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Impact Of An Education Module On Nursing Staff Perceptions On Bedside Reporting
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Book Synopsis Impact of an Education Module on Nursing Staff Perceptions on Bedside Reporting by : Alicia Tegan
Download or read book Impact of an Education Module on Nursing Staff Perceptions on Bedside Reporting written by Alicia Tegan and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The Joint Commission (TJC) evaluated sentinel events in healthcare and reported communication failure of care providers during patient handoffs as the most frequently cited root-cause. To improve patient outcomes and to avoid costly mistakes, it is recommended that the change of shift report should take place at the patient's bedside. Foreground: Studies regarding nursing shift reports indicate that information given is inconsistent among nurses. Despite attempts at creating standardized reporting sheets and implementing reporting methods to guide nurses, a lack of consistency remains, which can be a detriment to patient safety. Bedside reporting is recommended by TJC, but is not currently part of the nurse to nurse shift handoff report at a local, rural hospital. Framework: The Johns Hopkins Nursing Evidence-Based Practice Model was utilized as a guide to find the best evidence to implement and in translating the studies into practice. Method: Pre and post surveys were used to collect data on nursing staff perceptions on bedside reporting. After completing a pre survey, an education module on bedside reporting was shared with participants. Survey results obtained from nursing staff after participating in education were compared to the survey results of nursing perceptions before completing the education module. Descriptive data was obtained by comparing perceptions before and after education. Results: The findings show a positive change in nursing stadd perceptions on bedside reporting as evidenced by an improvement in pretest to posttest survey scores. Post education, there was an increase from 45% to 68% of the participants perceiving bedside reporting as more comprehensive than current reports held in a break-room. One-hundred percent of the participants perceive that bedside reporting was a beneficial form of communication, compared to eighty percent pre education. Conclusion: Educating the nursing staff on bedside reporting has led to an increase in buy-in. This can result in the success and sustainability of bedside reporting on the nursing unit, after full implementation. Tools, such as the ready-to-use Studer Group Bedside Reporting Tool Kit, can provide nurse managers with a valuable resource that may foster the support and sustainability of bedside reporting in their departments.
Book Synopsis A Study on the Effect of an Educational Program on Patient's and Nursing Staff's Perceptions of Decision-making Choices by : Janice Irene Roberson
Download or read book A Study on the Effect of an Educational Program on Patient's and Nursing Staff's Perceptions of Decision-making Choices written by Janice Irene Roberson and published by . This book was released on 1976 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Significance of Bedside Change of Shift Reporting for Nursing Staff and Patients by : Anne Lynch
Download or read book Significance of Bedside Change of Shift Reporting for Nursing Staff and Patients written by Anne Lynch and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this literature research study was to determine whether bedside shift reporting , compared to reporting conducted away from the patient, leads to increased patient safety, as well as an increase in patient and nursing satisfaction. Ineffective communication during nursing shift reports are a large contributor to sentinel events in medical facilities (The Joint Commission on Accreditation of Healthcare Organizations, [JCAHO] 2015). Shift reporting away from the bedside results in frustration and tension among nursing staff. Patients also desire to be more active in their care and appreciate interacting with staff during that time. The author, through a literature review of prominent quantitative and qualitative studies found evidence bedside reporting encourages patient participation, prevents medication errors, increases patient safety, and supports nursing staff, thus leading to a more positive work environment.
Book Synopsis Bedside Reporting: Impact on Patient Care by : Lindsay Packard
Download or read book Bedside Reporting: Impact on Patient Care written by Lindsay Packard and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Communication breakdown, between nurses, during shift reports is a leading cause of sentinel events in America. A growing body of evidence shows that bedside reporting improves patient safety and satisfaction. Through this new reporting process, nurses are more prepared to care for the patients at the beginning of their shifts, increasing nurse, as well as physician communication and satisfaction. The report utilizes the current Situation, Background, Assessment, Recommendation (SBAR) format and a safety check is added which assesses environmental safety, as well as medication administration, and documentation. In the past, report was communicated at the nurses' station. The new process requires communication to begin at the patients' bedside and then move to the nurses' station to discuss more sensitive information. Implementation, led by a champion team, focuses on education and a patient-centered approach to care. Evaluation of the process, using measurable data, ensures that challenges are addressed and overcome. Dissemination of the evidence is essential for expanding the knowledge and benefits of the implementation to a larger population of nurses, increasing the opportunity for safer, patient-centered care.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Book Synopsis Shift Reporting Improvement by : Angela C. Miller
Download or read book Shift Reporting Improvement written by Angela C. Miller and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: To delivery patient/family-centered care, effective communication is a must for shift reporting. Bedside reporting (bedside handover/handoff) has proven to be direct and practical method to achieve high quality safe care. Joint Commission announced that communication breakdowns are the rooted cause to sentinel events. Therefore, the impact of poor shift reporting can result in unsafe patient outcomes as well as in the work environment. In some studies, nurses perceived poor communication in report methods such as traditional reporting due to receiving impertinent information and wasted time. Time is limited with patients due to the length of stays. Lewin's theory of change can be utilized to help transform to bedside reporting. Through many research studies, bedside reporting exhibited evidence-based practices that cultivate patient involvement by fostering patient/nurse trust/bonds, integrates patient in the care team, and promotes accountability for all and prioritizing care. The purpose of this project is to guide the nurse leader/nurse manager and staff nurses an educational plan consisting of visuals on bedside reporting. The implementation plan includes scripts to aid nurses for the optimal report. By visualizing the patient during report, nurses will be able to address patient's needs, perform safety scans and involve patient/family in the plan of care. In a study, there were increased nurses' satisfactions, accountability, patient involvement as well as decrease in 35% in falls and 50% decrease in medication errors. Pre/post implementation surveys are given to nurses in order to pinpoint barriers and revise the process. Nurse managers, administration and staff nurses are the recipients of disseminating evidence to enhance bedside reporting and continue ongoing evaluations.
Book Synopsis The Impact of Bedside Reporting on Patient Safety Events, Patient Satisfaction, and Nurse Accountability in a Pediatric Unit by : Ginger McEarl
Download or read book The Impact of Bedside Reporting on Patient Safety Events, Patient Satisfaction, and Nurse Accountability in a Pediatric Unit written by Ginger McEarl and published by . This book was released on 2019 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the fundamental elements of nursing practice is the transfer of patient information from one provider to another known as a bedside report. However, an unstructured bedside report that occurs away from the bedside, places patient safety, quality of patient care, and patient satisfaction in jeopardy. The purpose of this quality improvement (QI) project is to determine if the implementation of bedside reporting in an acute care pediatric unit will: decrease preventable errors reported through an event reporting system known as Safety Tracker, increase patient satisfaction in provider communication, and improve nurse accountability. The study included a convenience sample of 65 inpatient bedside nurses on a 30-bed, acute care pediatric unit in a large urban hospital. The participants were recruited on a voluntarily basis and informed consent was obtained prior to the study. Data were collected through pre-and post-questionnaires. Each questionnaire included, demographic data and two open-ended questions relating to the new Situation, Background, Assessment, Recommendation (SBAR) bedside handoff reporting tool. Education regarding the pre-and post-questionnaires and the new SBAR handoff reporting tool was provided by the primary investigator. Fifty-five participants, or (85%) completed both questionnaires for comparison. Results of this QI project indicated participants liked the consistency and structure of the new SBAR reporting tool; however, barriers identified were arousing and discussing sensitive information at the patient’s bedside. Patient satisfaction scores increased from 68.4% to 75%.
Book Synopsis The Future of Nursing by : Institute of Medicine
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Book Synopsis Significance of Bedside Reporting on Patient Safety and Staff Satisfaction by : Caitlin Garmon
Download or read book Significance of Bedside Reporting on Patient Safety and Staff Satisfaction written by Caitlin Garmon and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ineffective communication at change of shift can put the safety of patients at risk. The purpose of this study is to show bedside shift report increases patient safety as well as staff satisfaction. This study found bedside report lead to less falls and medication errors. Communication breakdowns are the cause of a significant number of sentinel events. Staff was satisfied with shorter report times and improved communication between shifts. Nurses were better prepared and were able to better assess patient needs after implementation of bedside shift report. Nurses were held more accountable and patients became more involved in their care. This new process gave the oncoming nurse the opportunity to visualize the patient and ask questions. Finding of this report confirmed how important having a standardized report system is in reducing errors. Accurate and consistent communication was improved after the implementation of bedside reporting. Effective communication at shift change is a fundamental component of nursing and the culture of safety. This study was conducted within a large hospital on medical and surgical units. A survey was obtained before the implementation of bedside report and several times over the first year post. Along with the use of surveys visual observations were done as well as in person interviews. Results of this study show that bedside report increased nurse's satisfaction, helped in the prioritization of patients which increased work flow, and decreased the amount of time for handoff.
Book Synopsis Bedside Shift Report by : Kimberly K. Gormley
Download or read book Bedside Shift Report written by Kimberly K. Gormley and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change-of-shift report is the time when responsibility and accountability of the patient is transferred from one nurse to another. The communication that ensues during this process is linked to both patient safety and continuity of care. This type of reporting method allows patients to participate in their plan of care, reduce errors from oversight and to allow visualization of the patient's condition at change of shift. Shift change was included in The Joint Commission's 2009 National Patient Safety Goals, which requires that shift hand off must include up-to-date information about the care, treatment, current condition and recent or anticipated changes in the patient. Bedside reporting addresses The Joint Commission's goal 13, a safety strategy that encourages a patient's active involvement in care. A review of literature of both staff and patient's perceptions of bedside hand off describes studies using qualitative, anecdotal and/or indirect measurement along with quantitative and direct measurement. Statistical implications show that bedshand offdoff is most effective when completed consistently.
Download or read book Bedside Report written by Cynthia Conroy and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse to nurse handoff has been known as a sacred time in nursing communication and has had a long standing in performing this task without the patient. Recent research has shown an increase in patient safety, nurse satisfaction and patient satisfaction when nurse-to-nurse handoff occurs at bedside and includes the patient. Bedside report has been shown to increase the perception of safety in the patient, identify potential medication errors before they occur, and influence a sense of satisfaction among nurses. The nurses that practice this style of reporting are facilitating a connection between the patient and the nursing staff. A review of the literature seeking studies reflective of a change to bedside report has been conducted. With the use of Lewin09́s Change Theory an implementation, evaluation and dissemination plan has been established to support an Adult Medical Unit09́s change to bedside shift report. Each phase of the plan utilized evidence based best practice to support the change to bedside report. In implementing a standardized report process, this unit09́s goal was to improve patient safety, patient satisfaction, and nurse satisfaction. Surveys were conducted before and after implementation of the change along with real time audits to provide feedback to staff. Additional tools were provided to staff to further support their transition to bedside report. Through the literature review conducted, other near miss situations were noted that further supported the implementation of bedside shift report. These included medication errors, infiltrated intravenous sites, and incorrect laterality of scheduled surgeries. It is also noted that bedside report is supported by the Institute of Medicine and The Joint Commission who aim to support health care to be provided in the safest manner.
Book Synopsis Standardizing the Bedside Shift Report: Improving Communications and Promoting Patient Safety by : Chona C. Alforque
Download or read book Standardizing the Bedside Shift Report: Improving Communications and Promoting Patient Safety written by Chona C. Alforque and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: PROBLEM: Nursing shift reports are integral to nursing as they allow for the transfer of critical information and responsibility of patient care from one nurse to another. Ineffective communication during shift-to-shift reports can contribute to gaps in patient care and breaches in patient safety, including medication errors, falls, and sentinel events. The greatest risk of communication breakdown is during transitions in care. CONTEXT: St. Louise Regional Hospital, a small community hospital, consisting of an eight-bed medical-surgical intensive care unit lacked structure in how handoff should occur and had variances in shift handoffs. Observation of the shift handoff at the nurses' station revealed many communication gaps that have shown negative impacts on patient safety and outcomes. The improvement project described in this paper focused on evidence-based practices that support the benefits of bedside shift and implementations of standardized handoff tools. INTERVENTION: Intervention included an education in-service for unit managers, educational coordinators, and staff nurses to emphasize the important benefits of bedside shift report. MEASURES: The three components for evaluating improvement include outcome, process, and balancing measures to determine whether the improvement project has had the desired impact. The outcome measure expected to yield the following: direct observation of nurses during bedside report to calculate how often is being done, monitor for decrease in overtime due to more efficient shift-to-shift bedside reports, and a review of risk management reports observing for effect on the number and severity of medication errors. RESULTS: The outcome measure is to increase the nurses' compliance with bedside shift report in the intensive care unit to at least 80% within six months of implementation. CONCLUSION: With the proposed change, bedside shift report will addresses all the safety hazards by reducing adverse events, such as medical errors, patient falls at shift change, and sentinel events. Bedside shift report improves patient safety, enhances the quality of care, improves patient and nurse satisfaction, decrease unnecessary healthcare expenditure, and saves time.
Book Synopsis Impact of Nursing Bedside Shift Report by : Diane Hegedus
Download or read book Impact of Nursing Bedside Shift Report written by Diane Hegedus and published by . This book was released on 2016 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Keeping Patients Safe by : Institute of Medicine
Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Download or read book It's Complicated written by Sarah Hanson and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The focus of this study is to extend our knowledge of teacher-led clinical practica from the perspective of the staff nurse. Nurses’ self-appraisal of their contributions to nursing students’ learning is an important element in enhancing our understanding of clinical education. This is particularly important in nursing education, in which much of the integrated learning takes place within the context of complex hospital environments and is often rooted in the informal interactions that occur between students and staff nurses. The student-staff nurse relationship not only impacts students’ learning outcomes, but also students’ desire to remain in the program, and ultimately, the profession. Given the importance of these interactions to student learning outcomes and the fact that the staff nurses may not even perceive that these interactions are part of the learning cycle, it is time to examine this phenomenon more closely. This study used a qualitative descriptive approach to answer the question: How do staff nurses perceive their contributions to nursing students’ learning during teacher-led practica? Interview transcripts of nine staff nurses’ interviews within a Northern British Columbia regional hospital were analyzed. The findings show that nurses’ interactions with nursing students is complicated. Nurses wanted to train up their future colleagues but felt a significant burden of responsibility when having students on the wards. The sense of burden for the staff nurses was influence by several factors: nurses’ experience of the practice environment, their experience of the clinical instructor, their experiences of the students themselves, and their understanding of their own contributions to nursing students’ learning. Despite the multiple factors that contributed to the staff nurses’ sense of burden, they remained willing to support learning. Implications for nursing education, nursing practice, and future research are discussed."--Leaves ii-iii.
Book Synopsis Health Professions Education by : Institute of Medicine
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Download or read book Index Medicus written by and published by . This book was released on 2003 with total page 1902 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
