Date of Graduation

Summer 8-13-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Cynthia Huff


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.