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A Nursing Pilot Study on Bedside Reporting to Promote Best Practice and Patient/Family-Centered Care

Tidwell, Tracy; Edwards, Jessica; Snider, Emily; Lindsey, Connie; Reed, Ann; Scroggins, Iva; Zarski, Christy; Brigance, Joe

Journal of Neuroscience Nursing: August 2011 - Volume 43 - Issue 4 - p E1-E5
doi: 10.1097/JNN.0b013e3182212a1d
Article: ONLINE ONLY

Objective: The purpose of this study was to evaluate the effectiveness of bedside nursing report implementation on a pediatric neuroscience unit.

Background: The change-of-shift nursing report often involves only nurse-to-nurse communication, occurs far away from the patient's bedside, and includes little or no patient/family involvement. Studies show that the bedside nursing report is a more comprehensive and patient-centered approach (C. D. Anderson & R. R. Mangino, 2006).

Methods: Patient and nurse satisfaction and nursing overtime were measured 6 months before and 6 months after the implementation of bedside reporting. Data were analyzed using paired t test, chi-square test, and Fisher's exact tests to determine significant changes.

Results: Patients, families, and nurses reported an increase in satisfaction after the implementation of bedside reporting. Overtime decreased and represented a potential cost savings of nearly $13,000 annually.

Conclusions: Bedside reporting saves money, improves patient and nurse satisfaction, and is a more comprehensive approach to change-of-shift reporting.

In this study, nurses working in a pediatric neuroscience unit implemented a bedside reporting process as a way to strengthen a collaborative, family-centered model of care, to enhance continuity and safety of care, to improve both patient and staff satisfaction, and to decrease overtime costs.

Questions or comments about this article may be directed to Tracy Tidwell, MSN, at tracy.tidwell@lebonheur.org. She is the director of the Pediatric Brain Tumor Program, Le Bonheur Children's Hospital, Memphis, TN.

Jessica Edwards, BSN RN-BC CNML, is patient care coordinator at the Le Bonheur Children's Hospital, Memphis, TN.

Emily Snider, MSN, is a neurosurgery nurse practitioner at the Le Bonheur Children's Hospital, Memphis, TN.

Connie Lindsey, RN MSN CNE BC, is a quality improvement specialist in physician quality, at the Le Bonheur Children's Hospital, Memphis, TN.

Ann Reed, MSN CNML, is the clinical director of neuroscience at the Le Bonheur Children's Hospital, Memphis, TN.

Iva Scroggins, MSN RN-BC, is a clinical educator at the Le Bonheur Children's Hospital, Memphis, TN.

Christy Zarski, RN, is a neuroscience staff nurse at the Le Bonheur Children's Hospital, Memphis, TN.

Joe Brigance, RN, is a neurosurgical nurse coordinator at the Le Bonheur Children's Hospital, Memphis, TN.

© 2011 American Association of Neuroscience Nurses