Date of Award

2022

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Robin Narruhn

Readers

Faduma Aden

Abstract

The Joint Commission in Accreditation (JCAHO) describes three attributes of good quality care as using available resources to achieve the best possible clinical outcomes and providing care that exceeds patients’ expectations. The Commission also emphasizes the creation of a culture of safety through the prevention of errors and the use of patient safety standards. Accordingly, the practice of patient-centered bedside shift reports (BSR) has received much acclaim due to its potential to improve communication between nurses, enhance patient safety, and increase patient and family satisfaction. Despite the evidence on the benefits of bedside reports, some nurses in different patient care settings have not always included this care process in their nursing practice. In the past, non-compliance to BSR implementation in the organization has been identified as a concern by auditors, the unit manager, and nurse specialist.

Project purpose and Aim: The purpose of the project was to assess nurses perceived barriers in performing bedside report (BSR). The objectives of the project were to evaluate nurses experience with regards to BSR; examine how BSR was incorporated into their practice; identify challenges to effective BSR; explore nurses’ perceptions on how to improve BSR; and finally, to develop a set of recommendations for implementing and sustaining a practice improvement and change project on BSR. Theoretical Framework: The Donabedian Framework for Quality Improvement was used for this project. Methods: This quality improvement project was conducted at the Seattle University College of Nursing, Doctor of Nursing Practice class of 2022. A mixed quantitative and qualitative survey was utilized for the study. Qualitative data were collected from open-ended questions while quantitative data were collected using dichotomous type questions surveys.

Project Implementation Timeline: A six-month timeline was projected from the receipt. Institutional Review Board (IRB) exemption was received on March 17th, 2022. This project was implemented on April 1st, 2022, and May 1st, 2022. Study findings and recommendations will be disseminated to stakeholders June 2022.

Implication for Practice: The results from the survey revealed the barriers to BSR implementation in the research setting. The suggestions of nurses regarding how to improve BSR in the setting are obtained. A series of recommendations for nursing and institutional leaders are also developed. The results from the study may, therefore, serve to provide better insights into how to improve BSR implementation in the research setting.

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