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A nursing pilot study on bedside reporting to promote best practice and patient/family-centered care
Tracy Tidwell1, Jessica Edwards, Emily Snider
1Pediatric Brain Tumor Program, Le Bonheur Children's Hospital, Memphis, TN, USA. tracy.tidwell@lebonheur.org
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.
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