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PICOT STATEMENT - IMPROVING PATIENT SAFETY AND SATISFACTION1PICOT Statement Improving Patient Safety and SatisfactionParamjit GillGrand Canyon University-NRS-433VNovember 30, 2019
PICOT STATEMENT - IMPROVING PATIENT SAFETY AND SATISFACTIONPICOT Statement - Improving Patient Safety and SatisfactionDelivering a high quality patient care is critical not only for patient satisfaction but also for better patient’s health outcomes. Health care organizations have constantly implemented strategies to enhance patient safety within acute care settings. Research studies have proven that frequent bedside shift reports minimize adverse effects caused by infrequent bedside reporting in hospitalized patients. “Bedside shift report (BSR) enables accurate and timely communication between nurses, includes the patient in care, and is paramount to the delivery of safe, high quality care” (McAllen, Stephens, Swanson-Biearman, Kerr, Whiteman , 2018). Increased research in shift reports shows benefits of enhanced teamwork and greater involvement of the patient and their families in the care process.PICOT Question/Statement DevelopmentIdentified components of PICOT:P - Population of Focus - Patients admitted in acute care unitsI - Intervention – Frequent bedside reporting C – Comparison - Infrequent bedside reportingO – Outcome - Improving patient safety and health outcomes along with patient satisfactionT - Time - The time of hospitalizationPICOT Question: “For patients admitted in acute care units, how does frequent bedsidereporting, as compared to infrequent bedside reporting, help in improving patient safety andhealth outcomes along with patient satisfaction during the time of hospitalization?”2
PICOT STATEMENT - IMPROVING PATIENT SAFETY AND SATISFACTIONThe Significance of the Problem The purpose of this study is to examine the effect of bedside report on patient outcomes and nurse/patient satisfaction.Shift report is a process where information regarding patients, their diagnosis and their plan of care is handed to oncoming staff from outgoing staff. Most of the time this handoff process is done at the nursing station and patients or their family members are not involved during that time. Since, the patient or the family members were not present at the time of report, they do not know if right information was communicated or not. If the bedsidereporting happens including the patient and family, the information can be clarified if needed andpatients can assure that oncoming nurse has all the needed information regarding their care. Effective communication during patients’ handoff ensures quality and safe care. According to the American Nurses Association, shift handoffs between the outgoingnurses and incoming nurses needs to include sharing of all critical information concerningpatients’ treatment plan for the coming hours (Sand-Jecklin, Sherman & Johnson, 2013).Increased research in shift reports shows benefits of enhanced teamwork and greater involvementof the patient and their families in the care process.