Transforming patient care: The power of the bedside shift report

Our journey began with careful observation and data collection.

We identified key process measures, such as performing handoffs at the bedside, introducing ourselves to patients, checking armbands, updating care boards, expressing gratitude, and discussing the plan of care openly in front of patients. These measures formed the foundation of our new approach.

To ensure success, we engaged our staff in the process and provided them with the necessary tools and support. We recognized the importance of managing up, particularly in establishing trust between those leaving and those starting shifts.

Implementing guidelines and expectations for communication helped standardize our approach and set clear objectives for our team.

For example, as a shift would end, a nurse could introduce the next shift by saying, "Here's Debbie; she's going to take great care of you. She's going to answer your call promptly."