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Change Proposal: Reimplementation of a Bedside Shift Report

IV. Implementation Plan

A. Assess the factors that are likely to affect the implementation of your recommended activities

B. Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory.

Your plan should encompass the following with evidence to support your rationale:

a. Technological challenges

b. Institutional structures

c. Strategies for building buy-in among different stakeholders, including nurses

d. Financial trends and anticipation of the availability of human resource and project funding

e. Hospital or governmental policy constraints

f. Regulatory requirements

g. Patient diversity

Running head: CHANGE PROPOSAL TOPIC 1

Reimplementation of a bedside shift report 2

Change Proposal: Reimplementation of a Bedside Shift Report

Avoid what appear to be opinions regarding administration. They will be stakeholders too. They may very well need education as well. Consider surveying the nurses about their feelings and concerns about bedside shift reporting to better inform educating them about the importance, supported by the data you gather. This can be apart of your intervention. There are a lot of APA errors in this draft, please address areas below that need editing below

The identified clinical problem that is relevant to nurses in the workplace is the reimplementation of a bedside shift report. The bedside shift report may be used to help the development of teamwork, ownership, and accountability thus increasing the satisfaction of the nurses. The reason for selecting the reimplementation of a bedside shift report is because; at a targeted facility the implementation of the bedside shift report is becoming poor. This has led to the poor compliance with the standards of practice, and may increase costs in the facility, for example, those related to the legal costs as a result of falls and medication errors, and the reduction in the satisfaction of the patients due to the poor healthcare outcome (Bonnie, Mary, & Ramona, 2016). (Make this a seperate sentence and reword it.) Also (ncorrect in-text citation, do not use first names. I copied and pasted from library on reference page to verify.)

The reimplementation of a bedside shift report is important for the nurse practice in the organization. Bedside shift report assists in improving the experience of the client and improving the handoff care between the nurses through including the family and client in the delivery of care. Bedside shift report is leading to the introduction of a change in the nursing culture i.e. introduction of various methods of communicating patient-specific care at a shift transformation. Shift reports given at the bedside is helping in changing the manner in which nurses are communicating and practicing (Bonnie, Mary, & Ramona, 2016). (in-correct citation.

At the targeted facility, the execution of the bedside shift report is poor and this is associated to the lack of knowledge concerning the role of bedside shift reporting on the patient outcome. The healthcare providers at the facility are not directly engaged in the provision of healthcare. There is poor communication of the goals of the bedside shift reporting and their importance about the positive outcomes and benefits that are involved in the change (Bonnie, Mary, & Ramona, 2016).

According to the study by Gregory et al., (2014), the process of assessing the transformation in the practice that involves transitioning of the bedside nurse shift handoffs is important. The evaluation process is helpful in the re-implementation plan to help in improving the areas of weaknesses. The evaluation process of the success in the implementation in the practice is assisting in assessing the perception of the nurses about the proposed changes i.e. the re-implementation plans. There is evidence showing the positive impacts of the bedside shift report in the safety of the patient, the control of the pain, the satisfaction of the patients, and improvement in the nurse to patient or nurse to nurse communication (Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014).

A study by Dempsey et al., (2014) reveals that the scores in the patient satisfaction with the nurse-sensitive indicators associated with communication are necessary towards improvement in the bedside shift reporting. The success of the reimplementation of the bedside shift reporting also depends on the education that is being provided to the nurses. Most of the cases of poor bedside shift reporting in the facility were associated with lack of understanding on its benefits and reasons for its implementation. Since there is no clear understanding of the need for the implementation, most of the nurses are not prepared to fully buy into such ideas.

Conclusion

The poor process of implementing bedside shift reporting is associated with a lack of understanding of the importance of such practices. This leads to poor compliance with the necessary set of standards of practice and increases in the cost of healthcare. Therefore, the reimplementation of the bedside shift reporting is necessary to ensure that nurses are informed about the importance of such practices. It also helps in equipping nurses with the knowledge needed towards the implementation of the bedside shift reporting.

References

Bonnie, B., Mary, K., & Ramona, W. (2016). Reimplementing bedside shift reports at a community hospital. Nursing Management, 47(12), 52-55. (Correct This reference) Dempsey, C., Reilly, B., & Buhlman, N. (2014). Improving the patient experience: Realworld strategies for engaging nurses. Journal of Nursing Administration, 44(3), 142-151. Gregory, S., Tan, D., Tilrico, M., Edwardson, M., & Gamm, L. (2014). Bedside shift reports: What does the literature say. Journal of Nursing Administration, 44(10), 541-545.

Running head: REIMPLEMENTATION OF BEDSIDE SHIFT REPORT 1

REIMPLEMENTATION OF BEDSIDE SHIFT REPORT 3

Change Proposal:

Reimplementation of Bedside Shift Report

Introduction

My present work environment has neglected to comply with The Joint Commission principles concerning patient-focused care and struggling to improve patient fulfillment scores based on Press Ganey overviews. Thus, my proposal plan will focus on the implementation of bedside shift reporting to facilitate collaboration between staff, patients, and relatives, promoting patient commitment and improve patient recognition, experience, and fulfillment. The reason for implementing the bedside shift report is basically to meet patients’ satisfaction by monitoring their wellbeing situations since they listen to their wellbeing report as medical caretakers change shifts; reduced expenses by removing additional time pay and scrubbing off legal errors which bring about lawful charges, and improving quality of health care by allowing patients and relatives to contribute their emotions on their wellbeing and that of their friends and family (Meyers, 2020).

Justification of Need

During the change of shift report, lack of proper communication has resulted in about 65% of sentinel events (Joint Commission, 2016). With healthcare’s focus shifted to patient-centered care, many concepts and proposals have come about to improve the patient experience. With my facility needing to improve upon patient experience and satisfaction, the goal for my clinical practice project was to implement a change that would positively affect all involved, including the patient and their families, nurses, and the organization.

Pre-Implementation Plan

In this proposal, I decided to use Lewin’s theory of planned change to ensure that my project implementation will be successful and achieve its primary purpose. Lewin’s Theory of Change is straightforward and execute as it centers on changing people’s behaviors. Support from the organization group and key leaders to the nursing staff during the moving and refreezing stages is fundamental for the viability and consistency of the change.

Our facility’s mission is to care, serve, and heal with a mission to provide world-class care to our patients and community. Right now, there is no standard in nurse handoffs or changes in inpatient care. Every unit unexpectedly performs shift change handoffs. During transitions in care, patients are being ignored and left unattended. (Be careful with statements like this, are they supported with evidence?) Patients are avoided from accessing their plan of care, frequently not realizing what prescriptions they are on, what they are going after, where their treatment plan is going. My proposed solution to improve patient perception, experience, and fulfillment was to execute mandatory bedside shift reporting for medical attendants. The objective of the bedside shift is to promote a more patient-centered approach to care (Meyers, 2020).

When implementing the plan, education and tip sheets are to be provided to each attendant, and afterward, everyone to take an interest in bedside shift reporting for both day and night shifts. (This sentence is awkward, revise as needed.) The nursing staff observed, and assessed during shift change implementing bedside shift reporting. Direct feedback on how the patients felt about the new adjusting process, their preferences of the procedure, and what should be possible contrastingly to improve their experience during a move change has to be recorded. Lastly, I must assess the staff’s thoughts and emotions on bedside reporting and evaluate criticism from the patients with the team and make changes accordingly.

My proposal will engage different healthcare professionals such as case managers, social workers, physical therapists, physicians’ assistants, nurse practitioners, and physicians. My central organizational resource will be the Agency for Healthcare Research & Quality (AHRQ). The agency will align with my hospital’s mission of providing quality care, safer healthcare, affordable, accessible, and…

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