Date of Conferral
Doctor of Nursing Practice (DNP)
Evidence supports bedside report as a mechanism to improve communication, patient safety, quality of report, and nurse and patient satisfaction when implemented in a closed unit. The purpose of this project was to examine the impact of implementing a bedside report process to transition patients from the emergency department to a medical-surgical unit. Specifically, the goal was to analyze the impact of a bedside- reporting process on patient progression and on nurse and patient satisfaction. Lewin's change model provided the theoretical framework for this quasi-experimental study. Patient progression data consisted of 706 patient transitions from the emergency department to the medical-surgical unit. Pre and post implementation survey responses from 87 patients and 61 nurses comprised the patient and nurse satisfaction data. The data were evaluated through multiple t test analyses. Patient progression times improved significantly post implementation of the bedside report process (p < .05). Nursing satisfaction, quality of report, and safety information were gathered using the Transfer Report Communication Survey. There was statistically significant improvement in survey scores for perceived openness and ease of communication, nurses' perception of the accuracy of information exchanged, and the ability to understand the reported patient information after bedside report was implemented (p < .05). Assessment of patient satisfaction via the Hospital Consumer Assessment of Healthcare Providers and Systems survey noted no improvement in patient satisfaction during the project timeframe (p < .05). These findings may promote positive social change by improving patient care transitions and improving safety in acute care patient transfers.