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Running head: CAPSTONE PROJECT 1 BSR Capstone Project Name Course Instructor Institutional Affiliation Date

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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. How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? The study compares the risks and benefits of BSR against traditional shift report (TSR). Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? For a legitimate evidence-based outline, the findings were analyzed, and efficiently pieced utilizing the best four levels of evidence-based measures. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? 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. Does the article support your proposed change? How so? It provides evidence backings on the utilization of BSR to decrease therapeutic errors, dangers, and enhance the care quality. CAPSTONE PROJECT 5 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 How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? The article emphasizes the inefficiency in communication which massively adds to medical errors, inflicting patient safety, and care quality. Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? The article uses qualitative content and thematic analysis to provide a clear proof on the importance of implementing Bedside Change-of -Shift Process. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? Provides some information on why communication failures leading to medical errors ranked third cause of deaths in the U.S. Does the article support your proposed change? How so? Yes, it does support 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 CAPSTONE PROJECT 6 community hospitals. Patient Experience Journal: Vol. 5: Iss. 1 , Article 12. Available at: http://pxjournal.org/journal/vol5/iss1/12 How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? 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. Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? The article uses qualitative in establishing more profound comprehension of the effect and issues of bedside TOA for both patients and nurses. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? It provides patient engagement, communication, a patient experience which will be the central part of the capstone project. Does the article support your proposed change? How so? 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 How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? CAPSTONE PROJECT 7 It evaluates bedside report as a way of determining whether evidence support its utilization as a fundamental shift handover exercise that advances wellbeing and encourages customer and medical attendant satisfaction. Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? It used different evidence-based literatures that relates to BSR importance to the patients and the nurses. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? It provides client safety and satisfaction, communication errors and teamwork. Does the article support your proposed change? How so? It does 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 How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? 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. CAPSTONE PROJECT 8 Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? The article used computerized search to combine all the evidence-based articles on BSR sustainability after implementation. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? It emphasizes the importance of communication, coaching and mentoring, and the provision of emotional support. Does the article support your proposed change? How so? It does since 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 How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? It empirically study the process and outcomes of the implementation of nurse‐to‐nurse BSR handover in 3 rural South Australian healthcare. Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? CAPSTONE PROJECT 9 The article used ethnographic interviewing and 7‐point Likert scale to obtain patient perceptions. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? The study provides that implementing bedside handover leads to a patient‐centered system. Does the article support your proposed change? How so? 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 How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? It explores barriers nurses go through in undertaking bedside handover. Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? They conducted a cross‐sectional finding on 200 nurses recruited from two public and private Australian hospitals, employed on medical wards. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? CAPSTONE PROJECT 10 It supports that inhibiting characteristics depicts that individual nurse and patient views, communication, or abilities hinders bedside handover. Does the article support your proposed change? How so? It does 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 How does the article describe the nature of the problem, issue, suggestion, initiative, or educational need you have identified? The article emphasizes the need to increase nurse compliance with bedside report and increase patient satisfaction scores. Does the article provide statistical information to demonstrate the significance of the problem, issue, suggestion, initiative, or educational need? It compared nurse compliance with bedside report pre-implementation and postimplementation. Does the article provide an example(s) that apply, such as morbidity, mortality, the rate of incidence or rate of occurrence in the general population? The article provides that post to utilizing change management strategy, bedside report, nurse compliance with bedside report and patient satisfaction scores improved in both intervention units. Does the article support your proposed change? How so? CAPSTONE PROJECT 11 It does since it proofs that change management strategy approach to BSR increases nurse compliance with the process, hence enhanced patient satisfaction. CAPSTONE PROJECT 12 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
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