Benefits of Bedside Nursing –

Benefits of Bedside Nursing

The literature identifies several benefits of bedside nursing shift

Don’t use plagiarized sources. Get Your Custom Essay on

Benefits of Bedside Nursing

Just from $15/Page

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.

Design. Quasi-experimental pre- and postimplementation design. Benefits of Bedside Nursing

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 percep-

tions, 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 medi-

cation 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 imple-

mentation 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 po-

stimplementation data collection. Benefits of Bedside Nursing

Relevance to clinical practice. If properly implemented, nursing bedside report can

result in improved patient and nursing satisfaction and patient safety outcomes. How-

ever, managers should involve staff nurses in the implementation process and con-

tinue to monitor consistency in report format as well as satisfaction with the process.

Key words: bedside shift report, nursing handover, nursing shift report, patient-

centred care, patient satisfaction

What does this paper contribute

to the wider global clinical


• Previous nursing bedside report manuscripts have had very small or unreported sample sizes for patient and nursing bedside report surveys and have rarely attempted to calculate the statis- tical significance of their results.

• Our patient and nurse survey instruments examined a far greater number of factors/issues that are considered relevant to bedside nursing report than any other study of which we are cur- rently aware.

• We are also only the second pub- lished study to track changes in patient falls during the handover hour before and after implement- ing bedside report. Benefits of Bedside Nursing

Accepted for publication: 25 January 2014

Authors: Kari Sand-Jecklin, EdD, MSN, RN, AHN-BC, Associate

Professor of Nursing, West Virginia University, Morgantown; WV,

Jay Sherman, CNRN, ME, Clinical Research Nurse, West Virginia

University Healthcare, Morgantown, WV, USA

Correspondence: Jay Sherman, Clinical Research Nurse, WVU Eye

Institute, 3rd Floor, P.O. Box 782, Morgantown, WV 26506, USA.

Telephone: +1 304 598 6128.


© 2014 John Wiley & Sons Ltd 2854 Journal of Clinical Nursing, 23, 2854–2863, doi: 10.1111/jocn.12575


Improving upon the effectiveness of communication is a

Joint Commission National Patient Safety Goal (JCAHO

2013). According to the Joint Commission (2011), one of

the factors leading to sentinel patient events is miscommuni-

cation. A significant percentage of a nurse’s communications

each day occurs during patient handoffs, and the safety of

the patient can be compromised at this time (Friesen et al.

2008). A survey of over half a million hospital staff found

that respondents rated the safety of patient handoffs second

lowest among 12 areas of patient safety (Sorra et al. 2012). Benefits of Bedside Nursing

In a study concerning near miss incidents, nurses again iden-

tified patient handoffs as a factor (Ebright et al. 2004). In

recent years, bedside nursing handoffs have been presented

positively in the literature, with benefits such as improved

patient satisfaction, improved nurse communication and

shorter shift reports being identified. It was the goal of the

Medical Surgical Research Utilization Team at West Virginia

University to implement a change in practice to a blended

form of bedside nurse shift handoff, and to evaluate this new

format in terms of patient and nurse satisfaction as well as

impact on patient safety. Benefits of Bedside Nursing


The literature on nursing bedside report is focused in two

general areas. The first focus area is the process of imple-

menting bedside report, either describing the experiences

related to implementation or explaining how other organi-

sations could implement this change. The second area of

focus is improving the process of bedside report, often

through observation and identifying common themes, or by

describing how others may improve their own reporting

process. Unfortunately, although there is strong consistency

in the suggested strategies for the implementation of bed-

side report, there is a gap in the literature in terms of docu-

menting quantitative patient and nurse outcomes

(Riesenberg et al. 2010, Novak & Fairchild 2012, Staggers

& Blaz 2012, Sherman et al. 2013). However, in the last

two years, several manuscripts have been published that in

some way quantified the potential outcomes of bedside

nursing report.

Identified benefits of bedside report

Numerous benefits of bedside nursing report have been

reported, with remarkably few drawbacks identified. The

most often reported benefit (identified by nine individual

manuscripts) is that patients are better informed (Searson

2000, Anderson & Mangino 2006, Laws & Amato 2010,

Tidwell et al. 2011, Maxson et al. 2012, Rush 2012, Tho-

mas & Donohue-Porter 2012, Wakefield et al. 2012, Sand-

Jecklin & Sherman 2013). However, several of these manu-

scripts did not report sample size or statistical significance

(Anderson & Mangino 2006, Laws & Amato 2010, Tho-

mas & Donohue-Porter 2012, Rush 2012, Wakefield et al.

2012), and others (Searson 2000, Maxson et al. 2012) were

based on small sample sizes. The study reported by Sand-

Jecklin and Sherman (2013) did find significant improve-

ments in patient information as a result of bedside report

using a large sample size of 302 patients/families preimple-

mentation and 250 postimplementation. Benefits of Bedside Nursing

The second most often reported benefit of moving nurs-

ing report to the bedside is related to general improvements

in patient satisfaction. Improvements in patient satisfaction

are a primary goal of nursing practice changes. Radtke

(2013) and Reinbeck and Fitzsimons (2013) reported

improvements in patient responses to the Hospital Con-

sumer Assessment of Healthcare Providers and Systems sur-

vey (HCAHPS). However, such general changes in patient

satisfaction could be affected by many uncontrolled vari-

ables in addition to the implementation of bedside report Benefits of Bedside Nursing