PICOTstatement- For diabetes type 1 and type 2 patients, what is the roleof nursing bedside reporting?
Discussionson the effectiveness of nursing bedside reporting inpatient care havebeen ongoing for over thirty years. Previous studies have revealedthat nursing report is one of the effective tools for patientengagement in the provision of care. Previously, nursing reporting,also known as shift-to-shift nursing reports, have always beenconducted through voice tapes or a central nursing station. However,there has been a shift, with most healthcare providers opting forbedside reporting. The traditional approach does not only make thereports too long, but the reports might also be incomplete orincorrect. Utilization of bedside reporting has numerous advantagesthat directly affect patient outcomes. These advantages includeincreased transparency in thedelivery of care as well as betteropportunities for family and patient involvement. This study seeks toinvestigate the role of nursing bedside reporting in the care ofdiabetes type 1 and diabetes type 2 patients.
Knechtet al. (2006) point out that diabetic patients are at higher risk ofbeing hospitalized compared to non-diabetic patients. Additionally,they state that most of the hospitalized patients are often found tohave unrecognized diabetes or to develop hyperglycemia during aninpatient stay. It thus follows nursing bedside reporting isimportant in diabetes care. Rush (2012) describes reporting as thetransfer of authority, responsibility and accountability of a patientand their care from one nurse to another. He states bedside reportinginvolves giving providing a patient’s report to the incoming nursein the patient’s presence. Reporting is not only limited to nursingpractice, but also takes place in other specialties. Similarly, itoccurs across different regions and countries.
Griffin(2010) points out that communication during the change of shiftreport is directly related to continuity of giving care as well aspatient safety. He points out that many nurses recognize the benefitsassociated with nursing bedside reporting has been. However, bedsidereporting is not commonly practiced in most facilities that providepatient care. He states that the traditional approach to nursereporting eliminates the opportunity to visualize the patient, whichin turn prevents nurses from directly involving the patients andtheir families in the care delivery process. However, Griffin is ofthe view that including patients and their families in the reportprocess may bring about new challenges to the reporting process aswell as the nursing staff. The nurse report contains informationabout the patient. The process normally involves the transfer ofinformation from the nurse who has provided care the patient toanother one who is not familiar with the care provided to thepatient.
Nursingbedside reporting is not only informational, but it is alsoeducational. The reporting provides details about the condition ofthe patient, the treatment administered as well as the care provided.For type 1 and type 2 diabetes patients, nursing bedside reportingwould facilitate the sharing of important information about the careand medication that has to be administered to the patients. Thereporting is also educational as it provides an opportunity fornurses not familiar with the care processes, equipment as well asmedications to be familiar with them. For diabetic care, it allowsnurses to learn more about the available medication for diabetestreatment and the different practices involved in the care andmanagement of diabetic patients. The report’s meaning to the nursesis also important. The nursing bedside reporting serves to expressthe nursing staff’s willingness to welcome and serve the patientsunder their care. Additionally, the reporting process offers anopportunity for nurses to connect with each other as well as with thepatients. This means that the reporting might have an emotionalsignificance to both the patients and the nursing staff.
Asearlier mentioned, bedside reporting usually involves the patientsand their families in the reporting process. Apart from being apatient safety strategy, bedside reporting also allows for theeffective transfer of information between the patients and thenursing staff. It is a very effective approach, especially when thepatient is unable to speak for him or herself. Additionally, itallows for new information about how the patient is doing and whatneeds to be changed and be passed to the incoming nurses as well asrelatives at the same time. For diabetic care, bedside reportingsaves the time that would have otherwise been used to communicatewith both the incoming nurses and relatives separately. Griffins(2010) points out that there are four important concepts of familyand patient-centered care that are reflected in the bedside nursingreporting. These concepts are participation, information sharing,respect and dignity as well as collaboration.
Sand-Jecklinand Sherman (2014) carried out an assessment of both nurse andpatient outcomes in bedside nursing report implementation. They areof the view that the available literature identifies the manybenefits of bedside reporting to patients and nurses. However, theoutcomes related to the process have not been adequately quantifiedby the studies. Their study revealed that the implementation ofbedside reporting not only leads to a significant reduction inpatient falls at shift changes, but also does not require any extratime as indicated by the insignificant increase in nursing overtime.The authors point out that proper implementation of bedside reportinghas the potential to improve patient and nurse satisfaction.Sand-Jecklin and Sherman (2014) are of the view that managers have toinvolve nurses in the process of implementing the bedside reportingprocess and that there is the need for continued monitoring ofsatisfaction and consistency.
Also,according to Neuman in his book regarding the “social researchmethods: qualitative and quantitative approaches”. It is clear thatthe medication safety that needs to revolve around the employeeslearning as well as appropriate labeling so as to avoid the cases ofmedication errors. As with the case of medications with comparablelabels along with analogous packages, the employees need to be helpedin distinguishing between the two. Consequently, other kinds ofmedical mistakes that the staffs need to correct on when is comes tosafety do comprise. The medications that are not usually usedemployed as well as illustrated. Thu, the frequently employedmedications to which vast patients are allergic to like the case ofanti-inflammatory-drugs and antibiotics (Newuman, 2006),
Basingon Leedy as well as Ormrod it is clear that concerning thequalitative advance, the prominence is holistic. Thus, thequantitative approach is used to verify between a pair ofmeasurements (Leedy & Ormond, 2010). Concerning the medicationsecurity that should involve around staff education and appropriatelabeling it is appropriate that the medication errors takes place inevery setting as well as it may not result into an undesirable drugevent. Among the cited causes of errors related to medication doescomprise of wrong dose. Therefore, medication safety needs to revolvearound safety education so as to avoid such incidences of wrongdosage. Studies conducted regarding medication safety did establishthat the key causes of death associated with wrong medication wereoral, drafted miscommunication along with misguiding containerlabeling.
Inconclusion, patients with type 1 diabetes as well as type 2 diabetesrequire high-quality care. Both types of diabetes are not only lifethreatening, but diabetic patients are at higher risk of beinghospitalized compared to non-diabetic patients. Previous studies haverevealed that nursing report is one of the effective tools forpatient engagement in the provision of care. Utilization of bedsidereporting has numerous advantages that directly affect patientoutcomes. These advantages include increased transparency inthedelivery of care as well as better opportunities for family andpatient involvement. Communication during the change of shift reportis directly related to continuity of giving care as well as patientsafety. Nursing bedside reporting is not only informational, but itis also educational. The reporting provides details about thecondition of the patient, the treatment administered as well as thecare provided. It also provides an opportunity for nurses notfamiliar with the care processes, equipment as well as medications tobe familiar with them.
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Knecht,L., Gauthier, S., Castro, J., Schmidt, R., Whitaker, M., &Zimmerman, R. et al. (2006). Diabetes care in the hospital: Is thereclinical inertia?. J.Hosp. Med.,1(3),151-160. http://dx.doi.org/10.1002/jhm.94
Leedy,D. & Ormond, E. (2010).Practical research planning and design (9th ed.). Upper Saddle River,NJ: John Wiley & Sons
Rush,S. (2012). Bedside reporting. NursingManagement (Springhouse),43(1),40-44. http://dx.doi.org/10.1097/01.numa.0000409923.61966.ac
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Sand-Jecklin,K., & Sherman, J. (2014). A quantitative assessment of patientand nurse outcomes of bedside nursing report implementation. JClin Nurs,23(19-20),2854-2863. http://dx.doi.org/10.1111/jocn.12575