Date of Graduation

Fall 12-16-2022

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project



Problem: Bedside handoff report is considered best practice and plays an integral role in patient safety, yet it is not commonly done by nurses. Ineffective communication during the transition of patient information from one nurse to another nurse can result in crucial information being left out. The lack of essential information being transferred during the handoff report can result in the compromise of patient safety. The transition in care of a patient is when communication is most important to convey the proper information and improve patient outcomes.

Context: Lucile Packard Children’s Hospital contains 51 private postpartum rooms and is where the standardization of bedside handoff report is not culturally done by nurses. Observation of three postpartum units showed that nurses do hallway handoff report rather than bedside handoff report when transitioning from nurse to nurse. This quality improvement project is based on evidence-based research that supports how the implementation of bedside handoff report results in positive patient outcomes.

Intervention: This project intervention included surveys and interviews to emphasize awareness and education, while also promoting the benefits of bedside report to the nursing staff. In addition, it gathered significant data on nurses’ perspectives of bedside handoff report that will be used for future interventions.

Measures: This quality improvement project utilizes clinical nurse leaders (CNLs) to gather qualitative data by interviewing nurses directly and quantitative data by constructing a short email survey. The components used to evaluate nurses' perspectives of bedside report barriers included emotional response, physical barriers, ROVER app, lack of patient familiarity with medical terminology, HIPAA concerns, patient resistance, added workload, sensitive information concerns, and unit culture.

Results: The outcome is to gather significant data on limitations and barriers that inhibit nurses from doing bedside report. Another outcome measure is to increase awareness by 75% by promoting education on the benefits of bedside report to the nursing staff within a two-month period.

Conclusion: With the proposed intervention, promoting awareness of bedside handoff report will educate nurses about the benefits and ease them into complying with bedside report. Studies have shown the importance of bedside handoff report because it increases patient safety, patient engagement, nurse and patient satisfaction, and decreases medication error.

Keywords: Bedside handoff report, patient safety, nurse report, communication

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