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Full reference for article (APA Format)

Purpose

Research Method

Participants

Data Collection

Study Findings

Limitations

Relevance to PICOT

Rush, S. (2014). Bedside reporting: Dynamic dialogue. Nursing Management, 43(1), 40-40. doi:10.1097/01.NUMA.0000409923.61966.ac

The study focused on increasing patient satisfaction and safety

through bedside reporting at Catholic Healthare West (CHW).

Qualitative Research

Participants included hospital staff, leaders, and patients.

Nurse supervisors observed bedside reporting at change of shift. They then filled out a questionnaire that had to be checked off to ensure bedside reporting was done correctly.

Bedside reporting made a positive impact in the hospital. Its success was witnessed by nurse leadership rounding on patients in the hospital.

The sample of participants was small and only one department of the hospital was used.

The findings conclude the positive outcomes on patient satisfaction with bedside reporting.

Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients' opinions. International Journal of Nursing Practice, 20(5), 451-459. doi:10.1111/ijn.12158

Evidence proves bedside reporting is beneficial. This study tries to develop a protocol for nurses to follow when shift report is given at bedside.

Qualitative research.

A sample of 30 admitted, consenting patients were used. The patients were admitted to one of the three departments where the process of bedside report had been implemented for at least one year.

All data was collected from the answers from the patients through audio-recorded interviews. A research assistant and a registered nurse were present in the interview.

Four essential components came out of the study. Some regarded patient feelings and some regarded possible changes. Patients felt bedside reporting was ‘effective and personalized’ (1). They felt empowered in their care (2). Some felt their privacy was at jeopardy (3), thus allowing for training (4) in this sensitive matter.

The study was limited to three departments in the hospital and no clear generalizability came out of it. Sample collected was small.

Patients feel a sense of empowerment when having some control over their plan of care. It is important for staff to have training in proper communication and sensitive topics at bedside.

Schirm, V., Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A research and evidence-based practice initiative. Applied Nursing Research, 40, 20–25. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.apnr.2017.12.004

The purpose of the study was to assess the nurses’ point of view regarding bedside reporting (BSR).

Qualitative Research

A survey for a 15-item questionnaire and some open- ended questions. Out of 2705 nurses that received the survey, 791 nurses took part in.

Data from the 15-item questionnaire was assessed and analyzed.

Feelings and satisfaction about BSR varied by the unit the RN worked in. Changes to BSR may be required in order to promote success.

This study to evaluate nurses' perceptions of BSR was limited to only one point. The unpredictable setting created variability in implementing BSR.

Bedside reporting can be beneficial but can vary from nurse to nurse interaction and nurse to patient interaction, depending on the acuity of the unit.

Yu, M., Lee, H., Sherwood, G., & Kim, E. (2018). Nurses' handoff and patient safety culture in perinatal care units: Nurses' handoff evaluation and perception of patient safety culture at delivery room and neonatal unit in south korea. Journal of Clinical Nursing, 27(7-8), 1450. doi:10.1111/jocn.14260

The purpose of this study was to observe and evaluate the method of the handoff process between nurses at change of shift in delivery rooms and neonatal units.

Cross‐sectional descriptive study.

Participants included 291 nurses.

The nurses completed a self‐reporting questionnaire. Their responses were collected and analyzed for demographic data and what is currently done at bedside for patient reporting. Nurses’ responses were evaluated using descriptive statistics.

The questionnaire concluded that a standardized checklist should be developed.

The study was limited to communication between two departments only. Some of the questionnaires were not completed fully.

It is important to develop a standardized handoff checklist so that each nurse and patient touch on every point in the handoff process. 

Malfait, S., Eeckloo, K., Lust, E., Van Biesen, W., & Van Hecke, A. (2017). Feasibility, appropriateness, meaningfulness and effectiveness of patient participation at bedside shift reporting: Mixed-method research protocol. Journal of Advanced Nursing, 73(2), 482-494. doi:10.1111/jan.13154

The purpose of this study was to address the significance of how bedside reporting can improve patient care, communication and patient participation. 

Mixed method – Qualitative and Quantitative

Quality coordinators, CNO’s and other nursing management. Admitted, conscious patients.

Quantitative data were collected by questionnaires. Qualitative data were collected through observations, interviews.

Preliminary results indicated that BSR decreased safety incidents.BSRs also positively influenced staff satisfaction.

The partaking units offered different specialized care. The effects between geriatric, revalidation and surgical/internal units are different. Statistical examination on this population were not explored.

This study encourages the benefits for the nurse and patient when giving report at bedside.

Bigani, D. K., & Correia, A. M. (2018). On the Same Page: Nurse, Patient, and Family Perceptions of Change-of-shift Bedside Report. Journal of Pediatric Nursing, 41, 84–89. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.pedn.2018.02.008

The purpose of this study was to analyze the relationship dynamic between nurse, patient, and family in regards to BSR in a pediatric unit.

Qualitative Research

120 nurses on with varying years of experience.

Data was collected through 40 interviews in which participants were given a questionnaire.

The study resulted with positive feedback, consistent with BSR contributing to effective communication and an increase in patient safety.

The study is limited in its small sample size and the generalizability. Furthermore, the questionnaire did not get tested for reliability and validity

Bedside reporting contributes to safety and good patient outcomes.

Popik, M., Cleveland Clinic Marymount Hospital, Garfield Heights, Ohio, Fritzsche, P., & Hurless, M. (2019). Bedside handoff report to improve communication: Pacu and receiving medical/surgical unit. Journal of Perianesthesia Nursing, 34(4), 5. doi:10.1016/j.jopan.2019.05.020

The main focus was to promote teambuilding and improve the patient experience during the postoperative phase of care.

Qualitative Research

PACU RN’s and medical-surgical RN’s, nurse leaders, and patients

PACU and medical/surgical nurses were observed using a handoff communication tool. They were tracked and reported monthly in Performance Improvement Manager (PIM). Set goal was greater than or equal to 90%.

PACU nurses were much more open to comply with BSR, especially when achieving their target of 90% patient satisfaction.

This research was limited to one department in the hospital. Not all shifts were taken into account.

This article is a reminder of the importance of BSR, but also helps in promoting teamwork.

White-Trevino, K., & Dearmon, V. (2018). Transitioning nurse handoff to the bedside: Engaging staff and patients. Nursing Administration Quarterly, 42(3), 261-261.

The study explains the process undertaken to implement a structured, patient-centered report in the ED.

Qualitative research

39-bed unit. 46 ED RN’s participated. 

Observation and goals were assessed over a 3 month period. SBAR-T handoff was used, along with a competency checklist.

Patients report satisfaction with the bedside report and with nurse communication. Although, patient engagement varied by where the nurses stood when giving report (had their backs to the patient, or stood across from patient, fixated on the computer).

Sampling bias may have occurred, since observations did not include all shift changes and consisted of a small sampling of handoff observations. 

Bedside reporting is beneficial to both parties, the RN and the patient, but RN’s need to be cognizant of their nonverbal communication when reporting.

Ford, Y., & Heyman, A. (2017). Patients' perceptions of bedside handoff: Further evidence to support a culture of always. Journal of Nursing Care Quality, 32(1), 15-24. doi:10.1097/NCQ.0000000000000201

The purpose of this study was to address the positive correlations between bedside handoff and patients' satisfaction.

Qualitative Research

A survey was conducted on five inpatient adult medical-surgical units, each ranging from 26-46 beds, at a hospital in the Midwestern United States.

Through a questionnaire, patients were asked to evaluate their hospital stay. They were asked 11 questions, mostly pertaining to report hand-off.

Even though the goals were not met, there was a substantial improvement in favor of bedside handoff from patients.

The sample of the patients chosen was small, exclusively from one unit. The sample may have limited the generalizability of the findings.

When it comes to patient satisfaction, bedside reporting is subjective to the patient but the findings do correlate patient satisfaction to bedside handoff.

Usher, R., Cronin, S., & York, N. (2018). Evaluating the influence of a standardized bedside handoff process in a medical–surgical unit. The Journal of Continuing Education in Nursing, 49(4), 157-163. doi:10.3928/00220124-20180320-05

The purpose of the study was to evaluate the influence of a standardized bedside handoff process in a medical-surgical unit.

Qualitative Research

32 nurses, varying ages from 25 to 44, mostly women, and bachelor’s prepared.

Nurses were observed at bedside handoff using the SBAR(T) competency checklist. Their behavior was then evaluated for quality, consistency, and thoroughness in their delivery.

There was no significant change in the scores when using the SBAR(T) pre and post using the standardized checklist. However, the mean increased toward improvement using the standardized checklist.

The sample was small. If standardized bedside handoff will be implemented, a larger sample is needed hospital wide.

This study was specific to a standardized bedside handoff. Evidence proves BSR is beneficial to patient and nurse. Should we focus on standardizing the handoff process?