Nursing Capstone Change Proposal

Running head: CAPSTONE PROJECT BSR Capstone Project Topic 1 CAPSTONE PROJECT 2 BSR Capstone Project

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Initiative Bedside shift report (BSR) is an exercise that enhances patient security, as well as improves the nature of care and lessens unnecessary human services expenses. It is one of the numerous systems healthcare facilities around the United States are taking to enhance patient security and also experience and contribution in their caring. Apart from being evidence-based practice, BSR is additionally observed to improve patient fulfillment scores, particularly on the communication with nurses. The objective behind this capstone is to assess the nurses’ attitudes after the usage of bedside shift report at a nearby healthcare facility. Additionally, it will evaluate the utilization of BSR with the help of the Logic Model. Setting The capstone undertaking will be followed on all the nursing units at 120-bed teaching on a local healthcare facility. The different units at this health center will be an emergency department, two intensive care units, an orthopedic unit, a birthing center, and pediatric unit, and lastly a medical telemetry unit. Description Patient safety is an essential issue in all parts of healthcare facilities. It is directly influenced by medical errors Poor or insufficient communication among the healthcare providers is one of the significant reasons for medical errors. BSR does not give nurses a chance to evaluate their patient with an associate outwardly and additionally incorporates patients in the exchange of their care services. Communication and medical errors profoundly affect patient safety daily. By diminishing these preventable errors, hospitals can enhance patient safety, CAPSTONE PROJECT 3 diminish high healthcare costs, and enhance patient fulfillment scores. BSR is one of the numerous ways that medicinal and communication errors can be decreased. Impacts The following are the impacts to the healthcare: a) Reduced time spent in shift report. b) Enhance patient with knowledge for their disease and care process. c) Reduced communication errors among providers. d) Nurses are encouraging each other to exercise shift report at the bedside. e) Nurses will exercise BSR during shift change. Significance Patient safety in the healthcare facility is a public health problem. This subject has numerous ramifications for general society, for medicinal services providers, therapeutic costs, and human services repayment. BSR is one strategy that influences all parts of patient security. The Agency for Healthcare Research and Quality (AHRQ) evidence that BSR is useful to all patients since it enhances these four critical areas: accountability and time management between nurses, nursing staff satisfaction, patient experience of care, patient quality and safety. Patient experience of care, patient safety, and quality are major essential parts and profoundly impact public health. As evident by many healthcare that has established BSR, it enhances the power of strengthening patient-nurse relationships (Agency for Healthcare Research and Quality, 2013). Proposal It will be essential if various units build up a standard report sheet that each nurse will pursue. Making a lanyard that medical attendants could bear on their identifications will be another idea. The SBAR identification lanyard will be a visual suggestion to the nurses who CAPSTONE PROJECT 4 might not feel sure when giving the patient report, or for those who often neglect to give report utilizing SBAR. There may likewise be a requirement for additional training for the nurses on the SBAR afresh. Articles Summary 1. Williams, C. L. (January 03, 2018). A Comparison of the Risks and Benefits of Nursing Bedside Shift Report vs. Traditional Shift Report: A Systematic Review of the Literature. International Journal of Studies in Nursing, 3, 2, 40. The study compares the risks and benefits of BSR against traditional shift report (TSR). For a legitimate evidence-based outline, the findings were analyzed, and efficiently pieced utilizing the best four levels of evidence-based measures. Some of the examples provided by the article are risks of shift report and communication. It stresses the fact that guaranteeing appropriate correspondence is an essential part of nursing practice. It provides evidence backings on the utilization of BSR to decrease therapeutic errors, dangers, and enhance the care quality. 2. Ghosh, K., Curl, K., Goodwin, M., Morrell, P., & Guidroz, P. (2018). An exploratory study on how to improve bedside change-of-shift process: Evidence from one hospital using technology to support verbal reporting. Hawaii International Conference on System Sciences, 3180-3187.Available at: https://doi.org/10.24251/HICSS.2018.401 The article emphasizes the inefficiency in communication which massively adds to medical errors, inflicting patient safety, and care quality. The article uses qualitative content and thematic analysis to provide a clear proof on the importance of implementing CAPSTONE PROJECT 5 Bedside Change-of -Shift Process. Provides some information on why communication failures leading to medical errors ranked third cause of deaths in the U.S. Yes, it does support my topic since it emphasizes the need to Improve Bedside Change-of -Shift Process. 3. Miller, K. BA., Hamza, A., Metersky, K., Gaffney, D, M. (2018). Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals. Patient Experience Journal: Vol. 5: Iss. 1 , Article 12. Available at: http://pxjournal.org/journal/vol5/iss1/12 The article emphasizes the need to improve the quality and safety of the patient experience and patient care via the patient’s engagement and bedside implementation. The article uses qualitative in establishing more profound comprehension of the effect and issues of bedside TOA for both patients and nurses. It provides patient engagement, communication, a patient experience which will be the central part of the capstone project. The article is in line with the proposed essence of BSR implementation by highlighting the importance and challenges in implementing bedside TOA from both patients/family members and nurses perspectives. 4. &NA;,. (January 01, 2014). Improving Client and Nurse Satisfaction Through the Utilization of Bedside Report. Journal for Nurses in Professional Development, 30, 4. Available at https://nursing.ceconnection.com/ovidfiles/01709760-201407000-00002.pdf It evaluates bedside report as a way of determining whether evidence support its utilization as a fundamental shift handover exercise that advances wellbeing and CAPSTONE PROJECT 6 encourages customer and medical attendant satisfaction. It used different evidence-based literatures that relates to BSR importance to the patients and the nurses. It provides client safety and satisfaction, communication errors and teamwork. It supports my research by providing BSR implementation through Lewin’s Theory of Planned Change. 5. Gregory, S. Tan, D. Tilrico, M. Edwardson, N. & Gamm, L. (2014). Bedside shift reports: What does the evidence say? The Journal of nursing administration, 44(10),541545. DOI: 10.1097 /NNA.0000000000000115. Retrieved from: http://www.researchgate.net/publication/265516718_Bedside_Shift_Reports_What_Does theEvidenceSay The article outlines a deliberate literature review of BSRs and acts as a component to relate the need for enhancing quality care and patient-centered consideration. The article used computerized search to combine all the evidence-based articles on BSR sustainability after implementation. It emphasizes the importance of communication, coaching and mentoring, and the provision of emotional support. It recommends the need to assess staff demeanors before and after BSR implementation that may be expected to maintain the desired change. 6. Bradley, S., & Mott, S. (2014). Adopting a patient-centered approach: an investigation into the introduction of bedside handover to three rural hospitals. Journal of Clinical Nursing, 23(13/14), 1927-1936 10p. doi:10.1111/jocn.12403 It empirically studies the process and outcomes of the implementation of nurse‐to‐nurse BSR handover in 3 rural South Australian healthcare. The article used ethnographic CAPSTONE PROJECT 7 interviewing and 7‐point Likert scale to obtain patient perceptions. The study provides that implementing bedside handover leads to a patient‐centered system. It does by demonstrating that both staff and patients take patients to be more engaged in their care as per the bedside handover system. 7. Tobiano, G., Whitty, J.A., Bucknall, T., & Chaboyer, W. (2017). Nurses’ perceived barriers to bedside handover and their implication for clinical practice. Worldviews on Evidence-Based Nursing, 14(5). https://doi.org/10.1111/wvn.12241 It explores barriers nurses go through in undertaking bedside handover. They conducted a cross‐sectional finding on 200 nurses recruited from two public and private Australian hospitals, employed on medical wards. It supports that inhibiting characteristics depicts that individual nurse and patient views, communication, or abilities hinders bedside handover. It supports my proposal since it establishes that barriers to bedside handover relate to individual patient factors and nurse factors, such as legal, political, and social factors. 8. Scheidenhelm, S., & Reitz, O.E. (2017). Hardwiring bedside shift report. The Journal of Nursing Administration, 47(3), 147-153. Available at: https://doi.org/10.1097/NNA.0000000000000457 The article emphasizes the need to increase nurse compliance with bedside report and increase patient satisfaction scores. It compared nurse compliance with bedside report pre-implementation and post-implementation. The article provides that post to utilizing change management strategy, bedside report, nurse compliance with bedside CAPSTONE PROJECT 8 report and patient satisfaction scores improved in both intervention units. It does support my proposal since it proves that change management strategy approach to BSR increases nurse compliance with the process, hence enhanced patient satisfaction. CAPSTONE PROJECT 9 References Agency for Healthcare Research and Quality. (2013). Strategy 3: Nurse Bedside Shift Report (Implementation Handbook). Available at: https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagin families/strategy3/Strat3_Implement_Hndbook_508.pdf Literature Evaluation Table Student Name: Change Topic (2-3 sentences): Prior to implementing the bedside shift reporting program, a review of past studies on the topic was conducted. The aim of this review was to find resources which support the implementation process and offer guidelines on how to undertake the implementation process. Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Williams, C. L. (January 03, 2018). A Comparison of the Risks and Benefits of Nursing Bedside Shift Report vs. Traditional Shift Report: A Systematic Review of the Literature. Internati onal Journal of Studies in Nursing, 3, 2, 40. Miller, K. BA., Hamza, A., Metersky, K., Gaffney, D, M. (2018). Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals. Patient Experience Journal: Vol. 5: Iss. 1 , Article 12. Available at: http://pxjournal.org/ journal/vol5/iss1/12 &NA;,. (January 01, 2014). Improving Client and Nurse Satisfaction Through the Utilization of Bedside Report. Journal for Nurses in Professional Development, 30, 4. Available at https://nursing.c econnection.co m/ovidfiles/017 0976020140700000002.pdf Article Title and Year Published A Comparison of the Risks and Benefits of Nursing Bedside Shift Report vs. Traditional Shift Report: A Ghosh, K., Curl, K., Goodwin, M., Morrell, P., & Guidroz, P. (2018). An exploratory study on how to improve bedside change-of-shift process: Evidence from one hospital using technology to support verbal reporting. Hawaii International Conference on System Sciences, 31803187.Available at: https://doi.org/1 0.24251/HICSS. 2018.401 An exploratory study on how to improve bedside change-of-shift process: Evidence from one hospital using Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario Improving Client and Nurse Satisfaction Through the Utilization of Bedside Report. (2014) © 2015. Grand Canyon University. All Rights Reserved. Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Systematic Review of the Literature 2018 The aim of the study was to compare the risks and benefits of bedside shift report versus traditional shift report (TSR). Does the implementation and use of bedside shift report by nursing staff reduce the potential risks of adverse outcomes, medication errors, or inaccurate or missing information, while providing benefits within the acute-care setting? Design (Type of Quantitative, or Type of Qualitative) Qualitative research design – Analysis of articles were done Setting/Sample Several reports were analyzed technology to support verbal reporting. (2018) The aim of the study was to evaluate the role of effective communication in improving patient care and reducing medical errors. The current study is an attempt to understand the issues that cause inefficiencies in the bedside reporting process in various units of one hospital. The study hypothesizes that effective communication would help reduce medical errors, improve care, and improve patient satisfaction. Descriptive qualitative study. The study was conducted at a hospital 431bed acute care hospital located in the Southeast region of Texas with 900 RNs. community hospitals. (2018) The transfer of accountability (TOA) study was implemented to explore nurses’, patients’ and family members’ perceptions associated with the implementation of bedside nurse to nurse TOA. The purpose of this study was to evaluate bedside report and determine whether evidence supports its use as an essential shift handover practice that promotes safety and facilitates client and nurse satisfaction within an adult clinical care environment. Mixed method evaluative research design, comprising of both quantitative and qualitative strategies. The study was conducted at St. Mary’s Memorial Hospital, 20-bed acute and complex continuing care hospital and Qualitative descriptive © 2017. Grand Canyon University. All Rights Reserved. Ninety-five publications were reviewed Methods: Literature Intervention/Instruments review was performed through investigation and exploration using Google Scholar, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Ovid databases. Analysis Studies were precisely analyzed, and systematically pieced using the top four tiers of evidence hierarchy. Thematic analysis of prerecorded audiorecordings of interviews with registered nurses was conducted. Key Findings A structured end-of-shift report can significantly reduce content omissions and redundancies. Bedside report allows the nurse to visually meet and see their patient within the first 30 minutes of their shift. Audiotaped RN interviews were transcribed word for-word and verified by two of the authors for accuracy SGH a, 113-bed acute care hospital. Focus groups The focus groups were audio-recorded, transcribed and analyzed using directed content analysis. Findings were divided into positive outcomes and challenges to bedside nurse to nurse TOA. TOA implementation found an increase in patient safety, a personalized and timely introduction to the oncoming nurse, as well as the ability for patients and family members to ask questions. © 2017. Grand Canyon University. All Rights Reserved. A review of literature on ninety-five publications was conducted. The reports were categorized into two sections: client satisfaction and nursing satisfaction The reviewed studies provide evidence that supports using bedside report as an essential shift handover practice within an adult clinical care environment, with improvements in client and nurse satisfaction determined repeatedly. Recommendations For BSR to be sustained within nursing practice, it will need to involve leadership from management and senior nurses. Bedside reporting process could be more effective if nurses share mental models. Explanation of How the Article Supports EBP/Capstone Project Provides a new body of information and evidence to support the implementation of BSR. The study also cites the importance of leadership in implementing BSR. The articles underlines the importance of effective communication in implementing BSR. Article 5 Gregory, S. Tan, D. Tilrico, M. Edwardson, N. & Gamm, L. (2014). Bedside shift reports: What does the evidence say? The Journal of nursing administration, 44(10),541-545. DOI: 10.1097 Criteria Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Prior to implementing beside reporting, it is important to provide ongoing education, support and mentoring of staff following the initial implementation until the staff are comfortable with the process, and it is embedded in their practice. This study highlights the benefits and challenges to implementing bedside TOA from the perspectives of both nurses and patients/family members Further investigation into the role of bedside report and its connection to client outcomes is warranted. Article 6 Article 7 Article 8 Bradley, S., & Mott, S. (2014). Adopting a patient-centered approach: an investigation into the introduction of bedside handover to three rural hospitals. Journal of Tobiano, G., Whitty, J.A., Bucknall, T., & Chaboyer, W. (2017). Nurses’ perceived barriers to bedside handover and their implication for clinical practice. Worldviews on Scheidenhelm, S., & Reitz, O.E. (2017). Hardwiring bedside shift report. The Journal of Nursing Administration, 47(3), 147-153. Available at: https://doi.org/1 0.1097/NNA.00 © 2017. Grand Canyon University. All Rights Reserved. The article provides details on how the Lewin’s theory of planned change can provide the foundational framework to achieve success when implementing bedside report. Article Title and Year Published Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study Design (Type of Quantitative, or Type of Qualitative) Setting/Sample /NNA.0000000 000000115. Retrieved from: http://www.rese archgate.net/pub lication/265516 718_Bedside_S hift_Reports_W hat_DoestheEvi denceSay Bedside shift reports: What does the evidence say? (2014) The study conducts a systematic literature review of BSRs and serves as a mechanism to relate the support for improving quality of care, patient safety, and patientcentered care. Quantitative 100 were reviewed. Clinical Nursing, 23(13/14), 1927-1936 10p. doi:10.1111/joc n.12403 Evidence-Based Nursing, 14(5). https://doi.org/1 0.1111/wvn.122 41 0000000000045 7 Adopting a patient-centered approach: an investigation into the introduction of bedside handover to three rural hospitals. (2014) Nurses’ perceived barriers to bedside handover and their implication for clinical practice. (2017) Hardwiring bedside shift report. (2017) To explore and understand barriers nurses perceive in undertaking bedside handover. The purpose of this project was to increase nurse compliance with bedside report and increase patient satisfaction scores. Cross‐sectional survey Quasiexperimental Participants were 200 nurses working on A 149-bed community hospital The study used mixed-method, pretest post-test evaluative approach involving quantitative (quasiexperimental) and qualitative (ethnographic) elements. The study was conducted in the acute ward © 2017. Grand Canyon University. All Rights Reserved. Methods: Articles were Intervention/Instruments classified based on the issues they addressed. Analysis Key Findings The analysis of the articles produced 6 categories of work: teambased variables, dyadic relationships, individual benefits, confidentiality concerns, accountability, and cost containment. Of the 29 articles citing individual benefits for BSRs, there were various subthemes of individual patient benefits. Five (17.2%) noted patient empowerment by being able to ask questions, (44.8%) indicated increased patient satisfaction, within three small rural SA hospitals. The sample comprised nine inpatients and forty-eight nursing staff. The data collection techniques used were ethnographic interviewing, surveying, observations, and journaling. The findings of the study were classified into patient perceptions and staff perceptions medical wards, recruited from two Australian hospitals, one private and one public. This study has found that bedside handover is a superior practice and provides many of the beneficial aspects of patient-centered care and results in a more patient-centered approach than closed-door office handovers. Censoring the message showed nurses were concerned about patients and third‐parties hearing sensitive information. The survey’s open‐ended question was answered by 176 (88%) participants. Content analysis was used to analyze data. © 2017. Grand Canyon University. All Rights Reserved. Preimplementation and postimplementation comparison of patient satisfaction scores from returned surveys Nurse compliance with bedside report preimplementation and postimplementation was compared Nurse compliance with bedside report and patient satisfaction scores improved within 5 months Recommendations Explanation of How the Article Supports EBP/Capstone (13.8%) reported the patient feeling safer after seeing nurses change shift, (34.5%) noted increased patient safety, (34.5%) mentioned increased communication with nurses, and (17.2%) noted an increased understanding of care. The challenge for nurse executives is to identify a model for their organization and patient populations, ensure consistency in practice and implementation, set measurable indicators, support the adoption by clinical nurses, and adjust models as appropriate to attain and sustain the outcomes. The article summarizes BSR benefits from an individual point of view, based on the derived benefit. The study underlines BSRs as an important process of delivering effective care. Suggestions for enhancing bedside handover include debunking nurses’ misconceptions, reflecting on nurses’ viewpoints, using active educational approaches, and promotion of legal requirements to heighten nurses’ confidence dealing with sensitive information. A change management strategy and standardized approach to bedside report helped increase nurse compliance with the process, leading to improved patient satisfaction. The article reinforces the importance of BSR as part of improving patient-centered care. The study helped identify some of the major concerns nurses might have towards implementing BSR. Ensuring buy-in all caregivers involved in implementing bedside shift report is essential to its success. © 2017. Grand Canyon University. All Rights Reserved. Running head: LITERATURE REVIEW Literature Review 1 2 LITERATURE REVIEW Introduction The growing demand in healthcare has highly influenced the need for patient safety. While they have been around for a while, BSRs are a fairly concept new concept in the field of health care. This topic has been widely researched and discussed in health care and nursing literature. This paper presents a review of eight articles based on the bed shift report and its implementation in a healthcare setting for improved communications and ultimate maximization of the patient safety. The review comprises of Comparison of the Research Questions, Comparison of Sample Populations and the Comparisons of the Limitations of the Study Comparison of the Research Questions Williams (2018), in his reading, attempts to fulfil the research on the comparison on the comparison of the risk and benefits of the bedside shift report versus the traditional shift report. Essentially, this study contributes to this objective by answering the question of whether the use of bedside shift reports reduced the potential risks of adverse health outcomes, errors, information inaccuracy while delivering its benefits. Gosh (2018) research, on the other hand, answers the question on the role of effective communication on the improvement of patient care and the reduction of medical errors. Miller (2018) research strived to answer the question on an exploration of the nurses, patients and family members’ perceptions on the Implementation of the bedside shift report on the nursing transfer accountability. &Na (2018) answers the question on the utilization of the bed shift report in the achievement of patient safety and facilitation of client and nurse satisfaction in a healthcare setting. Gregory (2014) research on Bedside Shift Reports implementation attempts to answer to question on how this intervention serves as an essential strategy that related to the support of 3 LITERATURE REVIEW patient quality care improvement, safety and the centered care. Bradley (2014) research question can be derived from its research objective. Essentially, he attempts to question the question on the need to adopt the patient-centered approach and its importance on hospitals. Tobiano (2017) study seeks to answer the question the nurses perceived barriers to bedside handover and how their impact on the clinical practice. Scheidenhelm (2017) in the report of hardwiring bedside shift seeks to answer the question on how bedside report can increase nurse compliance and improve the patient satiation scores. Comparison of Sample Populations The selection of the population sample often relies on the type of study and the available resources. Williams (2018), in his research, collected several reports for the analysis of his study. Ghosh(2018), on the other hand, conducted a research study at a hospital with a selection of 900 registered nurses as participants. Miller (2018), in the research of the transfer of accountability (TOA) selected one healthcare facility, St. Mary’s Memorial Hospital, 20-bed acute and complex continuing care hospital and SGH a, 113-bed acute care hospital. &Na (2018) research study selected a sample of ninety-five publications for review. Gregory(2014) quantitative study reviewed a hundred publications to answer the research question, whereas Bradley (2014) selected three small rural hospitals with a sample of nine inpatients and forty-eight nurses. In addition, Tobiano (2017) selected 200 nurses in various healthcare settings, while Scheidenhelm (2017), on the other hand, conducted the study at an a149-bed community hospital. Comparisons of the Limitations of the Study The support of Williams (2018) research on the capstone is undeniable. However, this research provides a generalization of the information and evidence that is used to support the 4 LITERATURE REVIEW implementation of BSR, which deviates from the picot statement of the capstone. Gosh (2017) , on the other hand, limits his research to on the need of effective communication in the implementation of BSR. While this study is highly dependable, it does not cover all the items presented in the PICOT statement. Miller (2018) research deviates from the PICOT statement by only focusing on the broad study on the benefits and challenges of the implementation of BSR. Moreover, &Na (2018) is limited to Lewis’s theory of planned change and its use in the implementation of BSR. Gregory (2014) research study is based its foundation of an individual point of view which can be a limiting factor. In addition, Bradley (2014) explores the perceptions of the registered nurses on the implementation of the BSR. This research is highly beneficial and can be used to build the foundation of the capstone; however, it does not address the nurses’ attitudes towards provision of reliable medical care. Tobiano (2017) and Scheidenhelm (2017), on the other hand, addresses the major concerns in the implementation of BSR and the success of BSR is buy-in all caregivers respectively. While these studies are essential, they fail to address all the presentations in the PICOT statement. Conclusion The foundation of any healthcare facility is the assurance of maximum patient safety and the job-satisfaction of the health caregivers. With growing health in demand, various issues have risen such as increased communication fluctuations among the healthcare professionals and medical errors. Essentially, BSR plays an essential role as a strategy that can be used in the intervention of this issue. As such, performance evaluation upon implementation of the study is recommended action that can be used to ensure that the deployed strategy can fully cover and fulfill the needs if any healthcare facility. 5 LITERATURE REVIEW References &NA;,. (January 01, 2014). Improving Client and Nurse Satisfaction Through the Utilization of Bedside Report. Journal for Nurses in Professional Development, 30, 4. Available at https://nursing.ceconnection.com/ovidfiles/01709760-201407000-00002.pdf Bradley, S., & Mott, S. (2014). Adopting a patient-centered approach: an investigation into the introduction of bedside handover to three rural hospitals. Journal of Clinical Nursing, 23(13/14), 1927-1936 10p. doi:10.1111/jocn.12403 Ghosh, K., Curl, K., Goodwin, M., Morrell, P., & Guidroz, P. (2018). An exploratory study on how to improve bedside change-of-shift process: Evidence from one hospital using technology to support verbal reporting. Hawaii International Conference on System Sciences, 3180-3187.Available at: https://doi.org/10.24251/HICSS.2018.401 Gregory, S. Tan, D. Tilrico, M. Edwardson, N. & Gamm, L. (2014). Bedside shift reports: What does the evidence say? The Journal of nursing administration, 44(10),541-545. DOI: 10.1097 /NNA.0000000000000115. Retrieved from: http://www.researchgate.net/publication/265516718_Bedside_Shift_Reports_What_Does theEvidenceSay Miller, K. BA., Hamza, A., Metersky, K., Gaffney, D, M. (2018). Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals. Patient Experience Journal: Vol. 5: Iss. 1 , Article 12. Available at: http://pxjournal.org/journal/vol5/iss1/12 LITERATURE REVIEW 6 Scheidenhelm, S., & Reitz, O.E. (2017). Hardwiring bedside shift report. The Journal of Nursing Administration, 47(3), 147-153. Available at: https://doi.org/10.1097/NNA.0000000000000457 Tobiano, G., Whitty, J.A., Bucknall, T., & Chaboyer, W. (2017). Nurses’ perceived barriers to bedside handover and their implication for clinical practice. Worldviews on EvidenceBased Nursing, 14(5). https://doi.org/10.1111/wvn.12241 Williams, C. L. (January 03, 2018). A Comparison of the Risks and Benefits of Nursing Bedside Shift Report vs. Traditional Shift Report: A Systematic Review of the Literature. International Journal of Studies in Nursing, 3, 2, 40. Running head: PICOT 1 BSR PICOT Analysis PICOT 2 BSR PICOT Analysis Population and patients. The capstone reports a BSR among patients and nurses. A sum of 54 nurses was involved in the survey. Inclusion criteria are that the participants must be an enlisted nurse working within the local healthcare facility. The excluded participants from the study will be nurses who do not offer direct patient care or those who were in regulatory jobs, for example, a nurse instructor or manager. Intervention The primary intervention within the capstone is enhancing nurses’ attitudes towards BSR which is related to proper communication and medical error avoidance. The effect of medical errors on direct-care nurses is an appropriate practice-based issue justifying brief consideration with the end goal to encourage nursing administration’s mindfulness, comprehension, and capacity to help and bolster the nurse, as the second casualty, encountering individual and expert harm following a medical mistake. Comparison The comparison based on the bedside shift report versus a traditional report in a patients’ room. Unlike the traditional shift report, BSR stresses on improving patient safety, instead of quantity of care, which has dependably based on the conventional method. As an evidence-based practice, bedside shift report moreover observed to enhancing patient fulfillment scores, particularly on the point of communicating with nurses. According to the Agency for Healthcare and Research Quality (AHRQ), Nursing Bedside Shift Report express that the objective of BSR is to help guarantee the sheltered handoff of consideration between nurses by including the PICOT 3 patient and family (Agency for Healthcare Research and Quality, 2013). By diminishing these preventable mistakes, health care centers can enhance patient security, decrease abundance social insurance costs, and enhance patient fulfillment scores. Outcomes. The outcomes are divided into three parts as follows: Long-Term Outcomes. 1. The healthcare will get CMS repayment due to an expansion in patient fulfillment scores. 2. The decrease in abundance expenses that are caused by sentinel occasions like falls. Intermediate Outcomes These are the outcomes that need to happen with the goal that long-term outcomes can occur. An instance of this will be a statement like health care will get an A review as per the Leap-Frog award for patient security since sentinel occasions, for example, patient falls have diminished throughout the healthcare facility. The moderate outcome in this instance is that there will be a decrease in sentinel occasions like patient falls. Short-Term Outcomes These are the outcomes that need to occur for the intermediate outcome to happen. They are typically changes in understanding, perceptions, feelings, attitudes, and knowledge of the nurses. For this rationale, if nurses have a superior comprehension of how to do bedside shift report, at that point they would have the capacity to inhibit sentinel occasions, for example, falls on their units. Subsequently, this will at that point prompt a general decrease of falls in the health care facility and a review A from the Leap-Frog Group association. PICOT 4 Test. The whole duration for carrying out the survey will be an aggregate of 3 weeks. Four weeks will be spent to develop the study and accumulate incentives for the event. The survey will be managed in paper format. A week before conducting the survey, an email will be conveyed to all bedside nurses showing them about the undertaking and contact data. Participants will additionally be enrolled through up close and personal collaborations and flyers around the units. PICOT 5 References Agency for Healthcare Research and Quality. (2013). Strategy 3: Nurse Bedside Shift Report (Implementation Handbook). Retrieved from https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagin gfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf 1 2 Unsatisfactory 0-71% Less Than Satisfactory 72-75% 0.00% 75.00% 3 Satisfactory 76-79% 79.00% 60.0 %Content 5.0 % Background 5.0 % Problem Statement 5.0 % Change Proposal Purpose 5.0 % PICOT Background section is present, Background section is but incomplete or otherwise not present. lacking in required detail. Background section is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Problem statement is present, Problem statement is but incomplete or otherwise not present. lacking in required detail. Problem statement is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Purpose of change proposal is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Purpose of change proposal is not present. Purpose of change proposal is present, but incomplete or otherwise lacking in required detail. PICOT is not present. PICOT is present. Some minor details or PICOT is present, but elements are missing incomplete or otherwise lacking but the omission(s) do in required detail. not impede understanding. Literature search strategy is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature search 5.0 % Literature strategy is not Search Strategy present. Literature search strategy is present, but incomplete or otherwise lacking in required detail. 5.0 % Literature Literature evaluation Evaluation is not present. Literature evaluation is present. Some minor Literature evaluation is present, details or elements are but incomplete or otherwise missing but the lacking in required detail. omission(s) do not impede understanding. Theory utilization content is present. Some minor details or elements are missing but the omission(s) do not impede understanding. 5.0 % Utilization of Change or Theory utilization is Nursing Theory not present. (2.2) Theory utilization content is present, but incomplete or otherwise lacking in required detail. 5.0 % Proposed Implementation Implementation plan Plan with is not present. Outcome Measures (3.2) Implementation plan is present. Some minor Implementation plan is present, details or elements are but incomplete or otherwise missing but the lacking in required detail. omission(s) do not impede understanding. 5.0 % Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3) Identification of potential barriers to plan implementation and /or discussion component is not present. 5.0 % Appendices Inclusive of Practice Appendices are not Immersion present. Clinical Documentation (1.2) Identification of potential barriers to Identification of potential plan implementation barriers to plan implementation with a discussion with a discussion component is component is present. present, but is incomplete or Some minor details or otherwise lacking in required elements are missing detail. but the omission(s) do not impede understanding. Appendices are present Appendices are present, but with minor elements incomplete or otherwise lacking missing that do not in required detail. impede understanding. Final paper does not demonstrate Incorporation of research 10.0 % Evidence incorporation of critique feedback or evidence of of Revision feedback or evidence revision is incomplete. of revision on research critiques. Incorporation of research critique feedback and evidence of revision are present. 30.0 %Organization and Effectiveness 10.0 % Thesis Development and Purpose Paper lacks any discernible overall Thesis is insufficiently developed Thesis is apparent and purpose or organizing or vague. Purpose is not clear. appropriate to purpose. claim. Argument is orderly, but may have a few inconsistencies. The Statement of purpose argument presents is not justified by the Sufficient justification of claims minimal justification of 10.0 % conclusion. The is lacking. Argument lacks claims. Argument Argument Logic conclusion does not consistent unity. There are logically, but not and support the claim obvious flaws in the logic. Some thoroughly, supports Construction made. Argument is sources have questionable the purpose. Sources incoherent and uses credibility. used are credible. noncredible sources. Introduction and conclusion bracket the thesis. 10.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) 10.0 %Format 5.0 % Paper Format (use of appropriate style for the major and assignment) 5.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 100 % Total Weightage Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Some mechanical errors Frequent and repetitive or typos are present, mechanical errors distract the but they are not overly reader. Inconsistencies in distracting to the language choice (register) or reader. Correct and word choice are present. varied sentence Sentence structure is correct but structure and audiencenot varied. appropriate language are employed. Template is not used appropriately, or documentation format is rarely followed correctly. Appropriate template is Appropriate template is used, used. Formatting is but some elements are missing correct, although some or mistaken. A lack of control minor errors may be with formatting is apparent. present. Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 4 5 Good 80-89% Excellent 90-100% 89.00% 100.00% Background section is present and complete. The submission provides the basic information required. Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Problem statement is present and complete. The submission provides the basic information required. Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Purpose of change proposal is present and complete. The submission provides the basic information required. Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. PICOT is present and complete. The submission provides the basic information required. PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature search strategy is present and complete. The submission provides the basic information required. Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature evaluation is present and complete. The submission provides the basic information required. Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Theory utilization content is present and complete. The submission provides the basic information required. Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Implementation plan is present and complete. The submission provides the basic information required. Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Identification of potential barriers to plan implementation with a discussion component is present and complete. The submission provides the basic information required. Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Appendices are present and complete. The submission provides the basic information required. Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Evidence of incorporation of research critique feedback and revision is clearly provided. Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English. Appropriate template is fully All format elements used. There are are correct. virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
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