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Running head: RESEARCH CRITIQUE & PICOT - FINAL1Research Critique & PICOT Statement – Final DraftDaniel AcevesNRS-433V Introduction to Nursing ResearchGrand Canyon UniversityJune 11, 2017
RESEARCH CRITIQUE & PICOT Research Critique & PICOT Statement - Final DraftPatient safety is a key component in today’s healthcare. The key to providing quality patient care is effective and clear communication between nurses and patients. Many times, during a shift, a nurse may transfer one or more patients to a different nurse. The Joint Commission has identified miscommunication in the change of shift report as the leading cause of sentinel events in the United States (The Joint Commission, 2012). Change of shift report traditionally has been completed away from the patient’s bedside. To ensure quality patient care and patient safety, it is the nurse’s responsibility to provide a clear and accurate report during change of shift (Radtke, 2013). Nursing Practice Problem and PICOT StatementNursing Practice ProblemChange of shift report traditionally has been done outside of patient’s room. Patients are typically not involved in the process. They are not familiar with the oncoming nurses or may have questions about what is being discussed between nurses (Reinbeck & Fitzsimons, 2013). Other issues that can occur during change of shift are the change in the appearance of wounds or the presence of an infiltrated IV (Laws & Amato, 2010). With using a bedside shift report method, nurses can introduce the new nurse and discuss the plan of care with the patient. The bedside shift report also lets the oncoming nurse assess the patient with the previous nurses and observe any changes in wounds and IV status. This process helps the patient be more involved with their care and gives them an opportunity to ask questions. Bedside shift report increases patient’s satisfaction, helps facilitate communication between nurses, and improves patient safety(Szeto, Wren, & Milborn, 2014). 2
RESEARCH CRITIQUE & PICOT PICOT Statement In hospitalized patients, what are the benefits of bedside shift report on patient care vs. traditional shift report? Bedside shift report has shown to help increase nursing communication. This process has also shown to decrease the number of falls, medication errors, and decrease the length of shift report (Sand-Jecklin & Sherman, 2014).Qualitative Study Background of StudyWashington Regional Medical Center (WRMC) in Fayetteville, Arkansas implemented a new bedside shift report protocol. WRMC has a cardiac unit which is also a dedicated education unit. WRMC’s current shift report is a mixed process of written and verbal report. While patientsreported an overall satisfaction score of 9 out of 10, patient satisfaction ratings related to nurses “always” communicating well was rated at 73%. WRMC conducted a study to institute a bedside