Date of Conferral

11-15-2024

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Mary Garner

Abstract

The implementation and sustainability of evidence-based practices (EBP) in the nursing workflow are essential for the continual improvement of care. Though bedside shift report (BSR) was initially introduced in three hospitals in southeast Texas in 2019 and has been reimplemented three times since, BSR remains an inconsistent practice. BSR has been shown to improve patient satisfaction and patient outcomes and increase nurse engagement. The purpose of this Doctor of Nursing Practice (DNP) project was to provide interactive education for nurse leaders on the importance of BSR and the critical nature of their role in overseeing and sustaining this practice. The practice question addressed whether an educational intervention can significantly enhance the understanding of the relationship between bedside shift reports and improved patient care and enhance nurse leaders’ commitment to maintaining the practice. The education consisted of a preassessment questionnaire regarding attitudes and beliefs regarding BSR, a presentation with role-play on nursing leadership’s role in sustaining the EBP, and a postevaluation to assess the effectiveness of the program. Descriptive statistics were used to evaluate the collected data. Prior to the program, 90% of participants indicated that they believed they understood the purpose of BSR, and 30% reported doing BSR. The posteducation results demonstrated that 100% agreed on the purpose and importance of BSR but revealed that there continued to be identified barriers to the sustainability of the practice. The issue of consistency is not knowledge-related. Addressing structural barriers such as time constraints, staffing, leader rounding, and performance reviews may be needed. The contribution of this project to social change is the continued reinforcement of best practices for all patients, thus contributing to diversity, equity, and inclusion.

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