References R
Why Bedside Shift Reporting is
Good!
Bedside shift report leads to many positive
outcomes for the patients and the staff.
Some benefits include:
 Patient participation in care. Including
patients and family members in care
decisions provides a sense of autonomy
and increase satisfaction (Baker 2014) .
 Patients are more educated about the
care they will receive (Baker 2014).
 Patients receive more prompt care due
to staff presence (Baker 2014).
 Being able to check and clarify
information between the oncoming
nurse and the offgoing nurse leads to
safer patient outcomes. Having a four
eye check decreases medication errors
and missing essential details for care
(Jeffs, et. al. 2013).
 Improves accountability and dyadic
relationships between staff members
(Gregory, et. al. 2014)
 Nurses are able to lay eyes on their
patients within the first 30 minutes
of their shift which allows for
prioritization (Reinbeck and
Fitzsimons 2013)
 Saved time and expenses by having
a strategic hand-off template (Ofori-
Atta, Binienda, and Chalupka 2015)
Baker, G. R. (2014). Evidence boost: a review of
research highlighting how patient
engagement contributes to improved
care. Canadian Foundation for
Managing Change
Healthcare Improvement
Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Towards Bedside Shift
Gamm, L. (2014). Bedside shift reports:
what does the evidence say?. Journal of
Nursing Administration, 44(10), 541-545.
Report
Hall, K., Romp, C. Bedside Shift Report: A Pilot
Evidence Base Practice Project. Poster
session presented at: Kentucky One
Health; 2014; Louisville, KT
Jeffs, L., Acott, A., Simpson, E., Campbell, H.,
Irwin, T., Lo, J., ... & Cardoso, R. (2013 ).
The value of bedside shift reporting
enhancing nurse surveillance,
accountability, and patient safety. Journal
of nursing care quality, 28(3), 226-232.
Ofori-Atta, J., Binienda, M., & Chalupka, S. (2015).
Bedside shift report: Implications for
patient safety and quality of
care. Nursing2018, 45(8), 1-4
Radtke, K. (2013). Improving patient satisfaction
with nursing communication using
bedside shift report. Clinical Nurse
Rrtrieved from: http://nursinglink.monster.com/benefits/articles/12450-
Specialist, 27(1), 19-25.
bedside-nursing-care-by-the-numbers
Reinbeck, D. M., & Fitzsimons, V. (2013).
Improving the patient experience through
bedside shift report. Nursing
management, 44(2), 16-17
A guide to moving forward
towards Bedside Shift
Reporting
By Anauja Bell

Retrieved from:https://www.americannursetoday.com/implementing-bedside-
shift-report/
Oppositional Barriers:
As with any policy there are common
concerns associated with Bedside Shift
Report. Some include confidentiality, privacy
issues related to patient diagnosis such as
drug abuse, patient sleeping, anxiety of
speaking in front of the patient and family
members, disclosure of new medications or
diagnosis not yet discussed with practitioner,
and staff participation (Radtke 2013). One of
the most important aspects to remember with
participation in bedside shift report is patient
situation. Every patient’s desires and
behaviors should be considered before
implementing this practice (Radtke 2013).
Recommedations and
Unit Thoughts: Considerations:
Three questions were generated and
According to general HCAHPS, many
addressed to ten staff members on
barriers to patient care include:
the unit. The questions and results
were as follows:
 Respect for patient preference
-“Do you feel bedside shift report  Providing education and
promotes patient safety?” 100% of communication
staff said yes.  Emotional Support
-“Do you feel bedside shift report is  Physical Comfort
beneficial to you as a medical  Including Family Members in
professional?” 60% said yes it is decisions (Baker 2014)
benificial to them and 40% said no
it is not beneficial. There are many recommendations
-“Do you feel like bed side shift regarding Bedside Shift Reporting. Here
report promotes patient satisfaction are some suggestions based on research:
outcomes overall?” 40% said yes it
improves outcomes and 60% said it  Nurses and technicians should ensure
does not improve outcomes. to adopt the format of reporting
through SBAR (Reinbeck and
Fitzsimmons 2013)
Pilot Bedside Studies Show…  Using the “assessment” phase of
SBAR to do a two person skin check,
This pilot study completed in Louisville, I.V fluid check, and relaying
Kentucky shows HCAHPS scores before and pertinent information about vital
after implementation of bedside shift report (Hall signs, tubes, invasive lines, surgical
and Romp, 2014) drains, urinary catheters, and venous
access devices (Ofori-Atta, Binienda,
and Chalupka 2015)
 Make sure patients are asked about
their questions and concerns
regarding care.This can be
implemented by using the
“background” phase of SBAR
(Ofori-Atta, et al 2015)
 Use three step process:
o Address five p’s: plan, potty,
position, possesions
o Manage up for oncoming
shift
o Update white boards and
Retrievedfrom:https://www.kentuckyonehealth.org/documents/posters/RESEARCH%20LOUISVI
current condition (Hall and
LLE%202014-%20Hall%20-Bedside%20Shift%20Report%20-Final_2.pdf Romp 2014)