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Are You READY?. Jessica Edwards, RN, BSN Connie Lindsey, RN, MSN Ann Reed, RN, MSN Iva Scroggins, RN, BSN Emily Snider, RN, BSN Tracy Tidwell, RN, MSN, CPNP Christy Zarski, RN Le Bonheur Children’s Medical Center Memphis, TN. Service, Quality, Integrity, Teamwork. Our story… .

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are you ready

Are YouREADY?

Jessica Edwards, RN, BSN

Connie Lindsey, RN, MSN

Ann Reed, RN, MSN

Iva Scroggins, RN, BSN

Emily Snider, RN, BSN

Tracy Tidwell, RN, MSN, CPNP

Christy Zarski, RN

Le Bonheur Children’s Medical Center

Memphis, TN

Service, Quality, Integrity, Teamwork

slide2

Our story…

  • Recognized high level of family stress
  • Families continually voiced “feeling of loss of control”
  • Desire to improve patient/family satisfaction

Service, Quality, Integrity, Teamwork

ready to make a change
READY…to Make a Change?

Problem:

Nurses on 5-South were frustrated with method of reporting and low patient satisfaction scores

Families on 5-South were frustrated with lack of information and ability to influence plan of care

Unit as a whole realized that we needed to focus more on involving the parent/patient in the decision process

Bedside Nurse-to-Nurse Report was one of the methods selected to begin our “NEW” way of looking at things

Service, Quality, Integrity, Teamwork

why we do what we do
Why we do what we do…

A Picture Tells It All

  • Parents/Caregivers know their children best.
  • Involving the family in the care plan instills trust and cooperation
  • Everyone has a need to feel involved and important

Service, Quality, Integrity, Teamwork

slide5
Are YouREADY? WE ARE…Bedside Nurse to Nurse Report Is A Great Method of Practicing Family-Centered Care

RReassures patients and caregivers that we work as a team

E Ensures interaction between staff and caregivers

A Ability to visualize and prioritize care

D Decrease caregivers anxiety over plan of care

Y Yields happier staff, patients, and families!

Service, Quality, Integrity, Teamwork

our research team
Our Research Team

A group of nurses were selected from the neuroscience unit that all showed interest in being leaders to implement change & were interested in family centered care.

ADN, BSN, and MSN prepared nurses

Staff nurses, patient coordinators, director, upper management and nurse practitioner

Various levels of experience on neuroscience unit

bedside report design
Bedside Report Design

A retrospective analysis to analyze data from the previous

six month of patient satisfaction surveys

A retrospective analysis of clock-out times of 5S RN’s over a

six month period

A prospective analysis using convenient sampling to collect data from the patient satisfaction surveys

Nurses were asked to complete a questionnaire prior to and six months after the implementation of bedside reporting

Data was statistically compared to determine, if any, correlation existed between bedside reporting and patient satisfaction surveys

data analysis bedside report
Data Analysis: Bedside Report

Answers to the patient satisfaction survey were collected and plotted by the QI department to determine if there was increase in satisfaction after implementation of bedside reporting

Answers obtained from nursing questionnaires were evaluated to determine if RN satisfaction with the reporting system improved after implementation of bedside reporting

measurement tools
Measurement Tools
  • Patient Satisfaction Surveys
    • How would you rate concern of the nursing unit staff for your requests
    • How would you rate the availability of your child’s nurses
    • How well did nurses keep you informed about your child’s treatment and condition
    • Did the staff on your nursing unit show respect for you and your child’s needs
    • How would you rate the overall teamwork of the hospital staff who took care of your child
slide15

$18,494

$12,019

Service, Quality, Integrity, Teamwork

advantages of bedside report
Advantages of Bedside Report
  • Accountability
  • Relay accurate information on patient
  • Both nurses visualize patient
  • Increased patient and family involvement

Service, Quality, Integrity, Teamwork

disadvantages of bedside report
Disadvantages of Bedside Report

Time consuming when staffing does not permit a free charge nurse

Some families not receptive

outcomes of bedside report
Outcomes of Bedside Report
  • Increase in Satisfaction of Patients/Parents/Caregivers
  • Increase in Satisfaction of Nurses
  • Decrease in the amount of time Nurses stayed “Over Shift”
future recommendations
Future Recommendations

Add other elements such as

  • 100% Utilization of Updating White Boards during Bedside Report
  • Computer Documentation Check
  • Ongoing evaluation of ways to engage parental/patient involvement in the formal plan of care