B3a: Annotated Bibliography
Chaboyer, W., McMurray, A., Wallis, M. (2010). Bedside nursing handover: A case study. International Journal of Nursing Practice, 16, 27-34. doi: 10.1111/j.1440-172X.2009.01809.x
In this case study they observed 532 bedside handovers and they interviewed 34 nurses. These handovers provided opportunity for the off going nurse to introduce the oncoming nurse, for them to perform safety checks and medication checks. It was found that bedside nursing handovers improved accuracy, promoted patient centered care and improved service delivery
Clarke, D., Werestiuk, K., Schoffner, A., Gerard, J., Swan, K. (2012). Achieving the “perfect handoff” in patient transfers: building teamwork and trust. Journal of Nursing Management, 20, 592-598. doi: 10.1111/j.1365-2834.2012.01400.x
In this study they noted that there was an increase in inaccuracies of the handoff with
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30 patients pre-implementation and 30 patients post-implementation were surveyed. Nursing staff on the unit were also invited to participate in the surveys as well. Patients and nursing staff felt that bedside handoff had a positive impact on care.
Pothier, D., Pedro, M., Mutuzua, M., Alison, S., (2005). Pilot study to show the loss important data in nursing handover. British Journal of Nursing, 14(20), 1090-1095.
This study compares loss of information of three handover styles over 5 handover cycles. They found that a combined handover of verbal with use of a pre-prepared handover sheet resulted in the least information lost. The purely verbal handover resulted in the most information lost and in the fewest number of handoff cycles. Patient safety improves when there is less information lost from handover to handover.
Staggers, N., Benham-Huchins, M., Goncalves, L., Langford-Heermann, L., Exploring patient-centered handoffs in surgical oncology. (2013), Journal of Participatory Medicine,
The data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
Reading your post brought back memories working as a traveler nurse in California at Kaiser Permanete (KP). I believe KP is one of America 's leading nonprofit integrated health plan, well that was what drilled into our head during hospital orientation. One thing that I do remember and experienced for sure was that their main focus was on the health and well-being of its members, in disease prevention and patient education. The KP hospital I worked at was located in West Los Angeles, this particular facility had a primary care office, hospital and even an onsite pharmacy. One thing that as a floor nurse had to do with every patient upon discharge is to bring the patient a computer of wheels and set up their personal health records.
There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
Hi Mia, It is interesting to read how SBAR is utilized in other areas. AT YRMC in Yuma we use SBAR, but is relayed face to face or via phone. I agree with you that although it is a convenience to have the patient’s information faxed from the ED to the floor the patient is going to, I can see where this can pose a problem. There are many obstacles that the nurse may face in receiving or relaying a patient hand-off, these being “communication challenges [which] can be a result of human factors, such as poor communication skills; lack of resources to support communication training; lack of support for active communication in the clinical setting; or an inappropriate environment for handoff due to interruptions” (Cudjoe, 2016, p.1) all factors
The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
The bedside nurse manages writing and updating the whiteboard each day using a templated board, the displayed information includes day and date, the names of the patient, bedside nurse, and primary and attending physician, family member 's phone number, diet, pain management and mobile numbers for Nurse, Charge Nurse and Nurse Assistant. This simple strategies is driving our thresholds to our benchmarks at an accelerated
A was mobilised by the physiotherapists the day after her operation with a zimmer frame and assistance of two. As Mrs. A was previously independent with no aids to help her walk she would need intensive physiotherapy to get her back to her baseline. Mrs. A was discharged to a community hospital on a rehabilitation ward five days are being admitted, (Ojomo,2004) defines communication as the process of sharing ideas, feeling thoughts and messages with others. Good communication skills is a key Part of nursing, it helps to keep the patient safe and to deliver appropriate care to the patient. Without good communication skills could mean to cause harm to the patient unintentionally.
Kerr (2002), reports that if there is a structured handover method the quality of care is promoted and nurses will have a full understanding and knowledge about the patients. Glen (1998) also discussed the importance of having a structured handover process stating that it will lead to an development in the quality of care delivered (K. Chung, 2011). The literature review reveals bedside theme emerged from nursing handover. The current research available may not be substantial but it does indicate support from the large amount of anecdotal evidence which claims that nursing bedside handover is an effective form of handover process.
Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.
With the use of consistent handoff tools, there is likely not a missing piece of information that leaves the receiving nurse with gaps in any information. The inconsistency of use of different tools such as SBAR (Situation-Background-Assessment-Recommendation) or electronic handoff methods is where information gets lost. The use of SBAR is commonly used to maintain uniform communication. In example of the use of SBAR against the situation mention earlier, the known history of imprisonment with bloody sputum were not mentioned in the background or assessment piece of handoff. Not only did this impact patient safety but also the safety of nursing staff.
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Points of care solutions are medical diagnostic testing or documentation done at the patient 's bedside. At my work we us point of care documentation, meaning that the nurses do their documentation in the patient 's room. Research shows that point of care solutions “reduces inefficiencies, decreases the probability of errors, promotes information transfer, and encourages the nurse to be at the bedside” (Duffy&Kharasch, 2010). However, point of care services has been reported by patients to make them feel alienated for their care providers because the nurse 's attention is on their charting and not the patient (Duffy&Kharasch, 2010). This has the potential to “compromise the nurse-patient interaction” (Duffy&Kharasch, 2010).
Bedside shift reporting is used in many health care facilities to promote a beneficial handoff for both patients and nurses. This type of reporting is an important process in clinical nursing practice because it allows staff to exchange necessary patient information to guarantee continuity of care and patient safety. “Moving the change-of-shift handoff to the patient’s bedside allows the oncoming nurse to visualize the patient as well as ask questions of the previous nurse and the patient” (Maxon, Derby, Wrobleski, & Foss, 2012). The standardization of shift handovers was identified as one of the 2009 National Client Safety Goals from The Joint Commission (TJC).
Kaidence Vaughn BSN 415: Sentinel Hospital Professor Yvonne Myette July 28th, 2023 Introduction As the charge nurse at Sentinel Hospital, I hold a critical and rewarding role in overseeing and coordinating the nursing staff and patient care. This position brings a mix of emotions, from a sense of responsibility and pride in contributing to patient care and unit efficiency to moments of stress and pressure in ensuring tasks are appropriately assigned and nurses are adequately supported. Open communication plays a pivotal role in this role, as I strive to maintain clear lines of communication with the nursing team, addressing their concerns, and providing necessary support to foster a cohesive work environment. In this reflective essay, I will delve into my experiences and the lessons learned concerning delegation, caseload management, and advocacy, as well as explore the positive impacts and potential areas for improvement in my practice.
Teamwork, communication and delegation in nursing are variables dependent on one another in order to be successful. This post is the first in a series on nursing delegation in which we will discuss the team nursing model, the RN 's role in delegation, and how effective communication fosters successful teamwork which leads to better outcomes for patients and employees. Detailed and timely communication among registered nurses (RNs) and other team members such as UAP, leads to improved quality measures and outcomes. In fact, studies have shown that negative outcomes were often linked to an error in communication.