advantages and disadvantages to each alternative. BSR is discussed as a way to improve the patient experience with their care while in the hospital setting. Disadvantages to BSR were also discussed, including difficult medical jargon, repetitiveness, as well as being overwhelmed with information, among other items. The article continues to discuss what nurses found to be positive and negative aspects of BSR including good communication between staff, providing emotional support as positives, as well as worries of violating patient privacy or disclosing unknown information to the patient as negatives. This article brings up important points from both aspects of the nurse and the patient. If a facility wants to implement and continue BSR long-term it is important to know what advantages and challenges will be faced in the implementation period. This article contains information from a large sample group. Grimshaw & Willard (2016) discusses concerns about BSR in a smaller, local community hospital on seven medical, surgical, and intensive care units. Nursing handoff happens multiple times a day and there is an opportunity for error during every nursing handoff. BSR has improved patient and family satisfaction, nursing quality, and patient safety. Proper communication is an important component in maintaining patient care from one shift to another, as ineffective communication can lead to gaps in care, increased length of hospital stay, delays in treatment, inappropriate treatment, and patient harm. The Joint Commission established a National Patient Safety Goal to improve effectiveness of communication during nurse handoff with an opportunity to ask open ended questions. There is no set standardized way to deliver shift report, but with the use of SBAR (situation, background, assessment, recommendation) with BSR, communication with nurses will be improved. This article discusses challenges of implementation as well as the advantages and disadvantages of BSR. The information in this
6 BEDSIDE SHIFT REPORT article is very relatable and discusses more of this history of why BSR is becoming the gold standard of care. McAllen, Stephens, Biearman, Kerr &Whiteman (2018) is an article is based on research by a large hospital where there were a large number of respondents. The focus of implementing BSR was to decrease patient falls and increase patient and nurse satisfaction scores. The evidence-based practice initiative that was identified to be the solution to those goals was BSR. Research showed that patient falls decreased by 24 percent, nurse satisfaction increased in four out of six survey questions, and the HCAPHS and Press Ganey survey results shows that there was improvement in patient satisfaction on two out of three nursing units. This article provides positive statistical facts about pre vs. post BSR implementation on nursing units. The article discusses how BSR allowed for accurate and timely communication between nurses at shift change, includes the patient in care, and is important in the ability to deliver safe, quality care.
- Summer '17
- Nursing, Health care provider, bsr