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Patient satisfaction increased, fall rates decreased and nurses were able to utilize new information gained during BSR to improve patient care.

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McAllen et al. (2018). Moving shift report to the bedside: An evidence-based quality improvement project. OJIN: The Online Journal of Issues in Nursing 23(2)

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The authors used the SPSS program to evaluate data based on multiple testing categories including Independent samples, The Mann-Whitney test, The Chi-Square Test, Press Ganey scores and HCAHPS scores.

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Compared results from four months Prior to four months post implementation for both Press Ganey and HCAHPS.
The Chi-Sqaure Tests evaluated patient fall rates.
Mann-Whitney tests evaluated nurse notification and shift report times.

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BSR Audit Tool

Hospital Incident Reporting System

Satisfaction Surveys:

Press Ganey Questions

HCAHPS Questions

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Data from Prior To Implementation compared to data from four months post-implementation

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1. Prompt response to call light
2. Nurse attitude toward requests
3. Nurses kept you informed

4. Instructions for care at home
5. Staff addressed emotional needs
6. Response to concerns or complaints
7. Staff worked together to care for you

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1. During this hospital stay, how often did nurses explain things in a way you could understand?

2. During this hospital stay, how often did nurses listen carefully to you?

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Recommendations for changes in practice were created  by the PICO question “ Does the implementation of BSR as compared to standard shift report at the nurse's station increase patient safety and patient and nurse satisfaction?”  These recommendations were created by a team of staff nurses, nursing administrators, directors of nursing, and a patient representative.

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Implementation of this project was conducted by the use of Press Ganey, HCAHPS, BSR Audit tool, and Hospital Incident Reporting System.

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The authors concluded that the nurses did not necessarily like the beside report but they valued the time spent with patients. Fall rates decreased by 24% in a four-month post-implementation. Patient satisfaction increased to 91.6%.

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It was concluded that future projects should include teamwork and communication improvements as well as patient care assistants available during BSR (bedside reports). I believe that Bed side reporting it vital when it comes to patient center care as it enhances the overall safety of patients.

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Report at the nurse's station was previously receiving poor satisfaction and safety ratings, however, reporting at the bedside has led to a significant increase in both satisfaction and safety.

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The QI project was needed due to above-average fall rates, patient satisfaction below the target range of 90%, and Nurse Satisfaction Scores being more than 5% below the overall goal of 75%.

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1. Patient satisfaction: Below 90% (target range)

2. Nurse satisfaction: is less than 70%

3. Concerns about fall rates

4. Nurse communication below 85%

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Press Ganey measured patient satisfaction consistently below 90%, and Nurse Satisfaction Scores were more than 5% below the overall goal of 75%. Also, HCAHPS scores were below 85%.

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Patient falls decreased by 24% in the four months post implementation period with Orthopedics experiencing a 55.6% reduction, Neuroscience at 16.9% and General Surgery at 6.9% reduction.