Proposal For Bedside Shift Repo Reimplementation

Proposal Change Topic Reimplementation Of Bedside Shift Reportremembe

Proposal Change Topic: Reimplementation of bedside shift report Remember for you to gain support for your proposal, it will need to be succinct, clear, and well-supported throughout by credible research and evidence. Your proposal should contain the following sections: I. Introduction A. Identify a clinical or nonclinical problem that is relevant to nurses in your workplace or former workplace or is a recognized issue in the local, state, or national nursing community from which you can act as a change agent and propose a change. B. Explain why you selected the issue, identifying the significance to nursing practice and the expected outcomes from the change. II. Justification of Need A. Explain the current situation of the targeted organization for your proposed change. B. Develop arguments with evidence that support this need for change. III. Pre-Implementation Plan A. Identify a specific change theory that will assist you with planning stages of your change proposal B. Identify activities needed prior to implementing your change, making theory-to-practice connections with each key element and impact of change to the element C. Discuss a plan for activities needed to leverage this element to promote change and identify the stakeholders that may be involved in these activities. The activities you propose must cover multiple aspects of health practice surrounding the problem, including but not limited to: a. Patient and Nurse Safety b. Information Management Systems c. Health Literacy d. Administrative Policies e. Ethical Considerations (i.e.; equity of access and treatment, etc.)

Paper For Above instruction

The reimplementation of bedside shift reports (BSRs) represents a vital nursing practice improvement aimed at enhancing patient safety, communication efficacy, and overall quality of care. This proposal underscores the significance of restoring BSRs within hospital settings, elaborates on the rationale for change, and delineates a comprehensive pre-implementation plan rooted in change theory to facilitate sustainable integration.

The importance of bedside shift reporting has been well-documented in nursing literature, illustrating benefits such as improved patient safety, increased patient involvement, and reduced communication errors (Johnson, 2014). The clinical problem arises from inconsistent or absent bedside reporting, leading to communication breakdowns, medication errors, and diminished patient satisfaction. My motivation to advocate for this change stems from observed deficiencies in communication practices that compromise patient outcomes and from evidence suggesting that bedside reporting fosters transparency, trust, and collaborative nurse-patient relationships (Smith & Lee, 2018). The expected outcomes include enhanced safety measures, improved patient comprehension of care plans, and stronger nurse-patient rapport, contributing to higher-quality care metrics.

Currently, many healthcare organizations still rely on traditional report methods, such as handoffs conducted away from patients, which risk critical information loss and reduced patient engagement (Williams et al., 2020). Despite widespread recognition of its benefits, barriers such as staff resistance, workflow disruptions, and inadequate training hinder full adoption (Brown & Davis, 2019). Analyzing the current organizational practices reveals a need for targeted intervention to standardize bedside reporting protocols, improve staff education, and address logistical concerns. Evidence from multiple studies indicates that institutions that reinstate bedside shift reports experience decreases in communication errors and increases in patient satisfaction metrics.

To guide the change process, the Lewin’s Change Management Model offers a practical framework encompassing 'Unfreezing,' 'Changing,' and 'Refreezing' stages (Lewin, 1947). During the 'Unfreezing' phase, awareness of the problems associated with traditional handoffs should be raised among staff and stakeholders through data presentation and dialogue. The 'Changing' phase involves the implementation of new protocols, staff training, and resource allocation. Finally, the 'Refreezing' stage solidifies the new routine via policy adaptation, ongoing education, and leadership reinforcement.

Pre-implementation activities include conducting stakeholder analysis to identify key personnel such as nursing staff, unit managers, patients, and hospital administrators, and fostering their buy-in through meetings and educational sessions emphasizing the benefits of bedside reporting (Kirkland & Harvey, 2021). Staff training sessions must incorporate evidence-based practices, role-playing scenarios, and competency assessments to ensure adherence and comfort with bedside report procedures. Engaging patients by informing them about the process promotes health literacy and empowers their participation, directly impacting safety and satisfaction.

Moreover, technological considerations necessitate reviewing and optimizing the health information management systems to facilitate seamless documentation and communication. Administratively, revising policies to formalize bedside reporting practices ensures consistency and accountability, aligning with ethical principles of transparency and equitable access to quality care (American Nurses Association, 2015). Ethical considerations underpin the initiative, emphasizing that all patients, regardless of background or status, should benefit from improved communication practices, fostering health equity.

In conclusion, reimplementing bedside shift reports through a structured change process promises to significantly enhance patient safety, communication, and satisfaction in healthcare settings. By applying Lewin’s change theory, engaging stakeholders, and aligning policies with ethical principles, nurses can lead sustainable improvements. This initiative not only addresses an identified clinical problem but also aligns with broader goals of patient-centered care and health equity, ultimately contributing to a culture of safety and excellence in nursing practice.

References

• American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements. ANA Publishing.
• Brown, P., & Davis, L. (2019). Barriers to Bedside Handoff and Strategies for Improvement. Journal of Nursing Care Quality, 34(2), 115-122.
• Johnson, R. (2014). Enhancing Patient Safety Through Bedside Reporting. Nursing Times, 110(6), 22-24.
• Kirkland, L., & Harvey, S. (2021). Stakeholder Engagement in Nursing Change Initiatives. Journal of Nursing Administration, 51(4), 201-207.
• Lewin, K. (1947). Frontiers in Group Dynamics. Human Relations, 1(2), 5-41.
• Smith, A., & Lee, P. (2018). Improving Communication in Nursing Practice. Journal of Nursing Education, 57(3), 154-159.
• Williams, M., et al. (2020). Impact of Bedside Handoff on Patient Satisfaction. Healthcare Quality Journal, 12(3), 45-50.