title: A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation.
abstract: OBJECTIVE
  To quantify quantitative outcomes of a practice change to a blended form of bedside nursing report.
  
  
  BACKGROUND
  The literature identifies several benefits of bedside nursing shift report. However, published studies have not adequately quantified outcomes related to this process change, having either small or unreported sample sizes or not testing for statistical significance.
  
  
  METHODS
  Quasi-experimental pre- and postimplementation design.
  
  
  METHODS
  Seven medical-surgical units in a large university hospital implemented a blend of recorded and bedside nursing report. Outcomes monitored included patient and nursing satisfaction, patient falls, nursing overtime and medication errors.
  
  
  RESULTS
  We found statistically significant improvements postimplementation in four patient survey items specifically impacted by the change to bedside report. Nursing perceptions of report were significantly improved in the areas of patient safety and involvement in care and nurse accountability postimplementation. However, there was a decline in nurse perception that report took a reasonable amount of time after bedside report implementation; contrary to these perceptions, there was no significant increase in nurse overtime. Patient falls at shift change decreased substantially after the implementation of bedside report. An intervening variable during the study period invalidated the comparison of medication errors pre- and postintervention. There was some indication from both patients and nurses that bedside report was not always consistently implemented.
  
  
  CONCLUSIONS
  Several positive outcomes were documented in relation to the implementation of a blended bedside shift report, with few drawbacks. Nurse attitudes about report at the final data collection were more positive than at the initial postimplementation data collection.
  
  
  CONCLUSIONS
  If properly implemented, nursing bedside report can result in improved patient and nursing satisfaction and patient safety outcomes. However, managers should involve staff nurses in the implementation process and continue to monitor consistency in report format as well as satisfaction with the process.
authors.affiliation: West Virginia University, Morgantown, WV, USA.
authors.forename: Kari
authors.initials: K
authors.lastname: Sand-Jecklin
authors.forename: Jay
authors.initials: J
authors.lastname: Sherman
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000328:Adult; D003266:Continuity of Patient Care; D005260:Female; D006801:Humans; D008297:Male; D008873:Mid-Atlantic Region; D009736:Nursing Process; D061214:Patient Safety / Q000592:standards*; D019095:Point-of-Care Systems; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: bedside shift report; nursing handover; nursing shift report; patient satisfaction; patient-centred care