Initial PICO question completed / nursing research article selected
In hospitalized patients (P), what is the effect of bedside shift change report (I) on patient satisfaction and safety (O) compared to traditional shift change report at the nurse's station(C)?
Introduction statement(s) present
Over the last five years, there have been cases of medication errors a as result of poor hand off. One of the main reason was that the transfer of essential patient information and responsibility of care. In the absence of bed side record, the patient medication administration records (MAR) does not provide adequate inflation about the patient medication and mediation protocol. Most education errors occur due to omission and lack of communication. Nurses can reduce medication errors by informing and documenting omissions in the medical records can help prevent accidental overdose of medication. according to da Silva, &, Krishnamurthy (2016), emergency departments is the third most common source of medication errors and over 3.5 million physician office visits as a result of adverse drug gravitons. Among the special population, the elderly in the emergency departments are associated with more medication errors because they lack medical knowledge and cannot access their bedside records. On in every 30 hospitals admissions is associated with adverse drug events 42% of temporary harm events wee relate to medication 50% of these event were considered preventable if proper documentation was and bed side reporting was given primacy. Additionally, the economic impact of these medication errors was estimated at $3.5 billion per year while the adverse drug event contributed to atheist 2milion hospital stays prolonging the length of stay n hospitals by 1 to 6 days
Summary paragraph for your nursing quantitative research article
With the evolution of nursing care, nursing processes have improved and this has also lead to the changes in the way patient information handed over from one shift nurse to another. Patient information quality is a major predictor of patient and nurse outcome and can singingly reduce risk and liability. According to Sand-Jecklin & Sherman (2014), communication among healthcare professionals in an acute care setting determines patient outcomes because most medication errors arise as a result of poor communication and handing off. With the massive amount no patient information readily available to the patients; both patient and nurses are more knowledgeable about their options, rights and demands in term of healthcare. Patients want to be involved in their healthcare planning and nurses are increasingly faced with demands from patients hence the challenge of providing detailed change of shift report with essential information required to promote patient safety.
Nursing bedside report focuses on the implementation of bedside reports and improving the process of bedside report. Most nurses provide new shift nurses information and recommendation on how patient should be taken care of. They also state the experiences they had with the patient because this information is material to patient care planning (Chaboyer, McMurray, & Wallis, 2010). The problem with the traditional reporting standards is that they lack specifics for every patient. Therefore, hospitals need to improve on nursing reports. Bedside reports is an improvement over the traditional report at nurses station as it is convenient to both the new shift nurse and the patient and details how to implement the bedside report. Through the bedside reports, patients are better informed. Secondly, beside reports are also assisted with patient satisfaction as compared to the traditional nurses report left at the nurses stations.
Reliability paragraph for your nursing quantitative research article.
Clinical practice guideline summary
According to the agency of healthcare research and quality HARQ (2017) strategy 3, patient engagement in their health can significantly improve their health and safety. Therefore, in order to promote patient engagement, the HARQ developed a guide to patient and family engagement in hospitals quality and safety.
Patient safety and quality
This guideline was a tested evidence based resources that would help the healthcare professionals partner with patient and their families in improving their care quality and patient safety. Night shift changes should involve successful transfer of information between nurses as the only way to prevent any adverse events and medical errors. In order to improve patient outcome, the patient and their families can be engaged in ensuring that the adverse events and medication errors are reduced. The patient and their family members can ensure that that transition is safe and effective
Patient experience of care.
Bedside report if implemented properly can lead to an increase in patient satisfaction as well as patient nurse relationship. Bedside reporting can also reduce the frequency of call light after shift change
Nursing staff satisfaction
According to HARQ (2107), bed side reports can also improve nurses and physician satisfaction. They also argue that if bedside report checklist is fully marked, doctors and nurses relationship can significantly improve as a result of reduction in medication errors accusations.
Fourth resource summary.
According to Malekzadeh et al (2017) there are two main acreddiotation standards used by hospitals worldwide. These accreditation include the JCAHO (Joint Commission Accreditation of Health Organization) and JCI (Joint Commission International). The standards have been developed to help I accreditation of healthcare organization and the same irradiation support proper bedside reporting for effective information communication. The nurses gather, integrate and utilize patient data to formulate their plan of care. On the other hand, the patients are left vulnerable o medication errors because they are not allowed to participate in self-care activities. Therefore to prevent these preferable errors, its advisable for hospitals to develop their own handover protocols or adopt the JCI standards. Implementing standardized and structured shift handover protocols can significantly improve nurses practices safe and improve patient safety.
In hospitalized patients (P), what is the effect of bedside shift change report (I) on patient satisfaction and safety (O) compared to traditional shift change report at the nurse's station(C)? This study maimed to find evidence of the effectives of the bed side reporting. Bed side shift can increase patient satisfaction, improves the quality of care and patient outcomes and also reduces
Bedside shift report and patient satisfaction
Burns,, N. and Grove, S. (2014). Understanding Nursing Research Pageburst Ebook on Vitalsource Retail Access Card. 5th ed. New York: W B Saunders Co.
Cairns, L., Dudjak, L., Hoffmann, R., & Lorenz, H. (2013). Utilizing bedside shift report to improve the effectiveness of shift handoff. The Journal of Nursing Administration 43 (3), 160-165.
Grove, S., Gray, J., & Burns, N. (2015). Understanding nursing research text w/ study guide package (6th ed). St. Louis, MO: Saunders.
HARQ (2017). Strategy 3: Nurse Bedside Shift Report: Guide to Patient and Family Engagement in Hospital Quality and Safety. [online] Ahrq.gov. Available at: https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/strategy3/index.html [Accessed 29 Nov. 2017].
Malekzadeh, J., Mazluom, S., Etezadi, T. and Tasseri, A. (2017). A Standardized Shift Handover Protocol: Improving Nurses Safe Practice in Intensive Care Units. J Caring Sci., pp.177185.
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