Are You

READY?Jessica Edwards, RN, BSNConnie Lindsey, RN, MSN

Ann Reed, RN, MSNIva Scroggins, RN, BSNEmily Snider, RN, BSN

Tracy Tidwell, RN, MSN, CPNPChristy Zarski, RN

Le Bonheur Children’s Medical CenterMemphis, TN

Service, Quality, Integrity, Teamwork

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?

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…

A Picture Tells It AllParents/Caregivers know their children best.Involving the family in the care plan instills trust and cooperationEveryone has a need to feel involved and important

Service, Quality, Integrity, Teamwork

Are You READY? WE ARE…Bedside Nurse to Nurse Report Is A Great Method of Practicing Family-

Centered CareR Reassures 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

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

A retrospective analysis to analyze data from the previoussix 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

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

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

How would you rate the concern of nursing unit staff for your requests

70.075.080.085.090.095.0

100.0

Months

Perc

ent

How would you rate the availability of your child's nurses

70.075.080.085.090.095.0

100.0

Months

Perc

ent

Service, Quality, Integrity,

Teamwork

Service, Quality, Integrity,

Teamwork

Service, Quality, Integrity,

Teamwork

Service, Quality, Integrity,

Teamwork

$18,494

$12,019

Service, Quality, Integrity,

Teamwork

Nurse Satisfaction

1.50

1.90

2.30

2.70

3.10

3.50

3.90

The currentsystem ofreport is alearning

opportunity forme

The length ofreport is an

effective use ofmy time

Interpersonalrelationships

between shiftsare good

The patient'scondition

matches what Iget in report

The currentsystem of

report fosters apartnership

betweennurses,

patients, andtheir caregivers

Question

Scal

e

Pre Bedside Report

Post Bedside Report

Advantages of Bedside Report

AccountabilityRelay accurate information on patientBoth nurses visualize patientIncreased patient and family involvement

Service, Quality, Integrity, Teamwork

Disadvantages of Bedside Report

Time consuming when staffing does not permit a free charge nurse

Some families not receptive

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

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