Related Experiment Video
Updated: Jun 14, 2026

Workflow and Framework for Collecting and Implementing Point-of-Care Ultrasound Data in the Management of Heart Failure Patients
Published on: July 12, 2024
Implementing an electronic change-of-shift report using transforming care at the bedside processes and methods
Beverly A Nelson1, Robert Massey
1Division of Nursing, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA. banelson@mdanderson.org
Clinical nurses developed an electronic change-of-shift report. This innovation reduced reporting time and overtime, improving information quality and nurse satisfaction.
Area of Science:
- Nursing Practice
- Healthcare Operations
- Quality Improvement
Background:
- Bedside nurses are crucial for operational improvements.
- Current change-of-shift reporting processes can be inefficient.
- The Transforming Care at the Bedside initiative promotes nurse-led innovation.
Purpose of the Study:
- To develop and implement an electronic template for change-of-shift reports led by clinical nurses.
- To evaluate the impact of the new electronic report process on efficiency and staff satisfaction.
Main Methods:
- Utilized Transforming Care at the Bedside (TCAB) methodologies.
- Clinical nurses led the design, testing, and implementation of an electronic reporting template.
- Data collection likely involved time studies and staff surveys.
Main Results:
- Significant reduction in time spent during change-of-shift reports.
- Decreased end-of-shift overtime hours.
- Enhanced standardization of the reporting process.
- Improved perceived information quality and increased staff satisfaction.
Conclusions:
- Clinical nurse-led initiatives can effectively optimize healthcare operations.
- Electronic tools can streamline change-of-shift reporting, benefiting both nurses and patient care.
- Implementing standardized, nurse-driven processes improves efficiency and job satisfaction.
Related Concept Videos
Types of Reports I: Hand-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...
Methods of Documentation VII: EMR
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
Flow Sheet
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
