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 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.

Construction of a competency index system for shift nurses in China: A Delphi study

“…Moreover, shift nurses should communicate not only with patients but also with nurses and clinicians. Nurse‐to‐nurse communication is more frequent during handover between shifts, and a study of the Annual Report on Quality and Safety ( 2007 ) made by the joint commission revealed that 70% of serious medical mistakes were directly caused by a communication breakdown between nurses during the so‐called “handover” process (Jimmerson et al, 2021 ). Communication between nurses and clinicians is also a topic of interest at home and abroad.…”

“…The iceberg model has been extensively applied and recognized in the nursing field and was used for the study of post competencies (Supamanee et al, 2011). Therefore, the knowledge, and Safety (2007) made by the joint commission revealed that 70% of serious medical mistakes were directly caused by a communication breakdown between nurses during the so-called "handover" process (Jimmerson et al, 2021). Communication between nurses and clinicians is also a topic of interest at home and abroad.…”

Perceptions of Patients and Nurses about Bedside Nursing Handover: A Qualitative Systematic Review and Meta-Synthesis

“…To the best of our knowledge, no meta-synthesis has been conducted specifically focusing on the perceptions of both patients and nurses. Furthermore, some new studies have been conducted since the publication of the aforementioned meta-synthesis [ 11 , 14 , 21 ].…”

“…Exploring and gaining a better understanding of patients' and nurses' perceptions about bedside handover can help identify the principles that should be considered when designing and implementing bedside handover protocols, with a focus on respectfully considering the preferences of both nurses and patients. Numerous qualitative studies have already explored the perceptions of nurses and patients regarding bedside handover in diferent clinical settings including acute care, medicalsurgical ward, emergency department, maternity, and cardiothoracic surgery [14][15][16][17][18][19]. Despite numerous studies on this topic, only one meta-synthesis has been conducted to evaluate and summarize the existing evidence, specifcally focusing on patients' perceptions [20].…”