focused on perceived benefits 30 patients (18 male and 12 female) participation in bedside handoff does not and limitations of bedside who had witnessed a nursing compromise privacy or confidentiality. handoff. They used thematic bedside shift-to-shift handover were Patients felt that bedside handoff gave them content analysis of studied. an opportunity to contribute information, interview scripts. increased their confidence in nursing, and was important. They expressed that bedside handoff should occur as privately as possible and discretion should be used for sensitive issues. Klee K, et al. Self-report and Continuous performance Nursing staff at Seattle Children’s At thirty days post implementation, 48% of J Process improvement process over a Hospital in Seattle, Washington staff agreed that the information received was Ped Nurs 4-year period (2006-2009) to (number of participants in research organized and thorough, which rose to 98% at standardize shift-to-shift was not specified). 60 days. At 60 days, the response to “were handoff communication all of the components of the standardized using RPIWs. report covered using a reliable source?” was 100%, and it stayed >80% for 90 days, 6 month, and 12 month time points. Use of a reliable source to decrease and, in 2009, a second RPIW was conducted. In 2009, at the conclusion of a second workshop, 87% of nurses were following the standard sequence and 70% were completing handoff in 30 minutes. Five weeks later those percentages rose to 93% and 77% respectively. A 20% reduction in end of overtime was observed. 70% of family members reported being involved in the discussion of plan of care and 50% reported that increased involvement was valuable. Laws D, S. Self-report A pre-implementation survey All nurses working in the stroke After the 4-month implementation period the was administered, followed rehabilitation unit at MetroHealth percent agreement that bedside reporting: Rehabil Nurs by an in-service lecture Rehabilitation Institute of Ohio, improved safety, included patient discussion, which was given to the Cleveland, Ohio (number of promotes teamwork, and held staff nursing staff to educate them participants in research was not accountable all increased. Of note, more staff about bedside reports. A specified). also agreed that bedside reporting violates post-implementation survey patient confidentiality after 4 months. was administered to nurses 4
focused on perceived benefits and limitations of bedside handoff. They used thematic content analysis of interview scripts. 30 patients (18 male and 12 female) who had witnessed a nursing bedside shift-to-shift handover were studied. participation in bedside handoff does not compromise privacy or confidentiality. Patients felt that bedside handoff gave them an opportunity to contribute information, increased their confidence in nursing, and was important. They expressed that bedside handoff should occur as privately as possible and discretion should be used for sensitive issues. Klee K, et al. J Ped Nurs Self-report and Process Continuous performance improvement process over a 4-year period (2006-2009) to standardize shift-to-shift handoff communication using RPIWs. Nursing staff at Seattle Children’s Hospital in Seattle, Washington (number of participants in research was not specified). At thirty days post implementation, 48% of staff agreed that the information received was organized and thorough, which rose to 98% at 60 days. At 60 days, the response to “were all of the components of the standardized report covered using a reliable source?” was 100%, and it stayed >80% for 90 days, 6 month, and 12 month time points. Use of a reliable source to decrease and, in 2009, a second RPIW was conducted. In 2009, at the conclusion of a second workshop, 87% of nurses were following the standard sequence and 70% were completing handoff in 30 minutes. Five weeks later those percentages rose to 93% and 77% respectively. A 20% reduction in end of overtime was observed. 70% of family members reported being involved in the discussion of plan of care and 50% reported that increased involvement was valuable. Laws D, S. Rehabil Nurs Self-report A pre-implementation survey was administered, followed by an in-service lecture which was given to the nursing staff to educate them about bedside reports. A post-implementation survey was administered to nurses 4 All nurses working in the stroke rehabilitation unit at MetroHealth Rehabilitation Institute of Ohio, Cleveland, Ohio (number of participants in research was not specified). After the 4-month implementation period the percent agreement that bedside reporting: improved safety, included patient discussion, promotes teamwork, and held staff accountable all increased. Of note, more staff also agreed that bedside reporting violates patient confidentiality after 4 months.
JNCQ_2015_05_21_RIESENBERG_2_SDC2.docx