Bedside shift report: Nurses opinions based on their experiences

Abstract Background Nurse bedside shift report (BSR) improves satisfaction, quality and safety. Yet, postimplementation adoption rates remain low in hospitals where BSR has been introduced. Further research is needed to understand what content is most appropriate to discuss during BSR and what facil...

Full description

Bibliographic Details
Main Authors: Joseph Jimmerson, Patricia Wright, Patricia A. Cowan, Tammy King‐Jones, Claudia J. Beverly, Geoffrey Curran
Format: Article
Language:English
Published: Wiley 2021-05-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.755
_version_ 1818430392500224000
author Joseph Jimmerson
Patricia Wright
Patricia A. Cowan
Tammy King‐Jones
Claudia J. Beverly
Geoffrey Curran
author_facet Joseph Jimmerson
Patricia Wright
Patricia A. Cowan
Tammy King‐Jones
Claudia J. Beverly
Geoffrey Curran
author_sort Joseph Jimmerson
collection DOAJ
description Abstract Background Nurse bedside shift report (BSR) improves satisfaction, quality and safety. Yet, postimplementation adoption rates remain low in hospitals where BSR has been introduced. Further research is needed to understand what content is most appropriate to discuss during BSR and what facilitators are from the clinical nurses' perspective. Aims Identify and describe acute care clinical nurses' and nursing supervisors' experiences and opinions regarding: process of BSR, appropriate content for BSR and barriers and facilitators related to implementation of BSR. Design A phenomenological qualitative study was conducted at an acute care 500 bed, not‐for‐profit academic medical centre located in the southern United States. Methods Clinical nurses (N = 22) and nursing supervisors (N = 12) from every inpatient division were recruited and interviewed. The data were analysed for relationships, similarities and differences. Themes were then identified by two independent researchers. Results Five themes were identified: (a) time constraints and clinical nurse's workflow must be taken into consideration; (b) a modified approach is necessary; (c) process and specific critical content should be individualized so that it is meaningful for all parties involved; (d) specific critical content that should be discussed outside the patient's room; and (e) specific critical content that should be discussed inside the patient's room. Conclusions One way to minimize interruptions is to conduct BSR using a modified approach, where a portion of the hand‐off occurs inside and outside the patient's room. In addition, this study identified the nurses' preferred location where specific critical topics should be discussed. Relevance to clinical practice Results from this study should be used to inform the practice BSR so the desired outcomes of patient and family satisfaction, nursing quality and patient safety can be realized. This study should influence future research aimed at identifying strategies for successful implementation and sustained use of BSR. The COREQ checklist was used to write manuscript.
first_indexed 2024-12-14T15:32:41Z
format Article
id doaj.art-ab814642137948068620a125cee9e106
institution Directory Open Access Journal
issn 2054-1058
language English
last_indexed 2024-12-14T15:32:41Z
publishDate 2021-05-01
publisher Wiley
record_format Article
series Nursing Open
spelling doaj.art-ab814642137948068620a125cee9e1062022-12-21T22:55:49ZengWileyNursing Open2054-10582021-05-01831393140510.1002/nop2.755Bedside shift report: Nurses opinions based on their experiencesJoseph Jimmerson0Patricia Wright1Patricia A. Cowan2Tammy King‐Jones3Claudia J. Beverly4Geoffrey Curran5University of Arkansas for Medical Sciences Little Rock AR USAUniversity of Arkansas for Medical Sciences Little Rock AR USAUniversity of Arkansas for Medical Sciences Little Rock AR USAUniversity of Arkansas for Medical Sciences Little Rock AR USAUniversity of Arkansas for Medical Sciences Little Rock AR USAUniversity of Arkansas for Medical Sciences Little Rock AR USAAbstract Background Nurse bedside shift report (BSR) improves satisfaction, quality and safety. Yet, postimplementation adoption rates remain low in hospitals where BSR has been introduced. Further research is needed to understand what content is most appropriate to discuss during BSR and what facilitators are from the clinical nurses' perspective. Aims Identify and describe acute care clinical nurses' and nursing supervisors' experiences and opinions regarding: process of BSR, appropriate content for BSR and barriers and facilitators related to implementation of BSR. Design A phenomenological qualitative study was conducted at an acute care 500 bed, not‐for‐profit academic medical centre located in the southern United States. Methods Clinical nurses (N = 22) and nursing supervisors (N = 12) from every inpatient division were recruited and interviewed. The data were analysed for relationships, similarities and differences. Themes were then identified by two independent researchers. Results Five themes were identified: (a) time constraints and clinical nurse's workflow must be taken into consideration; (b) a modified approach is necessary; (c) process and specific critical content should be individualized so that it is meaningful for all parties involved; (d) specific critical content that should be discussed outside the patient's room; and (e) specific critical content that should be discussed inside the patient's room. Conclusions One way to minimize interruptions is to conduct BSR using a modified approach, where a portion of the hand‐off occurs inside and outside the patient's room. In addition, this study identified the nurses' preferred location where specific critical topics should be discussed. Relevance to clinical practice Results from this study should be used to inform the practice BSR so the desired outcomes of patient and family satisfaction, nursing quality and patient safety can be realized. This study should influence future research aimed at identifying strategies for successful implementation and sustained use of BSR. The COREQ checklist was used to write manuscript.https://doi.org/10.1002/nop2.755bedside shift reporthand‐offnursing reportpatient hand‐offshift report
spellingShingle Joseph Jimmerson
Patricia Wright
Patricia A. Cowan
Tammy King‐Jones
Claudia J. Beverly
Geoffrey Curran
Bedside shift report: Nurses opinions based on their experiences
Nursing Open
bedside shift report
hand‐off
nursing report
patient hand‐off
shift report
title Bedside shift report: Nurses opinions based on their experiences
title_full Bedside shift report: Nurses opinions based on their experiences
title_fullStr Bedside shift report: Nurses opinions based on their experiences
title_full_unstemmed Bedside shift report: Nurses opinions based on their experiences
title_short Bedside shift report: Nurses opinions based on their experiences
title_sort bedside shift report nurses opinions based on their experiences
topic bedside shift report
hand‐off
nursing report
patient hand‐off
shift report
url https://doi.org/10.1002/nop2.755
work_keys_str_mv AT josephjimmerson bedsideshiftreportnursesopinionsbasedontheirexperiences
AT patriciawright bedsideshiftreportnursesopinionsbasedontheirexperiences
AT patriciaacowan bedsideshiftreportnursesopinionsbasedontheirexperiences
AT tammykingjones bedsideshiftreportnursesopinionsbasedontheirexperiences
AT claudiajbeverly bedsideshiftreportnursesopinionsbasedontheirexperiences
AT geoffreycurran bedsideshiftreportnursesopinionsbasedontheirexperiences