2.50
Hdl Handle:
http://hdl.handle.net/10755/182674
Category:
Abstract
Type:
Presentation
Title:
Hardwiring Excellence in Communication: Standardization of Change-of-Shift Report
Author(s):
Athwal, Pam
Author Details:
Pam (Paramjeet) Athwal, RN, MSN, Sharp Grossmont Hospital, La Mesa, California, USA, email: pam.athwal@sharp.com
Abstract:
Poster Presentation: Inconsistent patient care information was being reported at shift change and some nurses were unclear of what to include or exclude during report. This problem was brought to the attention to the Unit Practice Council (UPC), and a proposal to move towards standardization of shift reporting was made. Members of the UPC developed a written form to use for shift change report, which was then updated and approved. The nursing staff was educated on the new report process and it was initiated. The amount of time spent on shift report decreased from 30 to 60 minutes to 10 to 15 minutes, which resulted in an $8,000 reduction in overtime over a two month period. Now during shift change, the off-going nurse has time to introduce the on-coming nurse to the patient and enhance the patient's level of emotional comfort and satisfaction. This visual handoff is critical for patient safety, and beneficial for continuity of care. This visual handoff was not an expectation previously and could not be done due to time constraints. The new handoff increased patient satisfaction because the nurses were able to see patients earlier in the shift and the patients then knew their needs would be met. Because of this, the patients call bell time decreased at the beginning of the shift, allowing the nurse to perform necessary duties. Nursing satisfaction increased because time spent in report was reduced by at least one third. Nurses were able to start providing patient care sooner and the off-going nurses liked being able to leave work on time. On-coming nurses liked receiving the written report with pertinent patient information. The nurses felt patient safety improved because critical information was not being missed due to the standardized format and consistency in reporting. After the new shift process was fully implemented, patient falls decreased by half per quarter. Patient safety is a high priority and, along with preventing falls, critical changes in patient condition were identified...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Anderson, C., Mangino, R.: "Nurse Shift Report: Who Says You Can't Talk in Front of the Patient?" Nursing Administration Quarterly. 30(2):112-122, 2006. Benson, E., Rippin-Sisler, C., Jabusch, K., & Keast, S.: "Improving nursing Shift-to-Shift Report," Journal of Nursing Care Quality. 22(1):80-84, 2007. Caruso, E.: "The Evolution of Nurse-to-Nurse Bedside Report on a Medical-Surgical Cardiology Unit," MEDSURG Nursing. 16(1):17-22, 2007. Hays, M., & Weinert, C.: "A Dramaturgical Analysis of Shift Report Patterns with Cost Implications: A Case Study," Nursing Economic$. 24(5):253-262, 2006. Kerr, M. "A Qualitative Study of Shift Handover Practice and Function from a Socio-technical Perspective," Journal of Advanced Nursing. 37(2):125-134, 2002. Raines, M., & Mull, A.: "Give It to Me: The Development of a Tool for Shift Change Report in a Level I Trauma Center," Journal of Emergency Nursing. 33(4):358-360, 2007. Sexton, A., Chan, C., Elliott, M., Stuart, J., Jayasuriya, R., & Crookes, P.: "Nursing Handovers: Do We Really Need Them?" Journal of Nursing Management. 12( ):37-42, 2004.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleHardwiring Excellence in Communication: Standardization of Change-of-Shift Reporten_GB
dc.contributor.authorAthwal, Pamen_US
dc.author.detailsPam (Paramjeet) Athwal, RN, MSN, Sharp Grossmont Hospital, La Mesa, California, USA, email: pam.athwal@sharp.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182674-
dc.description.abstractPoster Presentation: Inconsistent patient care information was being reported at shift change and some nurses were unclear of what to include or exclude during report. This problem was brought to the attention to the Unit Practice Council (UPC), and a proposal to move towards standardization of shift reporting was made. Members of the UPC developed a written form to use for shift change report, which was then updated and approved. The nursing staff was educated on the new report process and it was initiated. The amount of time spent on shift report decreased from 30 to 60 minutes to 10 to 15 minutes, which resulted in an $8,000 reduction in overtime over a two month period. Now during shift change, the off-going nurse has time to introduce the on-coming nurse to the patient and enhance the patient's level of emotional comfort and satisfaction. This visual handoff is critical for patient safety, and beneficial for continuity of care. This visual handoff was not an expectation previously and could not be done due to time constraints. The new handoff increased patient satisfaction because the nurses were able to see patients earlier in the shift and the patients then knew their needs would be met. Because of this, the patients call bell time decreased at the beginning of the shift, allowing the nurse to perform necessary duties. Nursing satisfaction increased because time spent in report was reduced by at least one third. Nurses were able to start providing patient care sooner and the off-going nurses liked being able to leave work on time. On-coming nurses liked receiving the written report with pertinent patient information. The nurses felt patient safety improved because critical information was not being missed due to the standardized format and consistency in reporting. After the new shift process was fully implemented, patient falls decreased by half per quarter. Patient safety is a high priority and, along with preventing falls, critical changes in patient condition were identified...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Anderson, C., Mangino, R.: "Nurse Shift Report: Who Says You Can't Talk in Front of the Patient?" Nursing Administration Quarterly. 30(2):112-122, 2006. Benson, E., Rippin-Sisler, C., Jabusch, K., & Keast, S.: "Improving nursing Shift-to-Shift Report," Journal of Nursing Care Quality. 22(1):80-84, 2007. Caruso, E.: "The Evolution of Nurse-to-Nurse Bedside Report on a Medical-Surgical Cardiology Unit," MEDSURG Nursing. 16(1):17-22, 2007. Hays, M., & Weinert, C.: "A Dramaturgical Analysis of Shift Report Patterns with Cost Implications: A Case Study," Nursing Economic$. 24(5):253-262, 2006. Kerr, M. "A Qualitative Study of Shift Handover Practice and Function from a Socio-technical Perspective," Journal of Advanced Nursing. 37(2):125-134, 2002. Raines, M., & Mull, A.: "Give It to Me: The Development of a Tool for Shift Change Report in a Level I Trauma Center," Journal of Emergency Nursing. 33(4):358-360, 2007. Sexton, A., Chan, C., Elliott, M., Stuart, J., Jayasuriya, R., & Crookes, P.: "Nursing Handovers: Do We Really Need Them?" Journal of Nursing Management. 12( ):37-42, 2004.en_GB
dc.date.available2011-10-28T15:34:54Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:34:54Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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