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Are You READY? Jessica Edwards, RN, BSN Connie Lindsey, RN, MSN Ann Reed, RN, MSN Iva Scroggins, RN, BSN Emily Snider, RN, BSN Tracy Tidwell, RN, MSN,

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Text of Are You READY? Jessica Edwards, RN, BSN Connie Lindsey, RN, MSN Ann Reed, RN, MSN Iva Scroggins, RN,...

  • Are YouREADY?Jessica Edwards, RN, BSNConnie Lindsey, RN, MSNAnn Reed, RN, MSNIva Scroggins, RN, BSNEmily Snider, RN, BSNTracy Tidwell, RN, MSN, CPNPChristy Zarski, RN

    Le Bonheur Childrens Medical CenterMemphis, TN

    Service, Quality, Integrity, Teamwork

  • Our storyRecognized high level of family stress

    Families continually voiced feeling of loss of control

    Desire to improve patient/family satisfaction

    Service, Quality, Integrity, Teamwork

  • READYto Make a Change?Problem:Nurses on 5-South were frustrated with method of reporting and low patient satisfaction scores

    Families on 5-South were frustrated with lack of information and ability to influence plan of care

    Unit as a whole realized that we needed to focus more on involving the parent/patient in the decision process

    Bedside Nurse-to-Nurse Report was one of the methods selected to begin our NEW way of looking at things

    Service, Quality, Integrity, Teamwork

  • Why we do what we do A Picture Tells It AllParents/Caregivers know their children best.Involving the family in the care plan instills trust and cooperationEveryone has a need to feel involved and important

    Service, Quality, Integrity, Teamwork

  • Are You READY? WE AREBedside Nurse to Nurse Report Is A Great Method of Practicing Family-Centered Care

    R Reassures patients and caregivers that we work as a teamE Ensures interaction between staff and caregivers A Ability to visualize and prioritize careD Decrease caregivers anxiety over plan of careY Yields happier staff, patients, and families!

    Service, Quality, Integrity, Teamwork

  • Our Research TeamA group of nurses were selected from the neuroscience unit that all showed interest in being leaders to implement change & were interested in family centered care.

    ADN, BSN, and MSN prepared nurses

    Staff nurses, patient coordinators, director, upper management and nurse practitioner

    Various levels of experience on neuroscience unit

  • Bedside Report DesignA retrospective analysis to analyze data from the previoussix month of patient satisfaction surveys

    A retrospective analysis of clock-out times of 5S RNs over a six month period

    A prospective analysis using convenient sampling to collect data from the patient satisfaction surveys

    Nurses were asked to complete a questionnaire prior to and six months after the implementation of bedside reporting

    Data was statistically compared to determine, if any, correlation existed between bedside reporting and patient satisfaction surveys

  • Data Analysis: Bedside ReportAnswers to the patient satisfaction survey were collected and plotted by the QI department to determine if there was increase in satisfaction after implementation of bedside reporting

    Answers obtained from nursing questionnaires were evaluated to determine if RN satisfaction with the reporting system improved after implementation of bedside reporting

  • Measurement ToolsPatient Satisfaction Surveys

    How would you rate concern of the nursing unit staff for your requestsHow would you rate the availability of your childs nursesHow well did nurses keep you informed about your childs treatment and conditionDid the staff on your nursing unit show respect for you and your childs needsHow would you rate the overall teamwork of the hospital staff who took care of your child

  • Concer of nursing staff request

    92.1

    95.3

    89.5

    92.9

    87.1

    91.65

    92.1

    91

    100

    88.5

    97

    93

    Months

    Percent

    How would you rate the concern of nursing unit staff for your requests

    Sheet1

    Data Sheet

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    How would you rate concern of nsg unit staff for your requests92.195.389.592.987.191.792.191.0100.088.597.093.0

    How would you rate the availability of your childs nurses86.690.686.992.987.191.792.191.0100.088.597.093.0

    How well did nurses keep you informed about your child's treatment and condition79.781.386.090.590.387.5100.094.0100.093.094.0100.0

    Did the staff on your nsg unit show respect for you and your child's needs90.687.591.295.393.195.7100.0100.0100.097.0100.0100.0

    How would you rate the overall teamwork of the hospital staff who took care of your child81.384.486.090.590.383.384.2100.0100.087.094.0100.0

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    92.195.389.592.987.191.792.191.0100.088.597.093.0

    Sheet2

    Sheet3

  • Nurses Availability

    86.6

    90.6

    86.9

    92.9

    87.1

    91.65

    92.1

    91

    100

    88.5

    97

    93

    Months

    Percent

    How would you rate the availability of your child's nurses

    Sheet1

    Data Sheet

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    How would you rate concern of nsg unit staff for your requests92.195.389.592.987.191.792.191.0100.088.597.093.0

    How would you rate the availability of your childs nurses86.690.686.992.987.191.792.191.0100.088.597.093.0

    How well did nurses keep you informed about your child's treatment and condition79.781.386.090.590.387.5100.094.0100.093.094.0100.0

    Did the staff on your nsg unit show respect for you and your child's needs90.687.591.295.393.195.7100.0100.0100.097.0100.0100.0

    How would you rate the overall teamwork of the hospital staff who took care of your child81.384.486.090.590.383.384.2100.0100.087.094.0100.0

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    286.690.686.992.987.191.792.191.0100.088.597.093.0

    Sheet2

    Sheet3

  • Service, Quality, Integrity, Teamwork

    Show Respect

    90.6

    87.5

    91.2

    95.3

    93.1

    95.7

    100

    100

    100

    97

    100

    100

    Months

    Percent

    Did the staff on your nursing unit show respect for you and your child's needs

    Sheet1

    Data Sheet

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    How would you rate concern of nsg unit staff for your requests92.195.389.592.987.191.792.191.0100.088.597.093.0

    How would you rate the availability of your childs nurses86.690.686.992.987.191.792.191.0100.088.597.093.0

    How well did nurses keep you informed about your child's treatment and condition79.781.386.090.590.387.5100.094.0100.093.094.0100.0

    Did the staff on your nsg unit show respect for you and your child's needs90.687.591.295.393.195.7100.0100.0100.097.0100.0100.0

    How would you rate the overall teamwork of the hospital staff who took care of your child81.384.486.090.590.383.384.2100.0100.087.094.0100.0

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    90.687.591.295.393.195.7100.0100.0100.097.0100.0100.0

    Sheet2

    Sheet3

  • Service, Quality, Integrity, Teamwork

    Informed about tests and treatm

    79.7

    81.3

    86

    90.5

    90.3

    87.5

    100

    94

    100

    93

    94

    100

    Months

    Percent

    How well did nurses keep you informed about your child's treatment and condition

    Sheet1

    Data Sheet

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    How would you rate concern of nsg unit staff for your requests92.195.389.592.987.191.792.191.0100.088.597.093.0

    How would you rate the availability of your childs nurses86.690.686.992.987.191.792.191.0100.088.597.093.0

    How well did nurses keep you informed about your child's treatment and condition79.781.386.090.590.387.5100.094.0100.093.094.0100.0

    Did the staff on your nsg unit show respect for you and your child's needs90.687.591.295.393.195.7100.0100.0100.097.0100.0100.0

    How would you rate the overall teamwork of the hospital staff who took care of your child81.384.486.090.590.383.384.2100.0100.087.094.0100.0

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    379.781.386.090.590.387.5100.094.0100.093.094.0100.0

    Sheet2

    Sheet3

  • Service, Quality, Integrity, Teamwork

    Overall Teamwork

    81.3

    84.4

    86

    90.5

    90.3

    83.3

    84.2

    100

    100

    87

    94

    100

    Months

    Percent

    How would you rate the overall teamwork of the hospital staff who took care of your child

    Sheet1

    Data Sheet

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    How would you rate concern of nsg unit staff for your requests92.195.389.592.987.191.792.191.0100.088.597.093.0

    How would you rate the availability of your childs nurses86.690.686.992.987.191.792.191.0100.088.597.093.0

    How well did nurses keep you informed about your child's treatment and condition79.781.386.090.590.387.5100.094.0100.093.094.0100.0

    Did the staff on your nsg unit show respect for you and your child's needs90.687.591.295.393.195.7100.0100.0100.097.0100.0100.0

    How would you rate the overall teamwork of the hospital staff who took care of your child81.384.486.090.590.383.384.2100.0100.087.094.0100.0

    June 2007July 2007Aug 2007Sept 2007Oct 2007Nov 2007Dec 2007Jan 2008Feb 2008Mar 2008Apr 2008May 2008

    81.384.486.090.590.383.384.2100.0100.087.094.0100.0

    Sheet2

    Sheet3

  • Service, Quality, Integrity, Teamwork$18,494$12,019

    Nursing Hours Over Shift

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