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Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments

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Leading Change in Nurse Bedside Shift Report.

Ashley Clark¹, Kelly A Wolgast¹, Nicole Mazur²

¹College of Nursing, The Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.

The Nursing Clinics of North America

|February 2, 2020

Summary

This summary is machine-generated.

Implementing nurse bedside shift report (NBSR) requires management support and education. Nurse champions facilitate peer learning, overcoming barriers like time and patient needs for improved patient-centered care.

Keywords:

Bedside reporting Bedside shift report Nurse education Patient-centered care Quality improvement

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Area of Science:

Nursing Practice
Patient Care Handoffs
Healthcare Management

Background:

Nurse bedside shift report (NBSR) is crucial for patient-centered care.
Successful implementation hinges on management buy-in and robust educational strategies.
Nurse champions play a key role in disseminating knowledge to peers.

Purpose of the Study:

To pilot the implementation of NBSR on a Medical Oncology unit.
To identify and address projected barriers to NBSR adoption.
To evaluate the effectiveness of an educational platform and incentive program.

Main Methods:

A two-phase pilot implementation of NBSR was conducted.
Registered Nurses and Certified Nursing Assistants received education and tools.
An incentive program ran concurrently with the pilot.
A prepilot phase identified potential barriers.

Main Results:

Projected barriers included time constraints, HIPAA concerns, patient needs, and performance ability.
The study focused on overcoming these identified barriers through structured education and support.
The pilot aimed to facilitate successful integration of NBSR.

Conclusions:

Effective NBSR implementation requires a multi-faceted approach.
Addressing barriers proactively through education and support is essential.
Management support and nurse champions are vital for successful adoption of NBSR.