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Implementing an Electronic Change-of-Shift Report Using Transforming Care at the Bedside Processes and Methods

Nelson, Beverly A. PhD, RN, NEA-BC; Massey, Robert PhD, RN, NEA-BC

Journal of Nursing Administration:
doi: 10.1097/NNA.0b013e3181d40dfc

Bedside nurses are well positioned to make changes that positively affect operations and practice. Using Transforming Care at the Bedside processes and methods, the authors describe the clinical nurse-led development, testing, and implementation of an electronic template and process for change-of-shift report. Outcomes included a reduction in time spent in change-of-shift reports, reduced end-of-shift overtime, and a more standardized process, with staff perceived improved information quality and satisfaction with the process.

Author Information

Authors' Affiliation: Director, Nursing Programs (Dr Nelson), Director, Clinical Nursing (Dr Massey), Division of Nursing, The University of Texas M. D. Anderson Cancer Center, Houston.

Corresponding author: Dr Nelson, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Unit 82, Houston, TX 77030 (

© 2010 Lippincott Williams & Wilkins, Inc.