On the Same Page: Nurse, Patient, and Family Perceptions of Change-of-shift Bedside Report

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Purpose:The purpose of this study was to explore nurse, patient, and family perceptions about change-of-shift bedside report in the pediatric setting and to describe specific safety concerns that were identified during change-of-shift handoff.Design and Methods:An exploratory-descriptive qualitative study designed to elicit nurse, patient, and family experience with change-of-shift bedside report was utilized for this study. Interviews were conducted and reviewed to identify common themes.Results:Data analysis revealed the emergence of the following themes: perceived barriers, patient safety, and impact on patient care. Study participants found that bedside report promotes patient safety and is the preferred form of change-of-shift handoff communication. Additionally, participants stated there is increased accountability and increased transparency as everyone involved in bedside report is “on the same page.”Conclusion:The study results are consistent with current literature suggesting that bedside report contributes to effective communication and increases patient safety.HighlightsAn exploratory-descriptive qualitative strategy to elicit nurse, patient, and family experiences with change-of-shift bedside report.Aimed at improving the care of hospitalized children and their families.Explores experiences in the acute care pediatric setting and describes safety concerns identified during bedside report.Bedside report core findings: increases transparency, accountability, accuracy, and trust; aids in improving safety.There is limited research related to change-of-shift bedside report that is specific to hospitalized pediatric patients.

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