College of Nursing, The Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
College of Nursing, The Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802, USA.
Nurs Clin North Am. 2020 Mar;55(1):21-28. doi: 10.1016/j.cnur.2019.10.002. Epub 2019 Dec 16.
Nurse bedside shift report (NBSR) focuses on patient-centered care, and implementing the change starts with buy-in from management and a strong educational platform. Based on that platform, nurse champions grow to help foster education to their peers. Education and tools were provided to Registered Nurses and Certified Nursing Assistants. The pilot was implemented in 2 phases onto the Medical Oncology unit, and an incentive program ran concurrently. A prepilot revealed the following projected barriers: time to complete NBSR, concerns with the Health Insurance Portability and Accountability Act, attending to patient needs, and being able to perform NBSR.
护士床边交接班报告（NBSR）专注于以患者为中心的护理，实施变革首先需要管理层的认可和强大的教育平台。在此平台的基础上，护理冠军成长起来，帮助向同事提供教育。向注册护士和认证护士助理提供了教育和工具。该试点分两个阶段在肿瘤内科实施，同时实施了一项激励计划。预试点揭示了以下预计的障碍：完成 NBSR 的时间、对《健康保险携带和责任法案》的担忧、照顾患者的需求以及能够进行 NBSR。
