Evidence Appraisal Worksheet
Groves, P. S., Manges, K. A., & Scott-Cawiezell, J. (2016). Handing Off Safety at the Bedside. Clinical Nursing Research, 25(5), 473. doi: 10.1177/1054773816630535
Research: Peer-reviewed article
“Handing Off Safety at the Bedside” is an article that describes how bedside nurses can use nursing bedside shift report to keep patient safe. A study was conducted in a 31-bed pediatric unit with patients ages from birth-18 years. Nurses cared for 3-4 patients at a time and bedside reporting was established on this unit approximately 4 years prior to study and had been “hardwired” into the unit process and culture. The population of this unit (N=47), mostly female. Data was collected for 6 months through semi- structured interviews. The primary contribution of this study is a description of how nurses use bedside report to keep patients safe. The quality of evidence of this article in regards to my problem is High.
The information in this article provides facts of the importance of bedside reporting. It is a nurse driven process and reinforcement of bedside report process can impact patient safety and promote patient satisfaction. The study provided three main advantages emerged at bedside: early assessment, direct visualization and single patient focus. In conclusion, the article clearly stated that the Bedside report is a tool by which, at the change of shift, can promote patient safety by identifying risks specific to their patient and reduce the possibility of harm and good outcome. It can also recover from errors and decrease the risk of harm both immediately and ongoing throughout the shift.
Evidence Appraisal Worksheet
PICO Question: Does the use of a standardized bedside report versus board reporting help increase patient safety, nurse’s satisfaction and positive outcome?
APA Reference for Article
Give the APA-formatted reference for the article.
Type of Source
*Research: Peer-reviewed article
Strength of Research
Discuss the strength of the sources.
Report if evidence is High, Good, or Low/ Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality.
Brief Description of Research
Address the questions.
*How does the information in the article apply to the project problem or proposed intervention?
*Summarize in your own words.
* Include results of the study and how these results are applicable to your project.
* What is the recommendation of the source for clinical practice?
1
Jeffs, L., Acott, A., Simpson, E., Campbell, H., Irwin, T., Lo, J., & … Cardoso, R. (2013). The value of bedside shift reporting enhancing nurse surveillance, accountability, and patient safety. Journal Of Nursing Care Quality, 28(3), 226-232. doi: 10.1097/NCQ. 0b013e3182852f46
Research: Peer-reviewed article
“Value of Bedside Shift Reporting” is a study to explore nurse’s experiences and perceptions associated with implementation of bedside nurse-to-nurse shift handoff reporting. The authors used interviews to conduct this qualitative study that was undertaken in an inner city, acute care teaching hospital. The sample was adequate for the design that consist of female participants from different clinical cohorts: general surgery (16), nephrology (10), OB and Respirology (7) and average working as a nurse was 0.5-41 years. The authors noted that the study has limitations due to the study participants came from 1 hospital and most of the responses were positive about the change. The study findings were stated clearly and concluded how nurses positively viewed the change and implementation of bedside reporting in sense of improving patient safety and enhancing their accountability.
The research article covers the importance of bedside reporting in clinical practice. The study highlighted both nurses and patient positive outcome about the change to bedside reporting. The information in the article is about the study conducted was enough information that cover my proposed intervention. The interview consists of two data set (1) clarifying information and intercepting errors and (2) visualizing patients and prioritizing care. Both themes of the study reflect positive outcome and provides opportunity for nurses to make change based on the safety benefits that promotes wellbeing of the patients. In addition, the results of the study prove that implementing this practice to my organization will improve patient flow and allow immediate identification, intercept and correct medical errors. Being an ED nurse, I can take advantage of this practice since I am working in a fast- paced environment and time is vital. I must know my patients in short time and by doing bedside reporting, I will be able to assess and triage my patients accordingly. Authors recommended the need to continue to invest in building organization and the importance to learn effective strategies for transferring information regarding patient care during handoff.
2
Baker, S. J. (2010). Evidence- Based Practice: Bedside Shift Report Improves Patient Safety and Nurse Accountability. Journal Of Emergency Nursing, 36355-358. doi:10.1016/j.jen. 2010.03.009
Research: Peer-reviewed article
“Bedside Shift Report Improves Patient Safety and Nurse Accountability” is an Article that was written on behalf of Emergency Nurses Association. An article that was based in EBP about the importance of Bedside reporting in the Emergency Department. The quality of the article is good because it discussed the benefits to the staff and patients. Lastly, the authors of the article provided information about how to implement bedside reporting and tips for success in the practice.
The article provided all the information about my project problem and proposed intervention and outcome. According to the article “Patient safety” is the main reason why we strive to implement bedside reporting especially in the ED. It is a fact that ED is a high-risk environment in which safety factors must be considered. Factors included: multiple nurses care for a single patient, high acuity patients with rapid decision of care with time constraints, high volume of patient flow with unpredictable illness and communication barriers to patient and families. With all these factors, bedside reporting can alleviate the stressful environment in the ED because it’s an excellent way to build teamwork, ownership and accountability. In addition, the article also included in respond directly to The Joint Commission’s National Patient Safety Goals including goal #1 :“Improve the accuracy of Patient identification” because reporting at bedside, I will able to meet the patient and checking the armband for identification, goal 2E “ Improve effectiveness of communication among caregivers managing hand- off communication” in which it gives opportunity to ask questions and clarification and lastly goal # 13 “Encourage patients’ active involvement in their own care as a safety strategy” in which patients can give additional information and opportunity to update about their plan of care. These safety goals correspond to intervention and desired outcome. Moreover, the article provided great tips on how to implement bedside report in the ED such as reviewing patients chart before entering the room, ability to perform safety checks such as fall risks, medications, diagnostics/ test performed while updating the whiteboard, and lastly can educate the patient about the latest update of their treatment plan. Being an ED nurse, this article is a great source and provided abundant information that supports my intervention and outcome.
3
Ferguson, T. D., & Howell, T. L. (2015). Bedside Reporting. Protocols for Improving Patient Care. Nursing Clinics Of North America, 50(Pathophysiology and Care Protocols for Nursing Management), 735-747. doi: 10.1016/j.cnur.2015.07.011
Research: Peer-reviewed article
The quality of evidence in regards to my project is High. The article provided enough evidence as to the cause of the problem, challenges and benefits and provided research study to address the issue. The authors provided sample surveys for Obstetrics unit measuring nurse job satisfaction. It consists of 10 questions to improve shift-to-shift communications between nurses, health team members and patients on the separate units (labor and delivery, nursery, and postpartum). The article also provided a Sample hand-off report sheet for Labor and Delivery and sample protocol for hand-off bedside report on an obstetrics. In conclusion, the article support my intervention that bedside reporting is an issue and must able to adopt this practice to promote safety standards.
The information in the article is relevant to the problem since it provided many facts on bed side reporting. It starts out with background information to key research findings to challenges nurses face today while conducting bedside reporting. Validation of accurate information between shifts promotes patient safety. Another benefit of bedside reporting is the nurses’ ability to streamline their work and avoid unnecessary overtime. The article points out several factors with the implementation of bedside reporting- formulate a committee that include nurses and other team members. Second, develop a measurable goal and a clear plan. Third, a tool must be developed for use during end shift report and lastly, educate the nurses and implement the process in the unit. In addition, the authors discussed that appropriate protocols must be established during the transition using patient-centered care is necessary. Article recommendation supports bedside reporting as best practice standard however further investigations need to be done especially the challenges which includes potential violation of HIPAA.
4
Groves, P. S., Manges, K. A., & Scott-Cawiezell, J. (2016). Handing Off Safety at the Bedside. Clinical Nursing Research, 25(5), 473. doi: 10.1177/1054773816630535
Research: Peer-reviewed article
“Handing Off Safety at the Bedside” is an article that describes how bedside nurses can use nursing bedside shift report to keep patient safe. A study was conducted in a 31-bed pediatric unit with patients ages from birth-18 years. Nurses cared for 3-4 patients at a time and bedside reporting was established on this unit approximately 4 years prior to study and had been “hardwired” into the unit process and culture. The population of this unit (N=47), mostly female. Data was collected for 6 months through semi- structured interviews. The primary contribution of this study is a description of how nurses use bedside report to keep patients safe. The quality of evidence of this article in regards to my problem is High.
The information in this article provides facts of the importance of bedside reporting. It is a nurse driven process and reinforcement of bedside report process can impact patient safety and promote patient satisfaction. The study provided three main advantages emerged at bedside: early assessment, direct visualization and single patient focus. In conclusion, the article clearly stated that the Bedside report is a tool by which, at the change of shift, can promote patient safety by identifying risks specific to their patient and reduce the possibility of harm and good outcome. It can also recover from errors and decrease the risk of harm both immediately and ongoing throughout the shift.
Evidence Appraisal Worksheet
PICO Question: Does the use of a standardized bedside report versus board reporting help increase patient safety, nurse’s satisfaction and positive outcome?
APA Reference for Article
Give the APA-formatted reference for the article.
Type of Source
*Research: Peer-reviewed article
Strength of Research
Discuss the strength of the sources.
Report if evidence is High, Good, or Low/ Major Flaw. Use the tools on page 238-244 of your text and discuss the reasons why you have assigned a particular level of quality.
Brief Description of Research
Address the questions.
*How does the information in the article apply to the project problem or proposed intervention?
*Summarize in your own words.
* Include results of the study and how these results are applicable to your project.
* What is the recommendation of the source for clinical practice?
