Abstract

The purpose of this initiative was to engage clinical nurses through professional governance to increase consistency across the hospital system in completing bedside shift report to improve overall patient safety and satisfaction. A four-hospital system established bedside shift report (BSR) in the early 2000s. In 2022, there was an increase in patient safety events that could have been avoided had BSR been conducted appropriately, identifying it was no longer a standardized nursing practice. In 2023, the Quality and Practice Council created a BSR Task Force (TF) to implement new best practices in BSR, aligning with the goal to examine the positive impact of effective shared decision-making in exemplifying excellence. The BSR TF explored the barriers to consistent BSR practice, created a standard of care that incorporated new best practices and created resources for supporting nurses and units in the re-focus on consistent BSR. A new campaign “Raise the Bar with BSR” included posters and a video by the CNO emphasizing the importance of the practice. Specific new practices included preparing the patient for BSR prior to end of shift, using the electronic medical record to provide BSR using the SBAR format, verifying high risk continuous infusing medications in the record, and performing a patient safety check that included pressing the call bell to ensure bed alarms were working appropriately. The 2022 rate for the percent of patients that said “always” to BSR occurring on the patient experience survey was 50% or less across the system. Following the BSR TF interventions in 2023, the system rate improved to 66%. Each hospital has also seen an increase in their HCAHPS Scores in patients who state nurses “Always” did BSR: 47% to 71% in hospital 1, 53% to 71% in hospital 2, 40% to 69% in hospital 3, and 50% to 60% in hospital 4. This successful improvement in nursing practice aligned with the system’s patient-centered care delivery system, increasing patient experience results and providing a safer, more consistent shift to shift hand-off process across the system. This initiative demonstrates the power of Professional Governance in providing a voice for nursing and the ability to truly own nursing practice. BSR is an important component of patient-centered care and impacts patient satisfaction, safety, and the overall quality of care provided.

Notes

References:

Anshasi, H., & Almayasi, Z. A. (2024). Perceptions of patients and nurses about bedside nursing handover: A qualitative systematic review and meta-Synthesis. Nursing Research and Practice, 2024, 3208747. https://doi.org/10.1155/2024/3208747

Clari, M., Conti, A., Chiarini, D., Martin, B., Dimonte, V., & Campagna, S. (2021). Barriers to and facilitators of bedside nursing handover: A systematic review and meta-synthesis. Journal of Nursing Care Quality, 36(4), E51–E58. https://doi.org/10.1097/NCQ.0000000000000564

Cho, S., Lee, J. L., Kim, K. S., & Kim, E. M. (2022). Systematic review of quality improvement projects related to intershift nursing handover. Journal of Nursing Care Quality, 37(1), E8–E14. https://doi.org/10.1097/NCQ.0000000000000576

Gamp, M., Becker, C., Tondorf, T., et al. (2019). Effect of bedside vs. non-bedside patient case presentation during ward rounds: A systematic review and meta-analysis. Journal of General Internal Medicine, 34(3), 447–457. https://doi.org/10.1007/s11606-018-4714-1

Hada, A., & Coyer, F. (2021). Shift-to-shift nursing handover interventions associated with improved inpatient outcomes-Falls, pressure injuries and medication administration errors: An integrative review. Nursing & Health Sciences, 23(2), 337–351.

Heip, T., Van Hecke, A., Malfait, S., Van Biesen, W., & Eeckloo, K. (2022). The Effects of interdisciplinary bedside rounds on patient centeredness, quality of care, and team collaboration: A systematic review. Journal of Patient Safety, 18(1), e40–e44. https://doi.org/10.1097/PTS.0000000000000695

Malfait, S., Eeckloo, K., Van Biesen, W., & Van Hecke, A. (2019). Barriers and facilitators for the use of nursing bedside shift handovers: Implications for evidence-based practice. Worldviews on Evidence-Based Nursing, 16(4), 289-298.

McCloskey, R. M., Furlong, K. E., & Hansen, L. (2019). Patient, family and nurse experiences with patient presence during handovers in acute care hospital settings: a systematic review of qualitative evidence. JBI database of Systematic Reviews and Implementation Reports, 17(5), 754–792. https://doi.org/10.11124/JBISRIR-2017-003737

O’Donnell, L., George, E., Donnelly, J., Bilderback, A., & Buchanan, D. (2023). Coaching to bedside shift report and its correlation to Hospital Consumer Assessment of Healthcare Providers and Systems and value-based purchasing dimension scores. JONA, 53(1), 12-18.

Description

Explore the success of a nurse-led task force to update and improve the consistency of bedside shift report, demonstrating the collaborative power of professional governance and nursing ownership of nursing practice.

Author Details

Tanya F. Lott, DNP, RN, NEA-BC, RN-BC; Marissa Jamarik, DNP, RN, NEA-BC

Sigma Membership

Gamma Omicron at-Large

Type

Poster

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Acute Care, Implementation Science, Clinical Practice, Promoting Clinical Outcomes, Professional Governance, Bedside Shift Reports

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-11-21

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Raising the Bar with BSR: Bedside Shift Report

Indianapolis, Indiana, USA

The purpose of this initiative was to engage clinical nurses through professional governance to increase consistency across the hospital system in completing bedside shift report to improve overall patient safety and satisfaction. A four-hospital system established bedside shift report (BSR) in the early 2000s. In 2022, there was an increase in patient safety events that could have been avoided had BSR been conducted appropriately, identifying it was no longer a standardized nursing practice. In 2023, the Quality and Practice Council created a BSR Task Force (TF) to implement new best practices in BSR, aligning with the goal to examine the positive impact of effective shared decision-making in exemplifying excellence. The BSR TF explored the barriers to consistent BSR practice, created a standard of care that incorporated new best practices and created resources for supporting nurses and units in the re-focus on consistent BSR. A new campaign “Raise the Bar with BSR” included posters and a video by the CNO emphasizing the importance of the practice. Specific new practices included preparing the patient for BSR prior to end of shift, using the electronic medical record to provide BSR using the SBAR format, verifying high risk continuous infusing medications in the record, and performing a patient safety check that included pressing the call bell to ensure bed alarms were working appropriately. The 2022 rate for the percent of patients that said “always” to BSR occurring on the patient experience survey was 50% or less across the system. Following the BSR TF interventions in 2023, the system rate improved to 66%. Each hospital has also seen an increase in their HCAHPS Scores in patients who state nurses “Always” did BSR: 47% to 71% in hospital 1, 53% to 71% in hospital 2, 40% to 69% in hospital 3, and 50% to 60% in hospital 4. This successful improvement in nursing practice aligned with the system’s patient-centered care delivery system, increasing patient experience results and providing a safer, more consistent shift to shift hand-off process across the system. This initiative demonstrates the power of Professional Governance in providing a voice for nursing and the ability to truly own nursing practice. BSR is an important component of patient-centered care and impacts patient satisfaction, safety, and the overall quality of care provided.