In healthcare, a change-of-shift report is a meeting between healthcare providers at the change of shift in which vital information about and responsibility for the patient is provided from the off-going provider to the on-coming provider (Groves, Manges, Scott-Cawiezell, 2016).[1] Other names for change-of-shift report include handoff, shift report, handover, or sign-out. Change-of-shift report is key to inpatient care because healthcare providers (nurses, physicians, nursing assistants etc.) are essential to providing around the clock care.[1]
During report, the outgoing nurses discuss with the oncoming nurses the condition of each patient and any changes that have occurred to the patient during the shift. The purpose is not to cover all details recorded in the patient's medical record, but to summarize individual patient progress.[2] The content of the report often depends on the local organization.
Issues with reportedit
While report is necessary in order to communicate important information between nurses, various problems are posed by the giving of report.
Nurses in many places are legally not permitted to leave the facility until the provider has given report to the next shift. "Walking off the job" may be considered abandonment, which may be grounds for revocation of the nurse's license. At the same time, facilities are not legally required in all places to pay nurses for the extra time beyond their shift they are forced to stay over to complete report. It is not uncommon for nurses to attend report in their own time before and after a shift.[3]
While privacy laws require report to be given in a location where unauthorized people cannot hear the report (patients and authorized visitors for that patient are allowed to hear their report, but patients and visitors are not allowed to hear reports for other patients), some facilities prohibit family members from visiting patients during report times. In contrast, some facilities require shift reports to take place in front of each affected patient, including authorized visitors.
Nursing Bedside Shift Report and patient safetyedit
There is evidence to suggest that performing change of shift report at the bedside is key to patient safety. In 2001, the Institute of Medicine stated that "it is in inadequate handoff that safety often fails first."[4] This is because at every change of shift, there is a chance for miscommunication about vital patient information.[1] A specific type of change-of-shift report is Nursing Bedside Shift Report in which the off going nurse provides change-of-shift report to the on coming nurse at the patient's bedside.[1][5][6] Since 2013, giving report at the patient bedside has been recommend by the Agency for Healthcare Research and Quality (AHRQ) to improve patient safety.[5] However, it wasn't until recently that it was known how Nursing Bedside Shift Report works to keep patients safe.[1] A qualitative study by the nurse researchers Groves, Manges, and Scott-Cawiezell developed a grounded theory on how bedside nurses can use nursing bedside shift report (NBSR) to keep patients safe.[1] According to Groves et al. (2016)[1] NBSR is used by nurses to keep patients safe by "reducing risk of harm through conveying the patient story from shift to shift." Additionally, NBSR is key to reducing risk of harm because it supports the nurses ability to identify and address risks.[1][7] Preliminary results from a simulation study found that the way nursing report is structured, can nurses safety oriented behaviors (like checking for pressure ulcers, double checking medications, decreasing room clutter to prevent falls).[8]
See alsoedit
Follow-the-sun, a reporting style in the software development business where work is handed off to the next shift
Referencesedit
^ abcdefghGroves, Patricia S.; Manges, Kirstin A.; Scott-Cawiezell, Jill (2016-02-08). "Handing Off Safety at the Bedside". Clinical Nursing Research. 25 (5): 473–93. doi:10.1177/1054773816630535. ISSN 1054-7738. PMID 26858262. S2CID 11356718.
^Wywialowski, Elizabeth F (2004). Managing Client Care. Elsevier Health Sciences. pp. 167–182. ISBN9780323024822.
^Scovell, S (2010). "Role of the nurse-to-nurse handover in patient care". Nursing Standard. 24 (20): 35–39. doi:10.7748/ns2010.01.24.20.35.c7453. PMID 20191743.
^Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.
^ abAgency for Healthcare Research and Quality. (2013). Strategy 3: Nurse bedside shift report (Implementation handbook). Retrieved from
^Groves, Patricia S.; Manges, Kirstin (2017-08-24). "Understanding Nursing Handoffs: Safety Scholarship in Nursing". Western Journal of Nursing Research. 39 (11): 1391–1393. doi:10.1177/0193945917727237. ISSN 0193-9459. PMID 28835189.
Lamond, D (2000). "The information content of the nurse change of shift report: a comparative study". J Adv Nurs. 31 (4): 794–804. doi:10.1046/j.1365-2648.2000.01349.x. PMID 10759975.
Groves, P. S., Manges, K. A., & Scott-Cawiezell, J. (2016). Handing Off Safety at the Bedside. Clinical nursing research, 1054773816630535.
April 11, 2024
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This article needs additional citations for verification Please help improve this article by adding citations to reliable sources Unsourced material may be challenged and removed Find sources Change of shift report news newspapers books scholar JSTOR January 2009 Learn how and when to remove this template message In healthcare a change of shift report is a meeting between healthcare providers at the change of shift in which vital information about and responsibility for the patient is provided from the off going provider to the on coming provider Groves Manges Scott Cawiezell 2016 1 Other names for change of shift report include handoff shift report handover or sign out Change of shift report is key to inpatient care because healthcare providers nurses physicians nursing assistants etc are essential to providing around the clock care 1 Contents 1 Nursing change of shift report 2 Issues with report 3 Nursing Bedside Shift Report and patient safety 4 See also 5 References 6 SourcesNursing change of shift report editDuring report the outgoing nurses discuss with the oncoming nurses the condition of each patient and any changes that have occurred to the patient during the shift The purpose is not to cover all details recorded in the patient s medical record but to summarize individual patient progress 2 The content of the report often depends on the local organization Issues with report editWhile report is necessary in order to communicate important information between nurses various problems are posed by the giving of report Nurses in many places are legally not permitted to leave the facility until the provider has given report to the next shift Walking off the job may be considered abandonment which may be grounds for revocation of the nurse s license At the same time facilities are not legally required in all places to pay nurses for the extra time beyond their shift they are forced to stay over to complete report It is not uncommon for nurses to attend report in their own time before and after a shift 3 While privacy laws require report to be given in a location where unauthorized people cannot hear the report patients and authorized visitors for that patient are allowed to hear their report but patients and visitors are not allowed to hear reports for other patients some facilities prohibit family members from visiting patients during report times In contrast some facilities require shift reports to take place in front of each affected patient including authorized visitors Nursing Bedside Shift Report and patient safety editThere is evidence to suggest that performing change of shift report at the bedside is key to patient safety In 2001 the Institute of Medicine stated that it is in inadequate handoff that safety often fails first 4 This is because at every change of shift there is a chance for miscommunication about vital patient information 1 A specific type of change of shift report is Nursing Bedside Shift Report in which the off going nurse provides change of shift report to the on coming nurse at the patient s bedside 1 5 6 Since 2013 giving report at the patient bedside has been recommend by the Agency for Healthcare Research and Quality AHRQ to improve patient safety 5 However it wasn t until recently that it was known how Nursing Bedside Shift Report works to keep patients safe 1 A qualitative study by the nurse researchers Groves Manges and Scott Cawiezell developed a grounded theory on how bedside nurses can use nursing bedside shift report NBSR to keep patients safe 1 According to Groves et al 2016 1 NBSR is used by nurses to keep patients safe by reducing risk of harm through conveying the patient story from shift to shift Additionally NBSR is key to reducing risk of harm because it supports the nurses ability to identify and address risks 1 7 Preliminary results from a simulation study found that the way nursing report is structured can nurses safety oriented behaviors like checking for pressure ulcers double checking medications decreasing room clutter to prevent falls 8 See also editFollow the sun a reporting style in the software development business where work is handed off to the next shiftReferences edit a b c d e f g h Groves Patricia S Manges Kirstin A Scott Cawiezell Jill 2016 02 08 Handing Off Safety at the Bedside Clinical Nursing Research 25 5 473 93 doi 10 1177 1054773816630535 ISSN 1054 7738 PMID 26858262 S2CID 11356718 Wywialowski Elizabeth F 2004 Managing Client Care Elsevier Health Sciences pp 167 182 ISBN 9780323024822 Scovell S 2010 Role of the nurse to nurse handover in patient care Nursing Standard 24 20 35 39 doi 10 7748 ns2010 01 24 20 35 c7453 PMID 20191743 Institute of Medicine 2001 Crossing the quality chasm A new health system for the 21st century Washington DC National Academies Press a b Agency for Healthcare Research and Quality 2013 Strategy 3 Nurse bedside shift report Implementation handbook Retrieved from 1 Groves Patricia S Manges Kirstin 2017 08 24 Understanding Nursing Handoffs Safety Scholarship in Nursing Western Journal of Nursing Research 39 11 1391 1393 doi 10 1177 0193945917727237 ISSN 0193 9459 PMID 28835189 Groves Patricia S Finfgeld Connett Deborah Wakefield Bonnie J 2012 12 04 It s Always Something Clinical Nursing Research 23 3 296 313 doi 10 1177 1054773812468755 PMID 23221103 S2CID 44550125 Groves P S Bunch J L Cram E Farag A Manges K Perkhounkova Y Scott Cawiezell J 2017 Priming Patient Safety Through Nursing Handoff Communication A Simulation Pilot Study Western Journal of Nursing Research 39 11 1394 1411 doi 10 1177 0193945916673358 PMID 28322631 S2CID 32696412 Sources editFoundations of Caregiving published by the American Red Cross Lamond D 2000 The information content of the nurse change of shift report a comparative study J Adv Nurs 31 4 794 804 doi 10 1046 j 1365 2648 2000 01349 x PMID 10759975 Groves P S Manges K A amp Scott Cawiezell J 2016 Handing Off Safety at the Bedside Clinical nursing research 1054773816630535 Retrieved from https en wikipedia org w index php title Change of shift report amp oldid 1090348781, wikipedia, wiki, book, books, library,
