articles and journals published incredible sources. NRS 493 Improving Patient Care Through Bedside Report Research Paper

It will also incorporate research data and information from the government agencies and the health care sector. Evaluation of the literature Patient care consists of all the activities and interventions used by the physicians to ensure general good health for the patient. Schirm et al. (2018) acknowledge that the exchange of patient information, accountability, and responsibility amongst the nurses is vital for patient safety (Foster-Hunt et al., 2015). Research identifies the gap in the clarity of patient information and fault in technological tools. Recording tapes consists of low-volume hence missing on essential data. In this case, the health care sector requires a system to ensure they access the patient’s current condition. Applicable change or nursing theory employed The change proposal major on practice-level nursing theory to focus on situationspecific agenda. The bedside shift report seeks to address the issue of patients at a particular time during clinical treatment (McAllen et al., 2018). Therefore, the proposal provides a framework for nursing interactions with the patient towards the desired outcome. Earlier, the disconnection between the patients and nurses was due to a lack of communicative channels. With bedside shift reporting, the nurses will have first-hand access to reliable information from the patient and the family members. More so, they will share the information with relevant personnel throughout the health care organization. Proposed implementation plan with outcome measures The health care setting comprises of diligence, whereby ineffective changes can influence the delivery of patient care. Therefore, the management should pilot the change proposal in a single unit to measure and monitor the effect it brings. Afterward, they can PROJECT CHANGE 5 focus on introducing the change in all the companies in the hospital, depending on the results of the outcome. The multidisciplinary team should engage the nurses, patients, and families to identify areas of improvement in the organization. The bedside shift program should consist of management, logistics, and policies that guide the effective delivery of care. Lastly, the administration will inform and train all staff concerning the new changes. Monitoring and evaluation of the project are imperative to enhancing continuous performance. How evidence-based practice was utilized in creating the intervention plan Decision making in the health care sector is a cumbersome process that requires both scientific and literally research. Identifying the gaps in the patient care process comprises evaluating the individual’s nurses’ practice and patient’s preferences (Ford, Heyman, and Chapman¸2015). These factors provide vital information regarding the delivery of the care and what is lacking in the system to enhance satisfaction. After understanding the various scenarios in health care, we focus on the best external evidence regarding solutions to the problems. With adequate data and information, it is evident that the organization lacks proper nurse-patient communication. In this case, the bedside shift reporting is the best intervention for increasing the patient safety and satisfaction of everyone in health care. NRS 493 Improving Patient Care Through Bedside Report Research Paper

Plan for evaluating the proposed nursing intervention Patient and nurses’ responses provide reliable information on whether the intervention achieves the desired outcome. The management will first clarify the objectives and goals of the bedside shift reporting and develop relevant questions. The applicable evaluation methods include surveys, interviews, and questionnaires (Grimshaw et al., 2016). The management will also review the organization’s goals and identify processes that have led to retaliation or failure. The methods of measuremements will determine the quality of care alongside the output of the facility. Throughout the process, the team will engage the various stakeholders PROJECT CHANGE 6 in the organization who are crucial in decision making. Lastly, the team will set a timeline to ensure complete evaluation and analysis of the results. Identification of potential barriers to plan implementation and how to overcome them Significant barriers to planning implementation on an organization are the stakeholder’s responses and resources. Inadequate capital can cripple the objectives of achieving a particular intervention goal. It brings changes in financial utilization that can face significant opposition from the stakeholders who finance the organization (Ofori-Atta, 2019). Moreover, the intervention may have a lack of clarity on operational guidelines. It is vital to adhere to health care guidelines to deliver efficient and effective patient care. The management can draft and project plan that highlights the existing problems and importance of the project. It will ensure that the stakeholders understand the value of the new intervention plan. Further, creating a sensitivity analysis and capital budgeting can help the organization access the future cost of the project. In this case, they can convince and acquire capital from investors and credit organizations to implement the bedside report project. Conclusion The health care providers can achieve their goals of providing quality patient care when they address existing problems. NRS 493 Improving Patient Care Through Bedside Report Research Paper

One of the many issues is the lack of adequate communication and interaction between nurses and patients (Radtke¸2015). The bedside shift reporting intervention is an imperative process that will improve patient information clarity. Nurses can access reliable information from patients and families that will provide ease in good service delivery. PROJECT CHANGE 7 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.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. PROJECT CHANGE 8 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. …