Date of Graduation
Summer 8-13-2023
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
MSN project
First Advisor
Cynthia Huff
Abstract
Problem: Patient discontent with nurse compassion and attentiveness prompted the implementation of standardized bedside shift handoff (BSH) for nurses in the postpartum unit of a Northern California teaching hospital.
Context: Pandemic stressors led to nurse practices not reflecting patient-centered care. Bedside handoff offers an opportunity to improve patient-centered nurse behaviors.
Intervention: To standardize BSH, a modified SBAR (Situation, Background, Assessment, Recommendation) tool was implemented.
Measures: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) question on “Nurses kept you informed” was tracked, and nurse satisfaction with the handoff process was measured with a pre- and post-implementation survey.
Results: Final post-implementation results were not obtained, but interim results in July 2023 showed up to 63% compliance with BSH daily. The fiscal year “Nurses kept you informed” score rose slightly but remains variable on a monthly basis. A staff post-implementation survey is in process. The recommendation is to continue to measure whether increased compliance correlates with increased patient and nurse satisfaction.
Conclusions: Bedside handoff contributes to patient safety, trust between patients and nurses, and organizational goals. Future work should focus on identifying what percentage of compliance with BSH represents successful implementation for sustainment.
Recommended Citation
Ndaki, Evelyn, "Seeking Patient-Centered Care Through Bedside Handoff in the Postpartum Unit" (2023). Master's Projects and Capstones. 1586.
https://repository.usfca.edu/capstone/1586
