I am all in favor of a bedside assessment together at change of shift, and of course some "report" information will go with that. I just don't see how I can do report as a performance in front of the family. That's what it would have to be, a performance.
Yeah, there's the family dynamics issues that might be a problem. There's also complex medical issues that the family might not be ready to hear about. When I'm speaking to patient and/or family about some aspect of care, I'm assessing their comprehension as I speak, and adjusting accordingly. In report, I'm adjusting to the nurse I'm talking to, too - is this someone who's been around the block and seen this before, or someone who needs to know what to watch out for? And if it's someone who has to know what to watch out for, when I say that in front of the family, isn't that going to decrease their confidence in the oncoming nurse? I'm frustrated, because I think there's variables that just aren't compatible.
If admin's edict were to complete a bedside head-to-toe and introductions during report, I'd say, no problem, great. So far what I've been doing is a report at the desk with the chart, and then another one at bedside. I don't know if that's going to fly if higher-ups see me in action. Honestly, at the end of a long night I find it hard to remember, without paper in front of me, the patient's name, age, diagnosis and primary MD. To the family, that's going to sound like I'm a "bad nurse". I don't think I am. Just, after being up all night, I'm exhausted. And maybe it's a bit of stage fright. I am confident in myself as a nurse but not as an actress playing a nurse.