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Related Experiment Videos

The phenomenal shift report: a paradox.

Mary M Hays1

  • 1College of Nursing, University of Alabama in Huntsville, Huntsville, AL 35899, USA. haysm@email.uah.edu

Journal for Nurses in Staff Development : JNSD : Official Journal of the National Nursing Staff Development Organization
|February 11, 2003
PubMed
Summary
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Shift reports, vital for nursing communication, reveal underlying cultural issues and power dynamics. Addressing these challenges can improve staff development and job satisfaction.

Area of Science:

  • Nursing Practice
  • Healthcare Management
  • Organizational Psychology

Background:

  • Shift reports are a routine but complex communication tool in nursing.
  • Beyond information exchange, they reflect deeper issues like cultural disarray and powerlessness.
  • These dynamics impact nursing staff well-being and unit-level functioning.

Purpose of the Study:

  • To review the literature on the multifaceted nature of nursing shift reports.
  • To explore the implications of shift report dynamics for staff development and management.
  • To identify strategies for improving the shift report process.

Main Methods:

  • A comprehensive literature review was conducted.
  • The review synthesized existing research on nursing shift reports.

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  • Analysis focused on communication, culture, power, and staff development.
  • Main Results:

    • Shift reports serve dual roles: functional information transfer and a site of cultural negotiation.
    • Intershift reports can exacerbate feelings of powerlessness and cultural conflict among nurses.
    • The current structure may hinder effective staff development and collegial support.

    Conclusions:

    • Enhancing the shift report process requires addressing underlying cultural and power dynamics.
    • Recommendations include fostering self-esteem, promoting collegial support, and prioritizing report content.
    • Strategic improvements can optimize shift reports for better staff development and unit management.