Good day, distinguished leaders and stakeholders. I am pleased to present to you an evidence-based intervention and change proposal aimed at improving patient outcomes and satisfaction. The proposal focuses on implementing a bedside shift report (BSR) in our hospital.
The Problem: Handoff communication is critical for patient safety and continuity of care. However, traditional nurse-to-nurse shift report (SR) can be fragmented, inefficient, and may lead to information loss or miscommunication. As such, the adoption of the BSR model has been advocated as a more effective approach to handoff communication.
The Intervention: Our proposal aims to implement the BSR model, which involves conducting the nurse-to-nurse shift report at the patient’s bedside, with the patient and family present. This approach allows for the patient and family to participate in the discussion, ask questions, and voice their concerns, which ultimately leads to better understanding and engagement in care.
Evidence-Based Literature: Multiple studies have demonstrated the positive impact of BSR on patient outcomes, including decreased falls, reduced adverse events, improved patient satisfaction, and enhanced staff satisfaction. For example, a study by O’Leary et al. (2012) found that BSR improved patient satisfaction by 40%, and a study by Halm (2011) reported a 70% reduction in falls.
- Implement the BSR model in all units of our hospital within the next six months.
- Train all nurses on the BSR model, communication techniques, and documentation requirements.
- Evaluate the impact of BSR on patient outcomes and satisfaction, staff satisfaction, and communication.
- Education and training materials
- Communication tools
- Electronic medical record (EMR) modifications
- Time for staff training and implementation
- Patient and family education materials
Anticipated Measurable Outcomes:
- Increased patient and family satisfaction with communication and involvement in care.
- Reduced adverse events, such as falls and medication errors.
- Improved staff satisfaction and communication.
- Monitor the adoption and compliance with the BSR model.
- Conduct patient and staff satisfaction surveys to evaluate the effectiveness of BSR.
- Analyze adverse event data before and after BSR implementation.
In conclusion, implementing the BSR model in our hospital will improve communication, enhance patient and family engagement, and improve patient outcomes and satisfaction. We request your support and collaboration to achieve these objectives. Thank you.