Literature Evaluation Table for Nursing
Running head: CAPSTONE PROJECT BSR NRS 490V 1 CAPSTONE PROJECT 2 BSR Capstone Project 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 Running head: PICOT 1 BSR PICOT Analysis NRS 490V 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 Literature Evaluation Table Student Name: Change Topic (2-3 sentences): Criteria Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article 1 Article 2 Article 3 Article 4 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. 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 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 Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study © 2015. Grand Canyon University. All Rights Reserved. Design (Type of Quantitative, or Type of Qualitative) Setting/Sample Methods: Intervention/Instruments Analysis Key Findings Recommendations Explanation of How the Article Supports EBP/Capstone Project Criteria Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Article 5 Article 6 Article 7 Article 8 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.0000000 000000115. Retrieved from: http://www.rese archgate.net/pub lication/265516 718_Bedside_S hift_Reports_W hat_DoestheEvi denceSay 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/joc n.12403 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/1 0.1111/wvn.122 41 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 0000000000045 7 © 2017. Grand Canyon University. All Rights Reserved. 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 Methods: Intervention/Instruments Analysis Key Findings Recommendations Explanation of How the Article Supports EBP/Capstone © 2017. Grand Canyon University. All Rights Reserved.
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