Planned Change: Bedside Shift Report

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Planned Change: Bedside Shift Report The American Nursing Association estimates that 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off (Reinbeck & Fitzsimons, 2013). This statistic alone shows just how essential it is that communication between caregivers is thorough and accurate at all times, but especially during hand offs between shifts. The purpose of this paper is to discuss how Kurt Lewin’s Development of Change Theory can be used to implement bedside shift reporting to reduce communication errors in the Pediatric Critical Care Unit (PICU). I will also explain how this change will align with the organization’s mission, vision, and values as well as determine…show more content…
Bedside shift report has numerous advantages during shift hand off, including promoting better communication, a more comprehensive handoff, enhanced patient safety, engagement of the patient and family, and increased patient, family, and staff satisfaction (Salani, 2015). Bedside shift report allows for everyone, including nursing staff, patient, and families to become more aware and be more involved. Ofori-Atta, Binienda, & Chalupka mention an example of how bedside shift report was believed to have saved a patients life. A post operative patient had been given an antiemetic right before the change of shift. 10 minutes later both nurses arrived at the room to conduct bedside shift report, and found the patient with a respiratory rate of about 6 breaths per minute. The nurses obtained and administered naloxone per protocol, and the patient recovered with no complications. Had the nurses been completing traditional shift report outside of the patients room, it’s hard to tell what could have happened to the patient…show more content…
The first step is unfreezing. The initial step to implement bedside shift reporting in the PICU is to communicate with the PICU nursing staff. Communication between the changing agent and the staff is just as important as communication between nurses during hand off report. The second step is movement. This step allows the staff to express their views and become involved before immediately demanding a change. In the case of the PICU, the most important part of Step 2 involves making education available on bedside shift reporting for the PICU nursing staff. Not only is it important to make training readily available, but also to make it known that it exists. It is necessary to create multiple options to educate the staff, including educational sessions, training sessions, and mandatory meetings. Along with that, it is important to notify the staff of these changes, by posting flyers or making announcements during nurses daily huddles. (Salani, 2015). Once the PICU nursing staff become educated and begin practicing, they will be formally recognized when they complete successful bedside shift reporting. The nurse leader can take part in watching the nursing staff complete bedside shift report. After bedside shift report is complete, the nursing leader can provide feedback to the nursing staff as to how well it was completed. This allows for the staff to not only feel as if they are

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