Are You
READY?Jessica Edwards, RN, BSNConnie Lindsey, RN, MSN
Ann Reed, RN, MSNIva Scroggins, RN, BSNEmily Snider, RN, BSN
Tracy Tidwell, RN, MSN, CPNPChristy Zarski, RN
Le Bonheur Children’s Medical CenterMemphis, TN
Service, Quality, Integrity, Teamwork
Our story…
•Recognized high level of family stress
•Families continually voiced “feeling of loss of control”
•Desire to improve patient/family satisfaction
Service, Quality, Integrity, Teamwork
READY…to 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 ARE…Bedside Nurse to Nurse Report Is A Great Method of Practicing Family-
Centered CareR Reassures patients and
caregivers that we work as a team
E Ensures interaction between staff and caregivers
A Ability to visualize and prioritize care
D Decrease caregivers anxiety over plan of care
Y Yields happier staff, patients, and families!
Service, Quality, Integrity, Teamwork
Our Research Team
A 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 Design
A retrospective analysis to analyze data from the previoussix month of patient satisfaction surveys
A retrospective analysis of clock-out times of 5S RN’s 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 Report
Answers 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 Tools
Patient Satisfaction Surveys
How would you rate concern of the nursing unit staff for your requests
How would you rate the availability of your child’s nurses How well did nurses keep you informed about your child’s
treatment and condition Did the staff on your nursing unit show respect for you and your
child’s needs How would you rate the overall teamwork of the hospital staff
who took care of your child
How would you rate the concern of nursing unit staff for your requests
70.075.080.085.090.095.0
100.0
Months
Perc
ent
How would you rate the availability of your child's nurses
70.075.080.085.090.095.0
100.0
Months
Perc
ent
Service, Quality, Integrity,
Teamwork
Service, Quality, Integrity,
Teamwork
Service, Quality, Integrity,
Teamwork
Service, Quality, Integrity,
Teamwork
$18,494
$12,019
Service, Quality, Integrity,
Teamwork
Nurse Satisfaction
1.50
1.90
2.30
2.70
3.10
3.50
3.90
The currentsystem ofreport is alearning
opportunity forme
The length ofreport is an
effective use ofmy time
Interpersonalrelationships
between shiftsare good
The patient'scondition
matches what Iget in report
The currentsystem of
report fosters apartnership
betweennurses,
patients, andtheir caregivers
Question
Scal
e
Pre Bedside Report
Post Bedside Report
Advantages of Bedside Report
AccountabilityRelay accurate information on patientBoth nurses visualize patientIncreased patient and family involvement
Service, Quality, Integrity, Teamwork
Disadvantages of Bedside Report
Time consuming when staffing does not permit a free charge nurse
Some families not receptive
Outcomes of Bedside Report
Increase in Satisfaction of Patients/Parents/Caregivers
Increase in Satisfaction of Nurses
Decrease in the amount of time Nurses stayed “Over Shift”
Future Recommendations
Add other elements such as 100% Utilization of Updating White Boards
during Bedside Report Computer Documentation Check Ongoing evaluation of ways to engage
parental/patient involvement in the formal plan of care
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