Author : Tiffany Christine Johnston
Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.:/5 (115 download)
Book Synopsis Nursing Bedside Report: Improving Perception with a Standardized Tool by : Tiffany Christine Johnston
Download or read book Nursing Bedside Report: Improving Perception with a Standardized Tool written by Tiffany Christine Johnston and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transfer of care report is one of the most frequent hand-off communication opportunities in healthcare for nurses. The goal of this report is to provide information in a standardized format that allows accurate data to be transferred to the oncoming nurse in a clear, concise manner. Literature reveals this report occurring at the patients is the best nursing practice; however, it does come with obstacles, competing priorities, and distractions. A breakdown in communication can cause disruptions to care, inaccurate information, or even harm and death to the patient in certain circumstances. Identifying a standardized approach to bedside report is a priority for patient safety and the hospital’s safety culture. The Nurse Knowledge Exchange Plus (NKE plus) created by Kaiser Permanente was designed with a multifaceted team and front-line nursing staff to engage the team in helping break down the obstacles and distractions. NKE plus was chosen as the standardized tool for beside reporting for this project because of the engagement of staff, ability to work through barriers and distractions, and provide a comprehensive tool that uses the electronic health record, safety checks, and inclusion of the patient and family (Lin, Heisler, Fahey, McGinnis, & Whiffen, 2015). This evidence-based quality improvement project looked at the nurse’s perceptions of bedside reports and Press Ganey’s communication with nurse's scores for improvements.The results of this Doctorate of Nursing Practice (DNP) project did not support the evidence that NKE plus improved nurses’ perception of bedside reports or improved communication with nurses’ scores. However, several areas did show statistical significance. Those areas included: (a) the nurse I follow from a previous shift completes job responsibilities; (b) interpersonal relationships between shifts are good; (c) the patient’s condition matches what I get in the report; and (d) the current system of report fosters a partnership between the nurse, patient, and families. The results were skewed due to a lack of surveys for both the nursing questionnaire and patient surveys. Further dissemination of this project includes completing NKE plus throughout the other three units within the hospital because of the evidence supporting including patient and family during bedside report.