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Enablers and barriers to implementing bedside reporting: insights from nurses
Lianne Jeffs1, Roberta Cardoso, Susan Beswick
1Lianne Jeffs, RN, PhD, St. Michael's Hospital Volunteer Association Chair in Nursing Research, Director Nursing Research/Scientist, Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON.
Nursing Leadership (Toronto, Ont.)
|October 31, 2013
Summary
Nurses find bedside reporting beneficial when supported by leadership and education. Addressing patient confidentiality and unit challenges is key for successful implementation of this patient safety initiative.
Area of Science:
- Nursing Practice
- Patient Safety
- Healthcare Quality Improvement
Background:
- Growing interest in bedside reporting to enhance patient safety and care quality.
- Limited understanding of nurses' perceptions of newly implemented bedside reporting practices.
Purpose of the Study:
- To explore nurses' perceptions of a newly implemented nurse-to-nurse bedside reporting practice.
- To identify themes related to the adoption and challenges of bedside reporting.
Main Methods:
- Qualitative study utilizing semi-structured interviews.
- 43 interviews conducted across four hospital units (respirology, obstetrics/gynecology, nephrology, general surgery).
- Directed content analysis approach for data interpretation.
Main Results:
- Three emergent themes: support for change, maintaining patient confidentiality and preferences, and experiencing implementation challenges.
- Nurses' experiences varied, highlighting the need for structured support.
- Findings underscore the importance of leadership, education, and feedback.
Conclusions:
- Successful implementation of nurse-to-nurse bedside reporting requires multi-pronged initiatives.
- Leadership support, educational opportunities, and continuous monitoring are crucial.
- Further research needed to optimize enablers and mitigate barriers for sustainable practice.
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