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Nursing

Bedside Shift Handover Implementation Quantitative Evidence

Bedside Shift Handover Implementation Quantitative Evidence

Literature Evaluation Table

Student Name:

Change Topic (2-3 sentences): Bedside shift handover implementation quantitative evidence research project. The project is aimed at evaluating the scope of bedside shift handovers and offering suggestions for improving the practice based on the current literature and identified gaps in the practice.

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

 Forde, M. F., Coffey, A., & Hegarty, J. (2020). Bedside handover at the change of nursing shift: A mixed‐methods study. Journal of Clinical Nursing, 29(19-20), 3731-3742. Malfait, S., Eeckloo, K., Van Biesen, W., Deryckere, M., Lust, E., & Van Hecke, A. (2018). Compliance with a structured bedside handover protocol: An observational, multicentred study. International journal of nursing studies, 84, 12-18. Tacchini-Jacquier, N., Hertzog, H., Ambord, K., Urben, P., Turini, P., & Verloo, H. (2020). An Evidence-Based, Nursing Handover Standard for a Multisite Public Hospital in Switzerland: Web-Based, Modified Delphi Study. JMIR Nursing, 3(1), e17876. Oxelmark, L., Whitty, J. A., Ulin, K., Chaboyer, W., Gonçalves, A. S. O., & Ringdal, M. (2020). Patients prefer clinical handover at the bedside; nurses do not: evidence from a discrete choice experiment. International journal of nursing studies, 105, 103444.
Article Title and Year Published

 

 Bedside handover at the change of nursing shift: A mixed‐methods study. 2020 Compliance with a structured bedside handover protocol: An observational, multicentred study, 2018 An Evidence-Based, Nursing Handover Standard for a Multisite Public Hospital in Switzerland: Web-Based, Modified Delphi Study, 2020 Patients prefer clinical handover at the bedside; nurses do not: evidence from a discrete choice experiment, 2020
Research Questions (Qualitative)/Hypothesis (Quantitative)

 

 What are the structures, processes, and content of bedside shift reporting? While compliance is suggested, there is a need to enhance compliance through a structured bedside protocol and identify the various differences in compliance. An ideal nursing handover standard is required to implement bedside handover to enhance better and continued care. There is a huge preference for clinical handovers at the bedside among patients more than the nurses.
Purposes/Aim of the Study The purpose of the article is to provide an overview or scope of the bedside shift handover in terms of structure, content, and processes. The study’s main objective was to determine nurses’ compliance with a structured bedside handover protocol and evaluate the variations in compliance between the wards. This study’s primary objective was to design an evidence-based handover strategy for inpatient handovers during patient shifts and transfers across wards. This study aims to describe and compare both patients’ and nurses’ preferences in implementing bedside handovers.
Design (Type of Quantitative, or Type of Qualitative)

 

 The article employs mixed methods of the approach of quantitative and qualitative approaches. Observation of selected wards scenarios of patient bedside shift handover based on the protocol was done. The data was analyzed to identify the rates of compliance. Two researchers were used for observation to enhance credibility. Surveys were done on a sample of 264 nurses through the web in the care settings. This qualitative study was based on observation and assessment of results across a selected portion of the study. There were 218 patients and 101 nurses involved in the study.
Setting/Sample

 

 A sample of 30 bedside handover episodes was audio-recorded, and the stakeholder’s involvement in the process was analyzed. The experiment was conducted in wards based on the encounters of the nurse during the bedside handover process. The main assessed aspect was compliance with the tailored BSH protocol. A sample of 264 nursing personnel was studied and data was collected in a mixed-method approach in a public site hospital. The study was conducted in a university setting across four medical wards in two healthcare facilities. An electronic tablet enabled the face-to-face survey to identify the preferences of the patients.
Methods: Intervention/Instruments

 

 Bedside handover shifts were recorded and analyzed to understand the scope of the process. Using observational and analytical tools and triangulated to get more detailed data on the topic. The rates of compliance with the tailored bedside shift handover were evaluated in each episode. A modified multi-round survey was carried out. Every method was built on the responses from the previous surveys. The bedside handover standard items had to attain a ≥70%   consensus for inclusion and selection in the facility. Electronic tablets enabled the tracking of the interaction between the nurse and patients in a face-to-face approach. The attitudes and approaches of everyone in on-site or off-site handing over were evaluated.
Analysis

 

 The article has reliable data that provides an overview of the bedside shift handover process. The aspect of time and communication, and information sharing is well observed to ensure the patient’s continuity and safety of care. The tailored bedside shift handover model was well-designed to contain the vital elements of the process. Therefore, all nurses need to ensure that they comply with the provisions of the compliance tool. Identifying some of the omitted parts, such as identifying the patent and poor patient interaction, proved useful in improving the implementation procedure. The appropriate or ideal standard for the bedside handover model was identified based on the views collected. Several items were identified, such as time, facility model and structure, and patient involvement. Communication and sharing of information between the nurses was the key thing for any standard protocol for bedside handover. Through the finding, what was observed is that a greater number of the patients preferred the patient handover at the bedside owing to feelings of security and feeling continued care. However, owing to time constraints, the nurses preferred being off-site.
Key Findings

 

 The article identified that bedside handover shifts are often done in a fast-paced manner. It proposed that there needs to be an improvement in time and communication constraints in the bedside shift handover to promote safety and ease of continuity in patient care. The study identified the influences of compliance and how to improve it. The patient’s length of stay, the nursing care model, and the type of ward influenced the compliance rate. Moreover, it identified that future research projects on bedside handover ought to focus on the standard facility procedures and improve the patients’ involvement in the process. The study presents the items selected by consensus for an evidence-based nursing handover standard for inpatients for use at shift changes or internal transfers. It also presents the reasons why survey items were or were not included. The article identified that the patients prefer bedside handovers to nurses due to the varying scope of work and expectations; the patient will feel more interconnectivity of care when the handover is done at the bedside. Besides, the nurses’ attitudes were based on schedule and time constraints.
Recommendations

 

 More patient participation and evaluation of facility systems to ensure ease of bedside handover processes. The standard for implementation is based on the organizational culture, so a strong emphasis on compliance is required. The future implementation practices for bedside shift handovers should focus more on aligning its provisions with hospital protocol and improving patient participation.  The article recommended that a standardized bedside handover process across the facilities and wards is needed for continuity of care. The majority of the items proposed need to be included and adhered to during all processes of bedside handovers.

 

 The article recommends deliberation on ensuring that nurses and patients are in tandem in terms of the bedside handover process’ expectations and delivery. The main aim is to ensure full participation, effective communication, patient safety, and effective PHI sharing.
Explanation of How the Article Supports EBP/Capstone Project

 

 The article highlights quality improvement methods in the bedside shift handover by focusing on the interaction between the stakeholders. Thus, it offers gaps in improving the process, such as improving information sharing and synchronization between the patient, incoming and outgoing nurses. The article is useful to the EBP project by identifying the facility operations and protocol’s role in the implementation of effective bedside shift handover programs. It further shows the areas the nurses need to focus on implementing the process, such as involving the patient. The article is useful to the capstone project by providing an ideal standard of an effective bedside handover shift model. The elements for making it effective are presented, which further aid in designing effective approaches to the practice. The paper presents a possible problem: the clash of preferences between the patients and nurses about the bedside handover shifts. The patients prefer bedside handover, while nurses do not. Thus future research shows that this issue needs to be addressed to ensure effective bedside handover programs. Patient involvement was also highlighted, which seems to be an integral aspect of the process.

 

Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

 Malfait, S., Eeckloo, K., Van Opdorp, L., Van Biesen, W., & Van Hecke, A. (2020). The impact of bedside handovers on relevant clinical indicators: A matched‐controlled multicentre longitudinal study. Journal of Advanced Nursing.

 

 Abuajah, G. (2020). Effectiveness of End of Shift Bedside Report. Bressan, V., Mio, M., & Palese, A. (2020). Nursing handovers and patient safety: Findings from an umbrella review. Journal of Advanced Nursing, 76(4), 927-938. Rifai, A., Afandi, A. T., & Hasanah, A. (2020). BEDSIDE NURSING HANDOVER: PATIENT’S PERSPECTIVE. NurseLine Journal, 4(2), 123-130.
Article Title and Year Published

 

 The impact of bedside handovers on relevant clinical indicators: A matched‐controlled multicentre longitudinal study 2020 Effectiveness of End of Shift Bedside Report 2020 Nursing handovers and patient safety: Findings from an umbrella review. 2020 Bedside nursing handover: patient’s perspective, 2020
Research Questions (Qualitative)/Hypothesis (Quantitative)

 

 Bedside handovers are much more effective and safer than traditional handover approaches. How effective are the bedside shift reports on the quality of care of the patient?

 

 Nursing bedside shift handovers need to address the various safety concerns associated with the practice. What are the patient’s views on the issue of bedside handover?

What are some of the concerns they have with the practice?
Purposes/Aim of the Study This article explores the impact of bedside handovers on the relevant clinical indicators. The main aim of the article was to assess the aim of the bedside shift handover report. Patient safety is one of the critical aspects of executing the bedside shift handover process. This study’s primary objective was to conduct an overview of the safety concerns in the handover and how nurses can ensure that it is maintained throughout the process. An identification of aspects to improve to enhance safety during handover is carried out. The study’s primary aim was to describe the bedside handover activities based on the patient’s perspective in the inpatient ward.
Design (Type of Quantitative, or Type of Qualitative)

 

  The study is conducted through a multicentre matched‐controlled longitudinal design.

 

 The article was designed in a quantitative framework with an educational intervention institution to analyze how effective the bedside reports were. This was a mixed-methods umbrella review of the nursing handover and patient safety review articles. The study was a qualitative one designed with a descriptive survey model.
Setting/Sample

 

 The experiment was done at five wards across four hospitals and four control wards. Twenty-six beds in a telemetry setting were used with observations and data collection on the nursing activities during the bedside handover process. Seventeen articles were reviewed to explore nursing handovers and patient safety. The setting was a military ward, whereby 100 participants were involved.
Methods: Intervention/Instruments

 

  The bedside handover was implemented at five different wards across four hospitals. Also, four control wards were used to have conventional or traditional handover for comparison with the bedside handover. Educational interventions were carried out across nurses in a 26-bed telemetry unit. The identified articles were analyzed via the Research Syntheses. A quantitative approach in a descriptive survey of 100 respondents was made in an inpatient ward.

 

 
Analysis

 

  The article identified the role of patient participation in minimizing adverse outcomes, for instance, in addressing critical information between the two nurses. Bedside handover is effective because, as evidenced in the study, contrary to the traditional method, it contributed to fewer patient safety issues. Bedside handovers are an effective and often preferred model of nursing handover. With appropriate tools, the approach is designed to ensure the continuity and safety of patients. The review of the articles provided various aspects that explored the safety of patients during nursing handover. Organizations need to explore role changes, behavior, and scope in bedside handovers to ensure that patient safety is prioritized. From the results, the patients felt that the bedside handover was effective. Nevertheless, it identified the challenges associated with such as nurse bulk of work, time, and organizational constraints.
Key Findings

 

 Bedside handovers are effective evidence-based approaches that promote care continuity and, contrary to the traditional handover approaches, are safer. Better patient inculcation should be made to the bedside handover process through better communication and reporting. There is a need to amend the handover practices to enhance patient safety. The study identified that most facilities need culture, role, and structure change to ensure the nursing handover processes are tailored to ensure patient safety. Through the patients’ accounts, the article identified some of the challenges associated with bedside shift handovers; for instance, the burden on nurses and a lack of proper understanding and handover during bedside handovers.
Recommendations

 

 The article proposes that facilities implement the bedside approach to replace the conventional handover approaches as they are much more effective in enhancing patient safety to minimize medical errors and even hospital-acquired infections. This project enhances the nurses’ knowledge of the reporting system’s effect on safety communication and improvement of care. The project expects that it will enhance patients’ safety during the handover through patient-centered and patient-participation approaches. Patient involvement and good communication will contribute to better handovers. Bedside handovers will be a secure way of continuing care. The article recommends better handling the patient bedside handover to eliminate risks and promote coordination and holistic patient care.
Explanation of How the Article Supports EBP/Capstone

 

 The EBP capstone is based upon implementing bedside handovers that are much more patient-centered and effective and promote care continuity and positive outcomes. As part of nursing practice, the nursing handover reports should be handled effectively. This article details the importance of good communication and record-keeping practice.  The article presented safety as one of the main concerns in the handover of patients at the bedside. Therefore, more approaches to improving safety need to be explored to ensure it is safely done in a patient-centered approach. The article provides an overview of bedside shifts from the perspective of the patients. This enables identifying some of their concerns to understand how to holistically make bedside shift handover effective.

References

Abuajah, G. (2020). Effectiveness of End of Shift Bedside Report. : https://scholarworks.waldenu.edu/dissertations

Bressan, V., Mio, M., & Palese, A. (2020). Nursing handovers and patient safety: Findings from an umbrella review. Journal of Advanced Nursing, 76(4), 927-938. https://doi.org/10.1111/jan.14288

Forde, M. F., Coffey, A., & Hegarty, J. (2020). Bedside handover at the change of nursing shift: A mixed‐methods study. Journal of Clinical Nursing, 29(19-20), 3731-3742 https://doi.org/10.1111/jocn.15403

Malfait, S., Eeckloo, K., Van Biesen, W., Deryckere, M., Lust, E., & Van Hecke, A. (2018). Compliance with a structured bedside handover protocol: An observational, multicentred study. International journal of nursing studies, 84, 12-18. https://doi.org/10.1016/j.ijnurstu.2018.04.011

Malfait, S., Eeckloo, K., Van Opdorp, L., Van Biesen, W., & Van Hecke, A. (2020). The impact of bedside handovers on relevant clinical indicators: A matched‐controlled multicentre longitudinal study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.14406

Oxelmark, L., Whitty, J. A., Ulin, K., Chaboyer, W., Gonçalves, A. S. O., & Ringdal, M. (2020). Patients prefer clinical handover at the bedside; nurses do not: evidence from a discrete choice experiment. International journal of nursing studies, 105, 103444 https://doi.org/10.1016/j.ijnurstu.2019.103444

Rifai, A., Afandi, A. T., & Hasanah, A. (2020). BEDSIDE NURSING HANDOVER: PATIENT’S PERSPECTIVE. NurseLine Journal, 4(2), 123-130 https://doi.org/10.19184/nlj.v4i2.15422

Tacchini-Jacquier, N., Hertzog, H., Ambord, K., Urben, P., Turini, P., & Verloo, H. (2020). An Evidence-Based, Nursing Handover Standard for a Multisite Public Hospital in Switzerland: Web-Based, Modified Delphi Study. JMIR Nursing, 3(1), e17876. https://doi.org/10.2196/17876

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Question 

Bedside Shift Handover Implementation Quantitative Evidence

In nursing practice, accurate identification and application of research are essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

Bedside Shift Handover Implementation Quantitative Evidence

Bedside Shift Handover Implementation Quantitative Evidence

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

Topic: Bedside shift handover implementation quantitative evidence

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Literature Evaluation Table

Student Name:

Change Topic (2-3 sentences):

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

  

 
Article Title and Year Published

 
Research Questions (Qualitative)/Hypothesis (Quantitative)

 
Purposes/Aim of Study
Design (Type of Quantitative, or Type of Qualitative)

 
Setting/Sample

 
Methods: Intervention/Instruments

 
Analysis

 
Key Findings

 
Recommendations

 
Explanation of How the Article Supports EBP/Capstone Project

 

 

Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

  

 
Article Title and Year Published

 
Research Questions (Qualitative)/Hypothesis (Quantitative)

 
Purposes/Aim of Study
Design (Type of Quantitative, or Type of Qualitative)

 
Setting/Sample

 
Methods: Intervention/Instruments

 
Analysis

 
Key Findings

 
Recommendations

 
Explanation of How the Article Supports EBP/Capstone