Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Robert L. McWhirt

Abstract

AbstractNursing shift reports are the primary communication mechanism for outgoing nurses to transfer information about a patient to oncoming nurses. Nurse shift reports and nurse handovers are two of the most critical patient care processes that can support patient safety and reduce medical errors. But many nurses do not recognize the evidence supporting the practice of bedside reporting (BSR). In response to this practice problem, this project involved education on the importance of BSR on a telemetry unit in line with the best available evidence. The goal of the staff education project was to educate the staff on the value of BSR processes in delivering patient care. The project question addressed whether continuing education on the importance of BSR would enhance nurse’s awareness of the evidence to support compliance with BSR. The project was guided by the theory of Malcolm Knowles promoting the fundamentals of evidence-based research and positive patient outcomes in the profession. An educational intervention on BSR was provided to a sample of 15 nurses on a 26-bed telemetry unit. The sample scored an average of 39.0 on the pretest and 47.27 points on the posttest. There was 8.27-point increase, which was statistically significant (p = 001). This project promotes social change by improving nurses’ knowledge of the impact of a bed shift reporting system on patient safety, communication improvement, quality of care, and patient involvement for different types of handoff practices within various care units and organizational settings. An anticipated outcome of this project is the improvement in the quality of care and safety of patients by integrating them into a culture of safety at all levels of health care.

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