Anderson Cherri D, Mangino Ruthie R
Adult Acute Care Unit, Banner Desert Medical Center, Mesa, AZ 85202, USA.
Nurs Adm Q. 2006 Apr-Jun;30(2):112-22. doi: 10.1097/00006216-200604000-00008.
Bedside nurse shift report is a process where nurses provide shift-to-shift report at the patient's bedside so the patient can be more involved in his or her care. There are many benefits of bedside report, including relationship building between staff members and increased patient satisfaction, to both the patient and to the healthcare team. Concerns about the traditional methods of communication between the various shifts helped drive a nursing unit's decision to move to a more patient-involved model of shift-to-shift report. The change from the traditional taped report between healthcare providers to bedside reporting focused on patients wanting more involvement in their care, activities, and current status. Patients also wanted updates about their health status, their medical plan as well as information about their progress toward their goals. This, coupled with Banner Desert Medical Center's Care Model, embraces patient-centered care, King's Theory of Goal Attainment, and keeps the patient informed. The current nursing shift report did not meet the medical center's model of care on any of these aspects. This article will include information on the benefits of bedside nurse shift-to-shift report, how one unit implemented bedside reporting, and some of the outcomes achieved after implementing this change at a 600-bed urban medical center.
床边护士交接班报告是护士在患者床边进行班次间报告的过程，这样患者就能更多地参与到自身护理中。床边报告有诸多益处，包括工作人员之间建立关系以及提高患者满意度，这对患者和医疗团队都有益。对各班次间传统沟通方式的担忧促使一个护理单元决定转向更让患者参与的班次间报告模式。从医疗服务提供者之间传统的录音报告转变为以患者为中心的床边报告，是因为患者希望更多地参与到自己的护理、活动和当前状况中。患者还希望了解自己的健康状况、医疗计划以及朝着目标进展的信息。这与班纳沙漠医疗中心的护理模式相结合，体现了以患者为中心的护理、金氏目标达成理论，并让患者了解情况。当前的护理班次报告在这些方面均未达到医疗中心的护理模式。本文将包括床边护士班次间报告的益处信息、一个护理单元如何实施床边报告，以及在一家拥有600张床位的城市医疗中心实施这一变革后取得的一些成果。
