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1. NRS 493 Grand Canyon University Improving Patients Quality Discussion
NRS 493 Grand Canyon University Improving Patients Quality Discussion ON NRS 493
Grand Canyon University Improving Patients Quality DiscussionCreate a professional
presentation of the evidence-based intervention and change proposal (TOPIC: Improving
Patients’ Quality of Care through Bedside Shift Report) to be disseminated to an
interprofessional audience of leaders and stakeholders. Include the intervention, evidence-
based literature, objectives, resources needed, anticipated measurable outcomes, and how
the intervention would be evaluated.NRS 493 Grand Canyon University Improving Patients
Quality Discussionattachment_1attachment_2attachment_3attachment_4Unformatted
Attachment PreviewRunning head: PROJECT CHANGE 1 Improving Patient Care through
Bedside Report Chelsea Mull Grand Canyon University NRS 493 Professional Capstone and
Practicum Prof. Colleen Darrow September 23, 2020 PROJECT CHANGE 2 Background
Current evidence shows that one of the primary goals of healthcare organizations is to
provide high-quality care to patients. By providing high-quality care to patients, healthcare
institutions not only contributed to the overall well-being of a country but also improve the
productivity of its citizens. The latter concept of improving the quality of care is often
associated with improvement in patients’ experience as well as their satisfaction while
undergoing treatment. Patient care is a broad concept in healthcare. It entails various
aspects including treatment, prevention, management of illnesses, and the maintenance of
physical and mental well-being through various services within a healthcare setting. In
addition to this, patient care also entails healthcare activities related to enhancing safety,
reducing pain, pallor, and pulse to improve their conditions. However, patient care is not
always a smooth process as it experiences numerous challenges, including disconnections
in terms of doctorpatient communication, especially when bedside reports are poorly
handled. Current research, therefore, proposes that with effective bedside shift reporting,
patient care can be improved in the healthcare system. NRS 493 Grand Canyon University
Improving Patients Quality DiscussionTherefore, this paper seeks to analyze how patient
care can be enhanced through effective bedside shift reporting. Clinical Problem Statement
Effective communication and a good doctor-patient relationship are vital to the success of
treatment plans. Through the two aspects, doctors can acquire adequate information,
especially regarding a patient’s history, to effectively provide the right diagnosis. With an
effective diagnosis, appropriate treatment is administered, resulting in the effective
management and treatment of illnesses. Bigani and Correia (2018) noted that incidences of
healthcare personnel dissatisfaction are common in the healthcare sector and majority of

2. them PROJECT CHANGE 3 are rooted in the provision of inadequate information by patients.
Further, the latter incidences have also become rampant with the use of electronic health
records as healthcare personnel rarely make efforts to note their patient’s history,
especially when they have to attend to many patients. As a result of this, healthcare
professionals have numerous information gaps that affect their treatment programs’
effectiveness and the quality of care delivered. Therefore, a shift in the manner of patient-
information collection and recording is necessary to solve the existing gap in quality patient
care. Purpose of the Change Proposal Habitually, healthcare facilities are mostly focused on
increasing the quality of care and revenue generation while ignoring the issue of nurse and
patient satisfaction in patient care. While nurses’ and patients’ satisfaction is fundamental
to improve healthcare organizations’ productivity and performance, the change proposal
could revolutionize the healthcare sector by improving the effectiveness of patient care
delivery. Traditional reporting systems are often characterized by inequities in time, low
patient safety, poor nurse and patient satisfaction, which are detrimental to an
organization’s reputation, productivity, and performance. According to McAllen et al.
(2018), one of the notable outcomes of effective bedside shift reporting is increased patient
safety and satisfaction. Further research also proposes that inefficient bedside reporting
often results in inefficient and inconsistent patient care, which triggers patients’
dissatisfaction. Bedside shift reporting not only involves the capturing and relaying accurate
patient information but also incorporates detailed communications and proper awareness
in patient health and safety. Most importantly, it also involves abiding by the ethical
principle of autonomy, which requires nurses to ensure that their colleagues have all the
necessary information to make decisions about medical care and continuing with the
PROJECT CHANGE 4 patient’s treatment. The latter change proposal should most
importantly complement existing interventions of improving patient safety and care. PICOT
Question How do admitted patients (P) benefit better from effective bedside shift reporting
(I) compared to traditional reporting (C) with respect to the occurrence of adverse
outcomes (O) during their hospital stay (T)? Typically, the change proposal seeks to
increase patient admissions within a given healthcare organization by providing quality
care. The proposed intervention that brings about this change is implementing effective
bedside shift reporting, which involves patients and the incoming and outgoing nurses. The
change proposal compares the benefits of the proposed intervention to traditional
reporting, which doesn’t occur at the patient’s bed. To determine these benefits of the two
interventions, the occurrence of adverse outcomes is considered. The proposal seeks to
reduce the patient stay in the hospital and, at the same time, improve patient care efficiency
and effectiveness. Literature Search Strategy Employed The literature search in this analysis
is guided by the research question for the proposed change. This analysis seeks to answer
the question of how to improve patient care through effective bedside shift reporting.
Basically, the literature search will aim at gathering vital information using a cross-sectional
approach. Apart from crucial concepts relating to bedside shift reporting, key terms, words
and phrases will also be emphasized in the literature search. NRS 493 Grand Canyon
University Improving Patients Quality DiscussionConsidering that the literature analysis
will be from peer-reviewed articles, various databases that provide such journal articles will

3. be used to find them. In addition to this, the literature search will also take advantage of
government agencies and the internet. Evaluation of the Literature PROJECT CHANGE 5
Patient care is a broad concept in healthcare and it entails various aspects including
treatment, prevention, management of illnesses, and the maintenance of physical and
mental well-being. According to Schirm et al. (2018), nurses have a crucial role in ensuring
patient information exchange, maintaining accountability, and being responsible amongst
the nurses is to their colleagues, which are vital to patient safety. The latter authors also
acknowledge that the gap in the clarity of patient information and faults in technological
tools adversely affects patient experiences. One of the typical problems that the paper
identifies is the existence of low space drives, limiting the recording of patient education.
Applicable Change or Nursing Theory Employed The change proposal employs concepts of
the practice-level nursing theory to focus on the benefits of bedside shift reporting. A
bedside shift report seeks to address patients’ issues at a particular time during clinical
treatment, including their safety issues, treatment details, history, and conditions (McAllen
et al., 2018). Therefore, the proposal provides a framework to improve the interaction
between nurses regarding admitted patients being treated. With the latter proposal, patient
outcomes would be improved. As earlier mentioned, the disconnection between individual
nurses and patients usually occurs due to poor communication. Nonetheless, with the
proposal’s implementation, nurses incoming nurses would get first-hand information from
outgoing nurses at the patient’s presence, allowing them to better understand their
progress, treatment, and conditions. With the proposal in place, patients can clarify and
engaged more with their nurses regarding their treatment outcomes. Proposed
Implementation Plan with Outcome Measures Implementation of health care interventions
demands due diligence as inefficiencies can influence the delivery of patient care and
healthcare outcomes. Therefore, the piloting of PROJECT CHANGE 6 the propped change
should first occur within a single unit to monitor and measure the intervention’s resulting
change. Nonetheless, the piloting unit should be carefully selected to ensure that the results
are relatively reliable. Afterward, healthcare institutions can now generalize the
intervention in all units and departments depending on the scale of its benefits compared to
those of the traditional reporting systems. To ensure that the change proposal is effectively
implemented, a multi-disciplinary team including nurses, physicians, patients and their
family members need to be developed. The bedside this the implementation process should
also abide by management and logistic policies that guide the effective delivery of care.
Lastly, the management team will also educate and train all staff affected staff on
conducting bedside shift reporting effectively. Decisively continuous monitoring and
evaluation of the change proposal will also be vital in enhancing the intervention’s
continuous effectiveness. How Evidence-Based Practice was Utilized in Creating the
Intervention Plan Healthcare planning a cumbersome process and it requires decisions to
be supported by both scientific and literally research. Gap identification in patient care
processes requires evaluating nurses’ practice, which is compared with the patient’s
preferences (Ford, Heyman, and Chapman¸2015). The latter comparison provides vital leads
to understanding patient care gaps and hints the level of satisfaction among patients. After
understanding this, we now focus on finding relevant evidence-based sources that discuss

4. and provide solutions on how the identified gaps can be linked. Similarly, this is what
happened in the creation of the intervention plan. Various evidence-based sources were
used to provide knowledge about bedside shift reporting and how it closes gaps in patient
care and how such interventions need to be implemented. Plan for Evaluating the Proposed
Nursing Intervention PROJECT CHANGE 7 Considering that patients and nurses will be the
latter intervention’s primary beneficiaries, they will be the major participants during the
evaluation process. Their responses will thus be used to determine the benefits and
effectiveness of the latter intervention. To do this, the management will first highlight the
objectives and goals of intervention, which will be compared against. Nonetheless, the
actual evaluation will be conducted through surveys, interviews, and questionnaires since
they provide current and timely data (Grimshaw et al., 2016). After collecting data about the
patients’ and nurses’ perceptions about bedside shift reporting outcomes, it will be
rigorously evaluated in terms of how much the intervention meets the set goals and
objectives. Eventually, the organization will be able to review the entire intervention’s
framework to determine whether it is beneficial to admitted patients and nurses. With this,
its contrib ution to the quality of patient care will be better understood. Identification of
Potential Barriers to Plan Implementation and How to Overcome NRS 493 Grand Canyon
University Improving Patients Quality DiscussionThem Some of the significant barriers to
the plan’s implementation on an organization may include inadequate resources and lack of
support from the stakeholders. Inadequate capital is one of the possible barriers as a limited
allocation of funds to the implementation process could result in delays in the plan’s
implementation and ineffective implementation. The other barrier that may affect the plan’s
implementation is the lack of support from stakeholders, especially when the stakeholders
negatively perceive the plan. This may incapacitate its implementation by causing
resistance and delays during decision making. According to Ofori-Atta (2019), if a plan
brings changes in financial utilization and also lacks clarity and adherence to guidelines, it
may face significant opposition from the stakeholders. PROJECT CHANGE 8 Nonetheless, to
overcome the two problems, the management team needs to create a budget and secure
adequate allocation of resources from the healthcare organization to overcome resource
shortages in the plan’s implementation. In addition to this, the management can draft the
plan’s existing problems and its importance. Doing so will ensure that the stakeholders
understand the value of the new intervention plan, thus buying in the idea of its
implementation. Conclusion To achieve healthcare goals within healthcare organizations,
they need to address the existing problems within their workplace. By solving issues such
as the lack of adequate communication and interaction between nurses and patients, which
are common problems, patient care quality can consequently be improved (Radtke¸2015).
With the bedside shift reporting being one of the possible interventions, these organizations
can be bound to numerous benefits, including improving patient information clarity.
Conclusively, service delivery can also be eased with access to reliable information from
patients and families and colleagues. PROJECT CHANGE 9 References Bigani, D. K., &
Correia, A. M. (2018). On the Same Page: Nurse, Patient, and Family Perceptions of Change-
of-shift Bedside Report. Journal of Pediatric Nursing, 41, 84– 89. Ford, Y., Heyman, A., &
Chapman, Y. L. (2015). Patients? Perceptions of Bedside Handoff. Journal of Nursing Care

5. Quality, 29(4), 371–378.l Foster-Hunt, T., Parush, A., Ellis, J., Thomas, M., & Rashotte, J.
(2015). Information structure and organization in a change of shift report An observational
study of nursing hand-offs in a Pediatric Intensive Care Unit. Intensive & Critical Care
Nursing, 31(3), 155–164. Grimshaw, J., Hatch, D., Willard, M., & Abraham, S. (2016). A
Qualitative Study of the Change-of-Shift Report at the Patients’ Bedside. The Health Care
Manager, 35(4), 294–304. McAllen, E. R., Stephens, K., Swanson-Biearman, B., Kerr, K., &
Whiteman, K. (2018). Moving shift report to the bedside: An evidence-based quality
improvement project. OJIN: The Online Journal of Issues in Nursing, 23(2). Ofori-Atta,
Judymae MSN, BSN, RN; Binienda, Maura BSN, RN; Chalupka, Stephanie MSN, EdD Bedside
shift report, Nursing (2019): August 2015 – Volume 45 – Issue 8 p 1-4 Radtke, K. (2015).
Improving patient satisfaction with nursing communication using bedside shift report.
Clinical nurse specialist CNS, 27(1), 19–25. PROJECT CHANGE 10 Schirm, V., Banz, G.,
Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A research and
evidence-based practice initiative. Applied Nursing Research, 40, 20– 25. Running head:
PROJECT CHANGE Improving Patient Care through Bedside Report Grand Canyon
University NRS 493 Professional Capstone and Practicum Prof. Colleen Darrow September
23, 2020 1 PROJECT CHANGE 2 Background Current evidence shows that one of the
primary goals of healthcare organizations is to provide high-quality care to patients. By
providing high-quality care to patients, healthcare institutions not only contributed to the
overall well-being of a country but also improve the productivity of its citizens. The latter
concept of improving the quality of care is often associated with improvement in patients’
experience as well as their satisfaction while undergoing treatment. Patient care is a broad
concept in healthcare. It entails various aspects including treatment, prevention,
management of illnesses, and the maintenance of physical and mental well-being through
various services within a healthcare setting. NRS 493 Grand Canyon University Improving
Patients Quality DiscussionIn addition to this, patient care also entails healthcare activities
related to enhancing safety, reducing pain, pallor, and pulse to improve their conditions.
However, patient care is not always a smooth process as it experiences numerous
challenges, including disconnections in terms of doctorpatient communication, especially
when bedside reports are poorly handled. Current research, therefore, proposes that with
effective bedside shift reporting, patient care can be improved in the healthcare system.
Therefore, this paper seeks to analyze how patient care can be enhanced through effective
bedside shift reporting. Clinical Problem Statement Effective communication and a good
doctor-patient relationship are vital to the success of treatment plans. Through the two
aspects, doctors can acquire adequate information, especially regarding a patient’s history,
to effectively provide the right diagnosis. With an effective diagnosis, appropriate treatment
is administered, resulting in the effective management and treatment of illnesses. Bigani
and Correia (2018) noted that incidences of healthcare personnel dissatisfaction are
common in the healthcare sector and majority of them are rooted in the provision of
inadequate information by patients. Further, the latter PROJECT CHANGE 3 incidences have
also become rampant with the use of electronic health records as healthcare personnel
rarely make efforts to note their patient’s history, especially when they have to attend to
many patients. As a result of this, healthcare professionals have numerous information gaps

6. that affect their treatment programs’ effectiveness and the quality of care delivered.
Therefore, a shift in the manner of patient-information collection and recording is necessary
to solve the existing gap in quality patient care. Purpose of the Change Proposal Habitually,
healthcare facilities are mostly focused on increasing the quality of care and revenue
generation while ignoring the issue of nurse and patient satisfaction in patient care. While
nurses’ and patients’ satisfaction is fundamental to improve healthcare organizations’
productivity and performance, the change proposal could revolutionize the healthcare
sector by improving the effectiveness of patient care delivery. Traditional reporting systems
are often characterized by inequities in time, low patient safety, poor nurse and patient
satisfaction, which are detrimental to an organization’s reputation, productivity, and
performance. According to McAllen et al. (2018), one of the notable outcomes of effective
bedside shift reporting is increased patient safety and satisfaction. Further research also
proposes that inefficient bedside reporting often results in inefficient and inconsistent
patient care, which triggers patients’ dissatisfaction. Bedside shift reporting not only
involves the capturing and relaying accurate patient information but also incorporates
detailed communications and proper awareness in patient health and safety. Most
importantly, it also involves abiding by the ethical principle of autonomy, which requires
nurses to ensure that their colleagues have all the necessary information to make decisions
about medical care and continuing with the PROJECT CHANGE 4 patient’s treatment. The
latter change proposal should most importantly complement existing interventions of
improving patient safety and care. PICOT Question How do admitted patients (P) benefit
better from effective bedside shift reporting (I) compared to traditional reporting (C) with
respect to the occurrence of adverse outcomes (O) during their hospital stay (T)? Typically,
the change proposal seeks to increase patient admissions within a given healthcare
organization by providing quality care. The proposed intervention that brings about this
change is implementing effective bedside shift reporting, which involves patients and the
incoming and outgoing nurses. The change proposal compares the benefits of the proposed
intervention to traditional reporting, which doesn’t occur at the patient’s bed. To determine
these benefits of the two interventions, the occurrence of adverse outcomes is considered.
The proposal seeks to reduce the patient stay in the hospital and, at the same time, improve
patient care efficiency and effectiveness. Literature Search Strategy Employed The
literature search in …NRS 493 Grand Canyon University Improving Patients Quality
Discussion