ND Center for Nursing



EBP Project AbstractAppraised by: Nicole Andrews, Kari Haegele, Jaclin ChurchillClinical Question: In hospitalized patients, does nurse-to-nurse handoff increase patient satisfaction and safety?Articles: Jeffs, L., Acott, A., Simpson, E., Campbell, H., Irwin, T., Lo, J., & ... Cardoso, R. (2013). The value of bedside shift reporting. Journal Of Nursing Care Quality, 28(3), 226-232. doi:10.1097/NCQ.0b013e3182852f46Maxon, P.M., Derby, K.M., Wrobleski, D.M., & Foss, D.M. (2012). Bedside nurse-to-nurse handoff promotes patient safety. MEDSURG Nursing, 21(3), 140-145.?????Tidwell, T., Edwards, J., Snider, E., Lindsey, C., Reed, A., Scroggins, I., & ... Brigane, J. (2011). A nursing pilot study on bedside reporting to promote best practice and patient/family-centered care. Journal Of Neuroscience Nursing, 43(4), E1-5. doi:10.1097/JNN.0b013e3182212a1dSynthesis of evidence:Among the three studies, nurse-to-nurse bedside handoff has increased patient safety, satisfaction and nursing satisfaction. The study by Jeffs et al. (2013) is a phenomenological qualitative study, a level VI hierarchy of evidence. Tidwell et al. (2011) is a quasi-experimental study, a level III hierarchy of evidence. It was a convenient sample taken place in the Neuroscience Unit at Le Bonheur Children’s Medical Center. Maxon, Derby, Wrobleski, and Foss (2012) is a quasi-experimental study, conducted over one month following the practice of bedside handoff report.? This study is a level III hierarchy of evidence.?The overall quality of the studies is worthy, with consistent results indicating an increase in patient safety and satisfaction after the implementation of nurse-to-nurse bedside shift reporting. It is recommended to initiate a pilot program before nurse-to-nurse bedside shift handoff goes house-wide to avoid time is wasted. The pilot program gives the nurses the opportunity to create an organized and consistent etiquette to deliver patient handoff to the next nurse at shift change.Bottom Line: (findings)The evidence suggests implementing bedside reporting increases patient satisfaction and safety.Nursing implication:Nurses can use this evidence to enhance the technique of shift change when giving report to the nurse who will continue the plan of care of the patient. Nurse-to-nurse bedside handoff increases patient safety and satisfaction. The studies furthermore indicate financial savings, decreased report time, and increased nursing satisfaction. ................
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