Reimplementation of A Bedside Shift Report
Problem Statement
The underlying challenge experienced by most of the healthcare facilities when it comes to implementing bedside shift report is the lack of necessary skills and knowledge by nursing staff as well as the impact of changes it will bring after implementation to nursing practice. Direct care providers must stay engaged in the implementation process for this project change to bear fruits to unit-related outcomes of care and accessibility. Leadership commitment and program evaluation are what I believe this project proposal is going to provide to enhance change compliance and increased staff accountability. As a result, bedside shift report (BSR) has become a popular solution in most of the healthcare facilities nowadays as it improves patient satisfaction and ensures effective communication among families, patients and staffs (Dorvil, 2018).
Evidence-Based Literature about Bedside Shift Report (BSR)
American Nurses Association (2001) provides a plethora of evidence-based practice and even provides templates to use on their website, supporting nurses reporting the bedside. Their mission is to advance nursing to the highest standards possible by setting objectives and goals that enable them to help transform health care, and what better way to do that than by integrating nurse, patient, and family into report together. According to Dorvil (2018), BSR implementation comes with many benefits, primarily when caregivers use patient-centric innovative care to maintain quality of care. Hospital efforts in providing quality care are supported by evidence-based practice whereby promoting this excellence of service delivery yields more benefit to healthcare facilities as well as to the consumers of healthcare services (McAllen et al., 2018).
Pre-Implementation Plan
In this proposal, I have chosen Lewin’s theory of change, as it is rooted in social psychology. My BSR implementation aligns with this theory because it associated with aspects of behaviorism and developed an interest in Gestalt psychology (Rani, 2017). My BSR project proposal will follow the three stages proposed by Lewin that, first, I will unfreeze the current position, then shift the focus to the new situation and finally refreeze the new situation. Moving to a new situation and refreezing the new condition serves best as my initial survey analysis, which will help me develop the re-education training program for all involved stakeholders.
The BSR will incorporate the off-going and the on-coming nurse in the patient’s room, at the bedside. This measure will ensure that four eyes are laid on the patient to assess mentation, lines, drains, tubes, and drips/correct intravenous medication, as well as skin. While both nurses are doing this, they will integrate patient and family, if the patient should choose, listen, interject, and add to the chief complaint, history, concerns, and what the plan is for the patient. Overall, this clinical practice project’s goal is to increase safety while improving patient satisfaction and outcome (Rani, 2017).
Before laying the plan, I plan to consult with different stakeholders such as the CNO, supervisors, managers, assistant directors, division directors, and medical personnel in order to mirror the objectives of the proposal with the hospital nursing leadership. The BSR will be introduced to each department’s staff meeting through formal presentation and discussion to train and educate them about the overall design of the BSR project. For staff members to effectively adapt to the new change, nursing leaders will round twice daily at shift change to lending support and encouragement during the implementation process. Members of the leadership team will validate BSR competency from staff members after 60 days of implementation. In the form of periodic rounding, monitoring and supervision will take effect by the same nursing leadership to ensure all operations run smoothly and as projected. Before the implementation of the BSR proposal, I obtained ethical approval from the hospital ethics committee.
References
American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Nursesbooks. Org.
Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20.
McAllen, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., & Whiteman, K. (2018). Moving shift report to the bedside: An evidence-based quality improvement project. OJIN: The Online Journal of Issues in Nursing, 23(2).
Rani, M. (2017). Improving Patient Satisfaction with Nursing Communication in an Acute Care Setting.