Date of Graduation

Summer 8-15-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions



Nursing handoff communication at change-of-shift is a frequent, yet highly essential nursing responsibility that lays the foundation for providing care that is safe and consistent (Grimshaw, Hatch, Willard, & Abraham, 2016). A microsystem assessment conducted on the medical-surgical unit at Woodland Healthcare (WHC) utilizing the 5P’s (Purpose, Patients, Professionals, Processes, Patterns) revealed that only 6% of twelve hour night shift nurses were performing a quality BSR and 40% of twelve hour day shift nurses reported feeling satisfied with shift report. Additionally, three reportable events occurred as a result communication related errors which led to increased spending on behalf of WHC. In an effort to improve the quality of nurse-to-nurse communication and prevent errors, this paper will discuss an evidence-based focused clinical nurse leader (CNL) project aimed at enhancing the quality of BSR of twenty twelve-hour night shift nurses on the medical-surgical unit at WHC through implementation of a standardized bedside report (BSR) tool. Methodology for implementation includes integration of the Plan, Do, Study, Act (PDSA) and Lewin’s Theory of Planned change of unfreezing, moving, and re-freezing (Scheidenhelm & Reitz, 2017). Pre- and post-implementation data will be collected and compared to evaluate outcomes. Evaluation tools utilized will include Press Ganey scores, a nursing satisfaction survey, a BSR competency checklist, and audits of reportable events related to communication errors at shift change. It is anticipated that through the implementation of a standardized BSR tool, 95% of twelve-hour night shift nurses on the medical-surgical unit will demonstrate proper quality bedside report at shift change by August 15, 2017.


Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A quality study of the change-of-shift report at the patients’ bedside. The Health Care Manager, 35(4), 294-304.

Scheidenhelm, S. & Reitz, O. (Ed.) (2017). Hardwiring bedside shift report. Journal of Nursing Administration, 47(3), 147-153.