Bedside Shift Qualitative Study Report and Analysis

Bedside Shift Qualitative Study Report and Analysis


BedsideShift Qualitative Study Report and Analysis

BedsideShift Qualitative Study Report and Analysis

Theimportance of the healthcare sector cannot be understated as far asthe overall wellbeing of the country and the society at large isconcerned. Indeed, every other aspect of human life primarily dependson the health of individuals particularly given that only healthypeople would be able to undertake wealth creation activities. Thisexplains the immense investment that governments in different partsof the world make in order to enhance the quality of healthcareprovided. Needless to say, the main aim of the volumes of researchthat have been dedicated to healthcare is to enhance the quality ofthe same and safety of patients while in such facilities. Perhaps oneof the riskiest times in the handling of patients in any healthcarefacility is during the handover process, as it has been deemed ascrucial to the delivery of persistent nursing care to the patients.Also referred to as shift reporting, it underlines a systems of nurseto nurse communication between the changes in shifts with the aim oftransferring crucial information pertaining or holistic and safe carefor the patients (Freitag&amp Carroll, 2011).Needless to say, volumes of works have been written regarding bedsideshift reporting.

In“ImprovingClient and Nurse Satisfaction Through the Utilization of BedsideReport”,Vines et al (2014) undertake a literature review so as to determinewhether bedside reports are crucial shift handover processes thatwould promote nursing and client satisfaction. This was based on therecognition of the essential nature of effective communication in themaintenance of trusting and safe environments for clients, given that80% of medical errors are credited to miscommunication amongst nursesand other healthcare professionals. Essentially, effectivecommunication has been identified as crucial in the promotion ofclient safety and the facilitation of nursing teamwork. Essentially,Vines et al (2014) undertook the research so as to determine whetherthere is any evidence that supports the notion that bedside reportingwould fit the bill as an essential shift handover practice that allowfor facilitation of nurse and patient satisfaction particularly inadult clinical care environment.

Underliningthe need for bedside reporting is the fact that clients areconsiderably more informed with regard to the conditions from whichthey may be suffering, as well as the varied treatment options giventhat they can often access the internet for the same. Thisnecessitates the need for a collaborative care model that allowsclients to take part in the planning of their care, as well asremaining informed about their condition and treatment options. Thismeans that they would contribute and make known their desires andinput, thereby allowing for enhanced communication and properdecision-making. Bedside shift reporting comes with numerousadvantages including enhancing respect among staff, promotion ofaccountability, enhancing trust between clients and nurses, clientsatisfaction and safety, as well as the reduction of communicationerrors (Freitag&amp Carroll, 2011).Of course, shift reports have always been done but away from thepatient’s bedside, which brings into question the necessity ofhaving the reporting done in the client’s bedside. Key among theadvantages is the fact that when done away from the client’sbedside it comes with increased wastage of time, causes the contentto be disorganized, and results in numerous interruptions. Further,there is some indication that verbal reports may have a negativeimpact on the safety of the client especially in instances where theinformation is poorly communicated and incomplete as a result ofdistractions and interruptions.

Ofcourse, there is the question on why bedside shift reporting is yetto take root in a large number of healthcare institutions. However,one of the major obstacles for this is the fact that there is alimitation on how much can be revealed on the bedside reports. Nurseshave the responsibility for protecting the confidentiality of theclient particularly in instances where clients are sharing rooms.There is the possibility the some private information would bedisclosed unintentionally, which would be a violation of the HIPAArules and regulations pertaining to confidentiality.

Vineset al (2014) uses two theories in examining this practice includingKurt Lewin’s theory of planned change and Hildegard Peplau’stheory of interpersonal relations. The theory of planned change hasthree stages including unfreezing, moving and refreezing, whichunderline the activities associated with informing and educatingabout change perspective, as well as directing and inspiring newactivities, alongside establishing and codifying a new collection ofrules post-adoption. The theory of interpersonal relations offers aconceptual framework to assist in guiding caregivers to succeed.Three phases have been identified including orientation and working,as well as termination.

Incompiling the report, the authors used varied keywords such asnursing satisfaction, shift report, shift handoff, bedside handoff,bedside report and client satisfaction. Online databases provedparticularly crucial in the research with nine articles out of the 95obtained being selected for review. The keywords seemed prettysatisfactory and sufficient in underlining the connection betweenbedside reporting. However, the restriction of the search to onlyonline databases cane be pretty limiting. Further, the fact that onlynine articles were selected seems to be pretty restrictive. This,however, does not mean that the results of the study would have beendifferent. However, it should be noted that a wider range of literaryworks would provide more information regarding the connection betweenbedside shift reporting and nursing and client satisfaction.

Nevertheless,the article provides quite some comprehensive information pertainingto the connection between the two elements. It goes without sayingthat bedside reporting comes with numerous advantages particularlywith regard to promoting the confidence, trust and satisfaction ofclients. This is especially given the increased communication betweenpatients and their caregivers. The increased availability and accessto medical information means that clients would most likelycontribute to their medical plans, as well as have the opportunity toask questions in instances where they are not clear on the medicalplans. This means that they would have a chance to collaborate andbuild trust with their caregivers (Maxson et al, 2012).The question on whether or not bedside reports would be violating theHIPAA rules is well addressed in the provision that it allowsparticular incidental disclosures and uses pertaining to protectedhealth information to take place in instances where the coveredentity has established reasonable safeguards, as well as minimumnecessary procedures and policies to safeguard the privacy of anindividual. Further, bedside reporting would eliminate thepossibility for incomplete information and inaccurate reporting sincethe information would always be up to date and informed by theprogress and status of the individual at the time of reporting (Jeffs et al, 2013).This would ensure consistency in both the long-term and theshort-term and, eventually, enhance patient care.


FreitagM &amp Carroll V. (2011). Handoff communication: Using failure modesand effects analysis to improve the transition in care process.Quality Management in Health Care, 20 (2), 103-109

JeffsL., Acott A., Simpson E., Campbell H., Irwin T., Lo J &amp CardosoR. (2013). The value of bedside shift reporting: Enhancing nursesurveillance, accountability, and client safety. Journal of NursingCare Quality, 28 (3), 229-232

MaxsonP., Derby K., Wrobleski D &amp Foss D. (2012). Bedsidenurse-to-nurse handoff promotes client safety. MEDSURG Nursing, 21(3), 140-145

Vines,M.M., Dupler JD, Van Son, C.R &amp Guido, G.W (2014). ImprovingClient and Nurse Satisfaction Through the Utilization of BedsideReport. Journalfor Nurses in Professional Development. Volume30 Number 4 , p 166 – 173