Development of a Novel Reverse Report Simulation and Its Impact on Nurses' Information Gathering Priorities Across...

Area of Science:

• Nursing Education
• Patient Safety
• Healthcare Simulation

Background:

• Effective nurse bedside reports are crucial for patient safety.
• Internal reviews identified issues with current nurse handoff procedures.
• A novel Reverse Report Simulation was developed to address these gaps.

Purpose of the Study:

• To identify gaps in nurse information gathering during bedside reports.
• To enhance nurses' prioritization of direct patient assessments.
• To explore the impact of generational differences on information source preference.

Main Methods:

• A pre- and post-survey design was employed.
• Nurses participated in a simulation mimicking a patient room.
• Information sources (EHR, verbal reports, patient/family input, patient/environment assessment) were ranked before and after the simulation.

Main Results:

• Initially, the electronic health record (EHR) was the most valued source, especially by Generation Z nurses.
• Post-simulation, 93% of participants prioritized patient and environment assessments.
• Nurse verbal reports consistently remained the least valued information source.

Conclusions:

• Nurses may over-rely on electronic records instead of direct patient assessment during bedside reports.
• Technologically adept Generation Z nurses may influence this trend.
• Improved education on bedside reporting and generational differences is needed.