Bedside Shift Report a Way to Improve Patient Outcomes BACKGROUND Rebecca Jeppson BSN, RN, MSN Student Amber Fowler, DNP, MSN-Ed, RN Content Expert: Alyssa Burr MSN, RN INTERVENTIONS The shift report is a critical time for sharing information between those who are trying to communicate the direction of care. Unfortunately, the shift report is often given quickly at the nurses' station without the opportunity to communicate the patient's needs and condition. • Traditional BSR leads to miscommunication, medication errors, and omission of vital communication ¹ • Well-structured bedside handover benefits the nurse and the patient. ² • Involving patients in their care at the bedside improves patient satisfaction, safety, and communication ³ • Evaluate for gaps in the current practice • Choose Nurse Champions • Staff Education and training on why and how BSR is needed • Visual reminders on the Unit • Implementation 90 day roll out period • Collect Data on Medication errors and patient satisfaction scores • Evaluate at 30, 60, 90 days IMPACTS My project enhances the patient’s communication with the nurse, improves safety, and reduces errors during hospital stays. Bedside shift reports contribute to higher patient satisfaction, fewer serious errors that could be fatal, and faster responses to changes in vital signs. METHODS The method/framework used was the Iowa Model Revised (EBP) Deliverables disseminated: to encourage the project of transitioning from the traditional shift report to the report taking place at the bedside. • Reduction of harm that can come to the patient while in the hospital (medication errors, falls, pressure injuries) ⁴ • Faster recognition of the patient’s declining condition ⁴, ⁵ • Increase in patient satisfaction scores ⁵ • Poster to be hung and displayed in the Staff Breakroom (pictured right) • INFORGRAPHIC/FLYER for employee education (Why bedside shift report matters) • Tracker for the Nurses station to keep inventory of BSR compliance CONCLUSIONS • BSR addresses major gaps in nursing practice. REFERENCES Relevant picture, graph or data set goes here ¹ Abbaszade, A., Assarroudi, A., Armat, M. R., Stewart, J. J., Rakhshani, M. H., Se di, N., & Sahebkar, M. (2020). Evaluation of the impact of handoff based on the SBAR technique on the quality of nursing care. Journal of Nursing Care Quality, 36(3). https://doi.org/10.1097/ ncq.0000000000000498 ² Rachmawaty, R., Alkanda, W. H., & Irwan, A. M. (2023). Identifying nurse and patient satisfaction with handover implementation. JOSING: Journal of Nursing and Health, 3(2), 171–178. https://doi.org/10.31539/josing.v3i2.5040 ³ Daicampi, C., Veronese, M., & Cesaro, E. (2025). Impact of bedside handover on patient perceptions and hospital organizational outcomes: A systematic review. Journal of Nursing Management, 2025(1). https://doi.org/10.1155/jonm/3803491 ⁴ Hada, A., & Coyer, F. (2021). Shift-to-shift nursing handover interventions associated with improved inpatient outcomes: Falls, pressure injuries, and medication administration errors—An integrative review. Nursing & Health Sciences, 23(2), 337–351. https://doi.org/10.1111/ nhs.12825 fi ⁵ Tobiano, G., Marshall, A. P., Gardiner, T., Jenkinson, K., Shapiro, M., & Ireland, M. (2022). Development and psychometric testing of the patient participation in the bedside handover survey. Health Expectations, 25(5), 2492–2502. https://doi.org/10.1111/hex.13569 • Patient safety continues to present problems, including deaths, every year. Bedside shift report can prevent unnecessary errors and encourage patients and nurses to be more proactive in the care they give and receive, and to ask important questions when needed • The breakdown that can happen with traditional shift reports cannot continue when the evidence now suggests a better way to deliver the information.