Nurse-To-Nurse End of Shift Report

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Nurse-To-Nurse End of Shift Report Winifred N. Nzeribe Walden University

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Walden Universi

College of Health Sciences

This is to certify that the doctoral study by Winifred Nzeribe has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made.

Review Committee

Dr. Amelia Nichols, Committee Chairperson, Nursing Faculty

Dr. Donna Bailey, Committee Member, Nursing Faculty

Dr. Phyllis Morgan, University Reviewer, Nursing Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Walden University

2017

Abstract

Implementing Nurse-To-Nurse End of Shift Bedside Report

Winifred Nzeribe

MSN/MBA, University of Phoenix, 2012

BSN, University of Maryland, 2001

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

July, 2017

Abstract

Handing over patient care at the end of a shift is a complex part of nursing practice that is

commonly fraught with challenges. Ineffective communication continues to be the leading cause

of sentinel events in the hospital setting. In response to this practice problem, this project

involved the implementation of a standardized bedside reporting protocol in a surgical unit in

line with the best available evidence. The overarching goal of this project was to determine how

an end of shift reporting tool would impact communication, involvement of patient in care

provision, and continuity of care at the bedside. The protocol was implemented in 2016, and

involved the use of pre-test and post-test surveys to determine its effectiveness. The quasi-

experimental project was guided by the Lewin’s change theory concepts including unfreezing,

change, and refreezing. An analysis of the findings of the survey revealed improvement in

bedside reporting practices. The nurses had strong and positive perceptions of the program in

improving communication, promoting patient safety, upholding nurse accountability, and

promoting involvement of patient. There is a need for future projects to determine the impact of

the program in improving patient satisfaction in various care settings. The positive social change

of the current project results from improving bedside reporting practices to provide safe and

patient-centered care in the health care agency.

Implementing Nurse-To-Nurse End of Shift Bedside Report

Winifred Nzeribe

MSN/MBA, University of Phoenix, 2012

BSN, University of Maryland, 2001

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

July 2017

Dedication

This project is dedicated to the memory of my beloved late father Nze W. G. Ossai; and to my

ever supportive family whose trust and believe in me helped me survive graduate school.

Acknowledgments

I wish to thank my God Almighty for HIS grace, love and compassion. My acknowledgement

also goes to my wonderful and ever supportive husband Sir Viktor Nwedo Nzeribe, my children,

Osora Nzeribe and Ebube Nzeribe; my mother and my siblings whose continued encouragement

and support pulled me through graduate school. I wish to acknowledge my project committee,

especially Dr. Amelia Ann Nichols and Dr. Donna Bailey; whose constructive criticism brought

this Dissertation to completion. I cannot finish without saying thank you to my preceptors

Angela Horton, and Rita Abiamiri whose support and mentorship will ever be cherished.

Table of Contents

List of Tables ………………………………………………………………………………………………………………… iv

List of Figures ………………………………………………………………………………………………………………… v

Section 1: Overview of the Evidence-Based Project …………………………………………………………… 1

Introduction ……………………………………………………………………………………………………………….. 1

Problem Statement ……………………………………………………………………………………………………… 3

Purpose Statement ………………………………………………………………………………………………………. 4

Project Objectives: ……………………………………………………………………………………………………… 4

Significance/Relevance to Practice ……………………………………………………………………………….. 5

Project Question …………………………………………………………………………………………………………. 6

Evidence-based Significance of the Project ……………………………………………………………………. 7

Implications for Social Change in Practice …………………………………………………………………….. 7

Definitions of Terms …………………………………………………………………………………………………… 9

Assumptions …………………………………………………………………………………………………………….. 10

Limitations ………………………………………………………………………………………………………………. 11

Summary …………………………………………………………………………………………………………………. 11

Section 2: Review of Scholarly Evidence ………………………………………………………………………… 12

Specific Literature …………………………………………………………………………………………………….. 12

Theoretical Framework ……………………………………………………………………………………………… 13

Pretest/Posttest Model ……………………………………………………………………………………………….. 14

Section 3: Approach ………………………………………………………………………………………………………. 16

Project Design/Methods …………………………………………………………………………………………….. 16

Nurse-To-Nurse End of Shift Report