Feasibility, Appropriateness, Meaningfulness and Effectiveness of Bedside Shift Reporting
NCT ID: NCT02714582
Last Updated: 2021-06-16
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
750 participants
INTERVENTIONAL
2016-03-31
2018-05-31
Brief Summary
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Bedside shift report is a process where shift-to-shift report between nurses is, if approved by the patient, executed at the patient's bedside in order to improve the patient's involvement. Bedside shift report has the potential to result in more patient satisfaction, better clinical outcomes, improvement of health education and enhanced team coherence. Preliminary research indicates that BSR decreases safety incidents and adverse events and readmissions, positively influences staff satisfaction, offers beneficial financial effects by reducing nurses' overtime, and allows direct patient care to start earlier.
Despite of these effects, rigorous and large-scale scientific research on this topic is lacking. Currently, the available evidence is scarce and mostly consists of single case or small-scale studies. Longitudinal results on effectiveness and sustainability of BSR are also unknown or inconclusive. There is a need for an increased number of controlled studies to evaluate the impact of BSR on patient, staff and economic outcomes and its longitudinal results.
The aim of this study is four-folded:
1. The development and fine-tuning of a BSR-intervention and implementation protocol by using diagnostic interviews, co-design, and pilot studies.
2. A quantitative evaluation of BSR in comparison with care as usual on patient-related, clinical, and nurse-related outcomes.
3. A qualitative evaluation of the feasibility, appropriateness and meaningfulness of BSR as a method to improve communication and patient participation with a particular interest in the experience of benefits and disadvantages by healthcare professionals and patients.
4. A process evaluation of BSR to determine the intervention fidelity and to assess the evolution of BSR over the period of the study (e.g. adaptations, consistent practice).
The study design was based on the Medical Research Council-framework for developing and evaluating complex interventions. Power calculation indicates a minimum of 5 experimental wards with 35 patients should be included in the study. The hospital, the specialization of the ward and the nurse-patient ratio will be used for the matched controlled assignment.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Bedside shift report
The experimental group (nurses and patients) will:
* develop a tailored BSR-intervention by use of co-design, diagnostic interviews, and pilot testing
* use the tailored BSR-intervention, with participation of the patient, instead of the regular nurse shift report
Bedside shift report
Bedside shift report is a process where shift-to-shift report between nurses is, if approved by the patient, executed at the patient's bedside in order to improve the patient's involvement (Anderson \& Mangino 2006).
No bedside shift report
The control group will not use bedside shift report, but will use the regular nurse shift report without participation of the patient
No interventions assigned to this group
Interventions
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Bedside shift report
Bedside shift report is a process where shift-to-shift report between nurses is, if approved by the patient, executed at the patient's bedside in order to improve the patient's involvement (Anderson \& Mangino 2006).
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Be conscious
* Speak Dutch
* Participated in at least 3 bedside shift reports
* Work on a participating hospital ward
* Have at least six months of experience on the ward
* Have participated in 10 bedside shift reports or more
Exclusion Criteria
Nurses
* No hands-on patient contact
* Internship
18 Years
ALL
Yes
Sponsors
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University Ghent
OTHER
University Hospital, Ghent
OTHER
Responsible Party
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Principal Investigators
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Ann Van Hecke, MSc, PhD
Role: PRINCIPAL_INVESTIGATOR
Ghent University/Ghent University Hospital
Kristof Eeckloo, LMM, PhD
Role: PRINCIPAL_INVESTIGATOR
Ghent University/Ghent University Hospital
Wim Van Biesen, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Ghent University/Ghent University Hospital
Locations
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AZ Sint-Jan
Bruges, , Belgium
AZ Alma
Eeklo, , Belgium
AZ Sint-Lucas
Ghent, , Belgium
Ghent University Hospital
Ghent, , Belgium
AZ Virge Jessa
Hasselt, , Belgium
AZ Groeninge
Kortrijk, , Belgium
AZ Lokeren
Lokeren, , Belgium
AZ Oudenaarde
Oudenaarde, , Belgium
Countries
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References
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Anderson CD, Mangino RR. Nurse shift report: who says you can't talk in front of the patient? Nurs Adm Q. 2006 Apr-Jun;30(2):112-22. doi: 10.1097/00006216-200604000-00008.
Cairns LL, Dudjak LA, Hoffmann RL, Lorenz HL. Utilizing bedside shift report to improve the effectiveness of shift handoff. J Nurs Adm. 2013 Mar;43(3):160-5. doi: 10.1097/NNA.0b013e318283dc02.
Evans D, Grunawalt J, McClish D, Wood W, Friese CR. Bedside shift-to-shift nursing report: implementation and outcomes. Medsurg Nurs. 2012 Sep-Oct;21(5):281-4, 292.
Gonzalo JD, Wolpaw DR, Lehman E, Chuang CH. Patient-centered interprofessional collaborative care: factors associated with bedside interprofessional rounds. J Gen Intern Med. 2014 Jul;29(7):1040-7. doi: 10.1007/s11606-014-2817-x. Epub 2014 Mar 11.
Gregory S, Tan D, Tilrico M, Edwardson N, Gamm L. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014 Oct;44(10):541-5. doi: 10.1097/NNA.0000000000000115.
Griffin SJ, Kinmonth AL, Veltman MW, Gillard S, Grant J, Stewart M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Ann Fam Med. 2004 Nov-Dec;2(6):595-608. doi: 10.1370/afm.142.
Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001. Available from http://www.ncbi.nlm.nih.gov/books/NBK222274/
Longtin Y, Sax H, Leape LL, Sheridan SE, Donaldson L, Pittet D. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010 Jan;85(1):53-62. doi: 10.4065/mcp.2009.0248.
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. Int J Nurs Stud. 2013 May;50(5):587-92. doi: 10.1016/j.ijnurstu.2012.09.010. Epub 2012 Nov 15. No abstract available.
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database Syst Rev. 2014 Jun 24;2014(6):CD009979. doi: 10.1002/14651858.CD009979.pub2.
Wakefield DS, Ragan R, Brandt J, Tregnago M. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012 Jun;38(6):243-53. doi: 10.1016/s1553-7250(12)38031-8.
Malfait S, Eeckloo K, Van Opdorp L, Van Biesen W, Van Hecke A. The impact of bedside handovers on relevant clinical indicators: A matched-controlled multicentre longitudinal study. J Adv Nurs. 2020 Aug;76(8):2104-2112. doi: 10.1111/jan.14406. Epub 2020 May 25.
Other Identifiers
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B670201627044
Identifier Type: OTHER
Identifier Source: secondary_id
HA/RP/2015/086/EC
Identifier Type: -
Identifier Source: org_study_id
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