Ample of handoff at the bedside allowing patients
Ample communication is
necessary to sustain a safe and trusting patient environment. Handoff is the
process where there is a transfer of information regarding the patient’s
current status, recent history and any new information that the next person
caring for the patient will need to know. There are many facilities that continue
to have shift handoff report at the nurse’s station or the medication cart. According
to Taylor (2015), miscommunication among healthcare providers has led to eighty
percent of errors in the medical field. Exchanging information at the bedside
empowers families and patients in the decision-making process for their care. Researchers
have identified positive opinions reported by nurses toward bedside report.
Nurses that have utilized the bedside method explained that it decreased communication
errors among staff promoted accountability and enhanced teamwork and respect
What evidence supports your concerns?
According to Bradley and Mott (2013), results of the
study they evaluated suggested that patients preferred the bedside handoff process
over the nursing station report handoff method. The main changes that were
found by patients included the process of handoff at the bedside allowing patients
to have the ability to know who will be caring for
them as well as feeling included in conversations related to their care. Additionally, the outcome indicates that
staff expressed that because of the change to handoff report at the bedside,
there was an increase in the amount of patient involvement in their treatment. Bedside
shift report improves patient and family satisfaction. By viewing the exchange
of medical information between nurses, anxiety that the patient and family may
be feeling has been shown to decrease (Bruton, Norton, Smyth,
Ward, & Day, 2016). and
increases their perception of the nurse’s ability to provide care. Giving
report at the bedside also allows patients and families to observe teamwork between
the nurses and o be educated on their treatment.
showed that bedside report increased in patient satisfaction within multiple
areas of communication: nurses kept them informed, well together to provide
care, and staff included the patient in decisions concerning their treatment. The
studies reviewed offer evidence that supports the use of bedside report as an important
report handoff practice within the clinical setting, with increases in patient
and nurse satisfaction exhibited continually. As found in one assessment of the
outcomes of bedside report, patient falls at the change of shift were greatly
reduced after the change was implemented at the multiple medical facilities where
the study was performed (Bradley & Mott, 2014).
does this situation impact the cost of healthcare delivery?
practice of report at the nurse’s station or medication cart could potentially
lead to adverse events or medication errors. The process of patient handoff
during change of shift can unintentionally lead to patient harm because of
important information errors. Handoff reports that missed vital information
have been directly related to errors, close calls and sentinel events (Bruton
et al., 2016). Implementing the practice of bedside report has been shown to
reduce miscommunication and misinformation, which in turn can prevent these costly
mistakes. This can include extended hospital stays due to hospital-associated
infections, additional cost of unnecessary medications and diagnostic procedures
and many more instances.
In summary, based on the literature
reviewed regarding the implementation of bedside handoff in the clinical
setting, a change to shift report at the bedside upholds a facility wide stance
of safety and satisfaction for all patients. This nurse-driven intervention to
improve patient safety and satisfaction continues to promote quality patient
care and safety while increasing effective communication. The positive effect
that bedside handoff has on patients, families, nurses, and other clinical
staff outweighs the barriers of implementation.