Comparison of Risks and Benefits of Traditional Shift Report versus Bedside Shift Report

SYSTEMATIC REVIEW APPRAISAL & GRADING CRITERIA

APA Reference:

1. What organization or persons produced the systematic review (SR)?(6pts)

Courtney L. Williams

Cardiac Telemetry Unit, Lakeland Health, Saint Joseph, Michigan, USA

2. How many persons were involved in conducting the review? (6pts)

Sam Abraham, Associate Professor of Nursing, 1001 Bethel Circle, Bethel College School of Nursing, Mishawaka, Indiana, 46545, USA.

3. What topic or question did the SR address? (6pts)

Comparison of Risks and Benefits of Bedside Shift Report vs Traditional Shift Report

4. How were potential research reports identified? (6pts)

The quality of care, safety risks, and occurrence of medical errors have been linked to inadequate communication between nurses during shift change. Historically, shift reports took place at nursing stations and not at the patient's bedside, which could lead to interruptions, elongated processes, and inaccurate reporting (Reinbeck & Fitzsimons, 2013). Although bedside shift reporting has been introduced in the nursing field, there are still challenges that pose a risk to patients. Nurses are often uninformed about the advantages and disadvantages of bedside and traditional shift reporting.

5. What determined if a study was included in the analysis? (6pts)

Extensive research on the topic of bedside shift report, traditional shift report, risks of shift reporting, and communication was conducted by reviewing scholarly and peer-reviewed journal articles from 2013 to 2018. The literature was subjected to a careful analysis and was systematically organized using the top four levels of the evidence hierarchy.

6. How many studies were included in the review? (6pts)

A total of 8 studies were included:

Cairns, L.L., Hoffmann, R.L., Dudjak, L.A., & Lorenz, H.L. (2013). Utilizing bedside shift report to improve the effectiveness of shift handoff. The Journal of Nursing Administration, 43(3), 160-165. https://doi.org/10.1097/NNA.0b013e318283dc02

Ghosh, K., Curl, K., Goodwin, M., Morrell, P., & Guidroz, P. (2018). An exploratory study on how to improve bedside change-of-shift process: Evidence from one hospital using technology to support verbal reporting.

Hawaii International Conference on System Sciences, 3180-3187. https://doi.org/10.24251/HICSS.2018.401

Ofori-Atta, J., Binienda, M., & Chalupke, S. (2015). Bedside shift report: Implications for patient safety and quality of care. Nursing, 45(8), 1-4. https://doi.org/10.1097/01.NURSE.0000469252.96846.1a

Radtke, K. (2013). Improving patient satisfaction with nursing communication using bedside shift report. Clinical Nurse Specialist, 27(1), 19-25. https://doi.org/10.1097/NUR.0b013e3182777011

Reinbeck, D.M., & Fitzsimons, V. (2013). Improving the patient experience through bedside shift report. Nursing Management, 44(2), 16-17. https://doi.org/10.1097/01.NUMA.0000426141.68409.00

Scheidenhelm, S., & Reitz, O.E. (2017). Hardwiring bedside shift report. The Journal of Nursing Administration, 47(3), 147-153. https://doi.org/10.1097/NNA.0000000000000457

Small, D.C., & Fitzpatrick, J.J. (2017). Nurse perceptions of traditional and bedside shift report. Nursing Management, 48(2), 44-49. https://doi.org/10.1097/01.NUMA.0000511921.67645.47

Tobiano, G., Whitty, J.A., Bucknall, T., & Chaboyer, W. (2017). Nurses’ perceived barriers to bedside handover and their implication for clinical practice. Worldviews on Evidence-Based Nursing, 14(5). https://doi.org/10.1111/wvn.12241

7. What research designs were used in the studies?

(6pts)

The analysis of studies for a comprehensive evidence-based review was conducted with care and organized using the top four levels of the evidence hierarchy.

8. What were the consistent conclusions across studies? (6pts)

The transfer of patient care from one shift to the next by nurses has come to be carried out through BSR. Even though BSR may not always be standardized, barriers to its implementation are still encountered by nurses. By overcoming these barriers and using BSR in place of TSR, the risk to patients during the transition period can be reduced. While obstacles may still exist, it is recognized by the nursing staff that BSR is the standard for patient hand-off and research has demonstrated an improvement in patient safety and satisfaction among both patients and staff. Nevertheless, further investigation is required to determine the specific causes of potential incidents during shift change.

9. Which bibliographic databases were used? (6pts)

The literature review was carried out through research using the CINAHL, Google Scholar, and Ovid databases.

Was there enough information on:

Yes

No

Unknown

10. The population studied(3pts)

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11. The intervention given(3pts)

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12. The outcomes considered(3pts)

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13. Address the review’s question(3pts)

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14. Have an appropriate study design(3pts)

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15. Do you think the important, relevant studies were included? (3pts)

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16. The search included unpublished as well as published studies. (3pts)

---no unpublished articles

17. Did the search include non-English language studies? (3pts)

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18. Did the authors consider the rigor of the studies they identified? (3pts)

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19. Were the results similar from study to study? (3pts)

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20. The results of all the included studies are clearly displayed? (3pts)

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21. The results of the studies are similar? (3pts)

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22. Were any reasons given for the variations in the studies? (3pts)

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SYSTEMATIC REVIEW APPRAISAL & GRADING CRITERIA

APA Reference:

23. Were the patients in the study different from your patient population? (3pts)

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24. Please complete a one paragraph (technically, at least 4 sentences) synopsis of your overall opinion of the results of your chosen articles. (4pts)

The proper utilization of bedside shift report in inpatient settings has not always been maintained. The findings of the literature review support the use of bedside shift report to minimize medical errors, safety hazards, and enhance the quality of care. Inconsistency in the use of BSR within healthcare organizations requires changes to be made in order to meet industry standards. With bedside report, the nurse is able to physically assess the patient within the first 30 minutes of their shift, assess any potential risks to the patient, ensure the patient is aware of their caregiver, and activate the bed alarm to prevent falls and further harm. The maintenance of BSR in the acute-care environment may be challenging. For BSR to be sustained as part of nursing practice, leadership from management and senior nurses will be necessary. The implementation of BSR is recognized as the standard of care that provides the highest degree of patient safety and patient-centered care.