Making The Transition To Nursing Bedside Shift Reports
Making The Transition To Nursing Bedside Shift Reports
Making The Transition To Nursing Bedside Shift Reports
Shift Reports
Authors: Wakefield, Douglas S.; Ragan, Roland; Brandt, Julie; Tregnago, Megan
Source: Joint Commission Journal on Quality and Patient Safety, Volume 38, Number 6,
June 2012 , pp. 243-253(11)
Publisher: Joint Commission Resources
Abstract:
Background: For hospitalized patients, shift handoffs between the offgoing and oncoming
nurses, as represented in nurse shift reports, must include all critical information about a
patient's plan of care, and that information must be well communicated. Few studies have
provided the longitudinal results of the transition to bedside shift reports, and most of the data
concern relatively short follow-up periods. A 20-bed inpatient nursing unit in a Midwestern
academic health center made the transition to conducting nursing shift reports at the patient's
bedside.
Methods: Preparatory work for designing the bedside shift report process, which began in
February 2009, included examining baseline patient satisfaction scores, reviewing the
existing shift report processes, and identifying potential barriers and facilitators in moving to
bedside shift reports. Unitwide implementation of the new bedside shift report process began
in June 2009. In the redesigned process, offgoing nurses were required to ask patients to write
down any questions they would like to ask during the shift report.
Results: For the first six months following implementation of bedside shift reports, there
were significant increases in six nurse-specific patient satisfaction scores (scores in- creased
at least 8.7 points, and percentile rankings increased from the 20th to > the 90th percentile
when compared with similar nursing units in peer institutions). Longer-term results reflected
subsequent declines and substantial month-to-month variation.
Conclusions: Although the transition to bedside shift reports met with some resistance, the
transition was made smoother by extensive planning, training, and gradual implementation.
On the basis of this pilot study, the decision was made to adopt bedside shift reports in all
inpatient nursing units in each of the system's five hospitals.
Document Type: Research article
Publication date: 2012-06-01