Campus Location

Dallas Campus (Online)

Date of Award

5-2022

Document Type

DNP Project

Department

Nursing

Degree Name

Doctor of Nursing Practice

Committee Chair or Primary Advisor

Faisal Aboul- Enein

Second Committee Member or Secondary Advisor

Lynn McClellan

Third Committee Member or Committee Reader

Donna Atobajeun

Abstract

Each year, millions of deaths worldwide are caused by medication errors in hospitals. Some of these errors are accounted for through miscommunication during the change of the nurse shift report. One of the Joint Commission’s 2019 national patient safety goals for hospital programs was to improve communication effectiveness among caregivers since mistakes in a caregiver’s communication accounted for 37% of severe patient injuries. Safety is threatened by patients not being included. Therefore, adopting the bedside shift report allows patients to be actively engaged, reinforcing nurse-patient communication. The bedside shift report enables nurses to provide safe, high-quality, patient-centered care at the bedside. At the time of this project, a 24- cardiac bed unit at a community hospital in Louisiana lacked a bedside shift report. Surveillance of the nurse shift report at the nurses’ station unveiled countless communication gaps. The Hospital Consumer Assessment of Healthcare Providers and Systems survey measures patient perception of their hospital experience. The scores from April 2019 revealed a need for improvement in nurse-patient communication at the unit level. The data were compared for the communication with nurse dimension of the Hospital Consumer Assessment of Healthcare Providers and Systems scores preimplementation of the bedside shift report from April 2020 (July 2018–June 2019 discharges), with survey scores postimplementation of the bedside shift report from April 2021 (July 2019–June 2020 discharges), using the longitudinal data analysis. The four specific questions in the Hospital Consumer Assessment of Healthcare Providers and Systems survey related to communication with the nurse and comparing data preimplementation and postimplementation of the bedside shift report were examined. This quality improvement research project aimed to assess the bedside shift report on patient satisfaction in care delivery for the communication with nurse dimension in the Hospital Consumer Assessment of Healthcare Providers and Systems survey.

Keywords: HCAHPS survey, bedside shift report, nurse-patient communication, patient satisfaction, communication with nurse dimension, nurse shift report

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.