Key to success Case Study Senior leaders, especially on Nurse Bedside Shift Report: the chief nursing officer, Emory Healthcare provided resources and support for implementing nurse bedside shift report. Emory Healthcare has attained 100 percent implementation of bedside shift report across 4 hospitals and 73 inpatient units on every shift, including the night Dedicated nurse leaders shift. This covers approximately 1,800 nurses. continued to pursue bedside shift report, even In response to bedside shift report, patients and families report feeling more when there were knowledgeable about their care. Patient satisfaction scores reflect this change in challenges. nursing practice. In August 2010, after implementation, Emory achieved a 98 percent on patient satisfaction scores, with “nurse kept you informed” as the A standardized process for highest rated question. In fact, this question achieved the highest score of all bedside shift report hospitals nationwide. ensured everyone knew what to do. Creating this new culture of bedside shift report for nurses was a process and a challenging one at that. Training and observation increased buy-in because Bedside shift report began with a test of change. In November 2007, a nurse nurses immediately saw the champion at Wesley Woods, a 100-bed geriatric hospital, brought the idea of benefits of bedside shift bedside shift report to Emory’s unit practice council, a governance structure report and knew that where clinical staff give input into care on the floor. Using a “test of change” hospital leaders approach, one council member conducted bedside report, followed by another. supported it. Because the process worked well, the pilot was expanded to nurses on two units. After 2 weeks, the hospital decided to implement nurse bedside shift Committed nurse report across the hospital. champions at the unit and floor levels make sure that The first system-wide rollout did not go as planned. Because of the success at bedside shift report Wesley Woods, Emory Healthcare’s system council decided to implement continues to happen. bedside report across the system’s three hospitals. In February 2008, three nurse champions, one from each major hospital within the system (Wesley Woods, Emory Midtown, and Emory University), began planning for system-wide implementation between May and August 2008. The three champions created teaching points for each unit. Nurses were asked to read about bedside shift report and then conduct them. Unfortunately, the larger hospitals did not show much interest in nurse bedside shift report. Because there was limited buy-in, bedside shift report did not catch on.
Key to success Senior leaders, especially the chief nursing officer, provided resources and support for implementing nurse bedside shift report. Dedicated nurse leaders continued to pursue bedside shift report, even when there were challenges. A standardized process for bedside shift report ensured everyone knew what to do. Training and observation increased buy-in because nurses immediately saw the benefits of bedside shift report and knew that hospital leaders supported it. Committed nurse champions at the unit and floor levels make sure that bedside shift report continues to happen. Case Study on Nurse Bedside Shift Report: Emory Healthcare Emory Healthcare has attained 100 percent implementation of bedside shift report across 4 hospitals and 73 inpatient units on every shift, including the night shift. This covers approximately 1,800 nurses. In response to bedside shift report, patients and families report feeling more knowledgeable about their care. Patient satisfaction scores reflect this change in nursing practice. In August 2010, after implementation, Emory achieved a 98 percent on patient satisfaction scores, with “nurse kept you informed” as the highest rated question. In fact, this question achieved the highest score of all hospitals nationwide. Creating this new culture of bedside shift report for nurses was a process and a challenging one at that. Bedside shift report began with a test of change. In November 2007, a nurse champion at Wesley Woods, a 100-bed geriatric hospital, brought the idea of bedside shift report to Emory’s unit practice council, a governance structure where clinical staff give input into care on the floor. Using a “test of change” approach, one council member conducted bedside report, followed by another. Because the process worked well, the pilot was expanded to nurses on two units. After 2 weeks, the hospital decided to implement nurse bedside shift report across the hospital. The first system-wide rollout did not go as planned. Because of the success at Wesley Woods, Emory Healthcare’s system council decided to implement bedside report across the system’s three hospitals. In February 2008, three nurse champions, one from each major hospital within the system (Wesley Woods, Emory Midtown, and Emory University), began planning for system-wide implementation between May and August 2008. The three champions created teaching points for each unit. Nurses were asked to read about bedside shift report and then conduct them. Unfortunately, the larger hospitals did not show much interest in nurse bedside shift report. Because there was limited buy-in, bedside shift report did not catch on.