Our facility introduced the concept of Bedside Shift ReportSM as proposed by the Studer Group a few years ago. Frankly, I think they did a poor job of introducing it and an even worse job of training us (yes, scripts and role play feel silly, but it does give you a starting point -- something my hospital skipped over completely).
My unit has really had a difficult time with implementing this process as we find it takes far more time to give report this way, and off-going shift RNs are inevitably leaving late. One of the challenges is that the patient decides that "as long as you are here" they need to go to the bathroom, get pain medicine, get nausea medicine, get a warm blanket, get ice water/coffee/food, etc. Obviously some of these needs can easily be met by ancillary staff, however, since there are 2 RNs at bedside, the RNs have to do it right then. This eats into the time available for report on the remaining patients. And if you are giving report to/getting report from multiple nurses, an awful lot of time can pass.
Our unit management is really cracking down on us to do it every patient, every shift, and it is causing a lot of push-back and stress. Has anyone who is using this program found a way for it to work smoothly, without making shift report last forever?