Abstract
Nursing handoff communication at change-of-shift is a frequent, yet highly essential nursing responsibility that lays the foundation for providing care that is safe and consistent (Grimshaw, Hatch, Willard, & Abraham, 2016). A microsystem assessment conducted on the medical-surgical unit at Woodland Healthcare (WHC) utilizing the 5P’s (Purpose, Patients, Professionals, Processes, Patterns) revealed that only 6% of twelve hour night shift nurses were performing a quality BSR and 40% of twelve hour day shift nurses reported feeling satisfied with shift report. Additionally, three reportable events occurred as a result communication related errors which led to increased spending on behalf of WHC. In an effort to improve the quality of nurse-to-nurse communication and prevent errors, this paper will discuss an evidence-based focused clinical nurse leader (CNL) project aimed at enhancing the quality of BSR of twenty twelve-hour night shift nurses on the medical-surgical unit at WHC through implementation of a standardized bedside report (BSR) tool. Methodology for implementation includes integration of the Plan, Do, Study, Act (PDSA) and Lewin’s Theory of Planned change of unfreezing, moving, and re-freezing (Scheidenhelm & Reitz, 2017). Pre- and post-implementation data will be collected and compared to evaluate outcomes. Evaluation tools utilized will include Press Ganey scores, a nursing satisfaction survey, a BSR competency checklist, and audits of reportable events related to communication errors at shift change. It is anticipated that through the implementation of a standardized BSR tool, 95% of twelve-hour night shift nurses on the medical-surgical unit will demonstrate proper quality bedside report at shift change by August 15, 2017.
References
Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A quality study of the change-of-shift report at the patients’ bedside. The Health Care Manager, 35(4), 294-304.
Scheidenhelm, S. & Reitz, O. (Ed.) (2017). Hardwiring bedside shift report. Journal of Nursing Administration, 47(3), 147-153.
","abstract_html":"<p>Abstract</p> <p>Nursing handoff communication at change-of-shift is a frequent, yet highly essential nursing responsibility that lays the foundation for providing care that is safe and consistent (Grimshaw, Hatch, Willard, & Abraham, 2016). A microsystem assessment conducted on the medical-surgical unit at Woodland Healthcare (WHC) utilizing the 5P’s (Purpose, Patients, Professionals, Processes, Patterns) revealed that only 6% of twelve hour night shift nurses were performing a quality BSR and 40% of twelve hour day shift nurses reported feeling satisfied with shift report. Additionally, three reportable events occurred as a result communication related errors which led to increased spending on behalf of WHC. In an effort to improve the quality of nurse-to-nurse communication and prevent errors, this paper will discuss an evidence-based focused clinical nurse leader (CNL) project aimed at enhancing the quality of BSR of twenty twelve-hour night shift nurses on the medical-surgical unit at WHC through implementation of a standardized bedside report (BSR) tool. Methodology for implementation includes integration of the Plan, Do, Study, Act (PDSA) and Lewin’s Theory of Planned change of unfreezing, moving, and re-freezing (Scheidenhelm & Reitz, 2017). Pre- and post-implementation data will be collected and compared to evaluate outcomes. Evaluation tools utilized will include Press Ganey scores, a nursing satisfaction survey, a BSR competency checklist, and audits of reportable events related to communication errors at shift change. It is anticipated that through the implementation of a standardized BSR tool, 95% of twelve-hour night shift nurses on the medical-surgical unit will demonstrate proper quality bedside report at shift change by August 15, 2017.</p> <p>References</p> <p>Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A quality study of the change-of-shift report at the patients’ bedside. <em>The Health Care Manager, 35</em>(4), 294-304.</p> <p>Scheidenhelm, S. & Reitz, O. (Ed.) (2017). Hardwiring bedside shift report. <em>Journal of Nursing Administration, 47</em>(3), 147-153.</p>","abstract_has_math":false,"creators":["Waggoner, Amanda"],"institution":null,"degree_name":"Master of Science in Nursing (MSN)","degree_level":"Project/Capstone - Global access","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-08-15T07:00:00Z","date_published":"2017-08-15T07:00:00Z","updated_at":"2026-07-24T05:44:00Z","subjects":["communication","safety","bedside report","change of shift report","patient satisfaction","staff satisfaction","Medicine and Health Sciences"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/capstone/602","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Waggoner, Amanda"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2017-08-12T07:00:00Z"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project/Capstone - Global access"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science in Nursing (MSN)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["communication","safety","bedside report","change of shift report","patient satisfaction","staff satisfaction","Medicine and Health Sciences"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/capstone/602"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Abstract
Nursing handoff communication at change-of-shift is a frequent, yet highly essential nursing responsibility that lays the foundation for providing care that is safe and consistent (Grimshaw, Hatch, Willard, & Abraham, 2016). A microsystem assessment conducted on the medical-surgical unit at Woodland Healthcare (WHC) utilizing the 5P’s (Purpose, Patients, Professionals, Processes, Patterns) revealed that only 6% of twelve hour night shift nurses were performing a quality BSR and 40% of twelve hour day shift nurses reported feeling satisfied with shift report. Additionally, three reportable events occurred as a result communication related errors which led to increased spending on behalf of WHC. In an effort to improve the quality of nurse-to-nurse communication and prevent errors, this paper will discuss an evidence-based focused clinical nurse leader (CNL) project aimed at enhancing the quality of BSR of twenty twelve-hour night shift nurses on the medical-surgical unit at WHC through implementation of a standardized bedside report (BSR) tool. Methodology for implementation includes integration of the Plan, Do, Study, Act (PDSA) and Lewin’s Theory of Planned change of unfreezing, moving, and re-freezing (Scheidenhelm & Reitz, 2017). Pre- and post-implementation data will be collected and compared to evaluate outcomes. Evaluation tools utilized will include Press Ganey scores, a nursing satisfaction survey, a BSR competency checklist, and audits of reportable events related to communication errors at shift change. It is anticipated that through the implementation of a standardized BSR tool, 95% of twelve-hour night shift nurses on the medical-surgical unit will demonstrate proper quality bedside report at shift change by August 15, 2017.
References
Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A quality study of the change-of-shift report at the patients’ bedside. The Health Care Manager, 35(4), 294-304.
Scheidenhelm, S. & Reitz, O. (Ed.) (2017). Hardwiring bedside shift report. Journal of Nursing Administration, 47(3), 147-153.
"]},{"key":"dc:title","label":"Title","values":["Improving the Quality of Bedside Shift Report Behavior: Implementing a Standardized Bedside Report Tool on the Medical-Surgical Floor at Woodland Healthcare"]}]}],"canonical_facts":{"dc:creator":["Waggoner, Amanda"],"dc:date.available":["2017-08-12T07:00:00Z"],"dc:description.abstract":["Abstract
Nursing handoff communication at change-of-shift is a frequent, yet highly essential nursing responsibility that lays the foundation for providing care that is safe and consistent (Grimshaw, Hatch, Willard, & Abraham, 2016). A microsystem assessment conducted on the medical-surgical unit at Woodland Healthcare (WHC) utilizing the 5P’s (Purpose, Patients, Professionals, Processes, Patterns) revealed that only 6% of twelve hour night shift nurses were performing a quality BSR and 40% of twelve hour day shift nurses reported feeling satisfied with shift report. Additionally, three reportable events occurred as a result communication related errors which led to increased spending on behalf of WHC. In an effort to improve the quality of nurse-to-nurse communication and prevent errors, this paper will discuss an evidence-based focused clinical nurse leader (CNL) project aimed at enhancing the quality of BSR of twenty twelve-hour night shift nurses on the medical-surgical unit at WHC through implementation of a standardized bedside report (BSR) tool. Methodology for implementation includes integration of the Plan, Do, Study, Act (PDSA) and Lewin’s Theory of Planned change of unfreezing, moving, and re-freezing (Scheidenhelm & Reitz, 2017). Pre- and post-implementation data will be collected and compared to evaluate outcomes. Evaluation tools utilized will include Press Ganey scores, a nursing satisfaction survey, a BSR competency checklist, and audits of reportable events related to communication errors at shift change. It is anticipated that through the implementation of a standardized BSR tool, 95% of twelve-hour night shift nurses on the medical-surgical unit will demonstrate proper quality bedside report at shift change by August 15, 2017.
References
Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A quality study of the change-of-shift report at the patients’ bedside. The Health Care Manager, 35(4), 294-304.
Scheidenhelm, S. & Reitz, O. (Ed.) (2017). Hardwiring bedside shift report. Journal of Nursing Administration, 47(3), 147-153.
"],"dc:identifier":["https://repository.usfca.edu/capstone/602"],"dc:subject":["communication","safety","bedside report","change of shift report","patient satisfaction","staff satisfaction","Medicine and Health Sciences"],"dc:title":["Improving the Quality of Bedside Shift Report Behavior: Implementing a Standardized Bedside Report Tool on the Medical-Surgical Floor at Woodland Healthcare"],"thesis:degree_level":["Project/Capstone - Global access"],"thesis:degree_name":["Master of Science in Nursing (MSN)"]},"updated_at":"2026-07-24T05:44:00Z"}