Published Jan 4, 2017
kangoshichie
1 Post
{ NURSE SURVEY }
Jules A, MSN
8,864 Posts
Yeah there are some rumblings of this monstrosity heading our way. My short answer is in my opinion and specialty is a waste of time and resources. In psych a room full of people staring at a psychotic patient asking personal questions could absolutely be a detriment to their comfort level and everyone's safety. I'm guessing admin will see the lack of productivity as my hours increase to participate in this dog and pony show and will pull the plug quickly.
MrNurse(x2), ADN
2,558 Posts
{ NURSE SURVEY }*Implementation of "nurse bedside shift report" is being attempted by so many hospitals now in an effort to improve quality of care. *I created a fun survey! to assess nurses' stance and view towards "nurse bedside shift report" as part of my last BSN project.*There are 13 questions, and I appreciate your time to respond to my survey:cat: 1. Do you feel that nurses' "bedside shift report" improves quality of care? Yes *2. Which of the following improve(s) by implementing "nurse bedside shift report"? (Select all that apply) Patient-centered care / Teamwork and collaboration / Quality of care / Safety / None Other *3. Is bedside shift report†explained to patients during the admission process? Yes / No I forget to explain it at times. *4. Are patients asked if they are comfortable with bedside shift report†every time? (Assume your patient is awake.) Yes / No I forget to ask at times.*5. Were you trained in bedside shift report†prior to its implementation? Yes / No *6. If you were trained, what method was used? (Select all that apply) Trained by education department (class, online module, etc.). Mentioned in staff meeting by management team. Assumed that all nurses will do bedside shift report†the same way. / No training offered. Other method (please specify) *7. Are sensitive topics always discussed as part of bedside shift report� Yes No / I follow patient's preference. *8. Do you like bedside shift reporting†as a nurse? Yes / No *9. Do all nurses participate in bedside shift report†during shift change? Yes No / *10. What are the barriers in implementing bedside shift report� (Select all that apply) It takes longer time than non-bedside shift report does. / Too many patients are assigned to each nurse to have enough time. I don't like to talk to patients and/or family. I am too busy in general. No barriers. Other barrier (please specify) Pts will request care, offgoing nurses should round prior to COS to eliminate this. *11. Are patients encouraged to participate in bedside shift report� Yes / No *12. How are patients encouraged to participate in bedside shift report� (Select all that apply) Before report starts, patient is reminded to participate. This is talked about during admission. Assume that patient will participate if nurses are in room. Nurses stop at various times during report and ask patient for their comments or questions. / I don't encourage them. Other (please specify) *13. Do you have any other comments, questions, or concerns about nurse bedside shift report†as a nurse? No Yes (please specify) Believe it is best practice and helps convey professional air to nursing. Staff needs to embrace fully to incorporate into normal practice.
May want to make this in survey format.
ArtClassRN, ADN, RN
630 Posts
*There are 13 questions, and I appreciate your time to respond to my survey
KatieMI, BSN, MSN, RN
1 Article; 2,675 Posts
I absolutely agree. Sorry.
When I was in ICU after L&D, my husband had to go to the very top of the chain of commands to stop that done in my room. Even half sedated, I couldn't stand it. The most intimate details of the utter misery (which an ICU stay naturally is), like attempts to pass gas, staying of every of the three or four pelvic drains, stitches, discharges, my wane attempts to communicate, etc., etc., were all opened, physically touched and visually inspected and discussed in most colorful medical language. It was incredibly, monstrously humiliating - or at least I felt so, and still feel. Literally, feeling like a piece of meat being discussed in technical details by chefs. I was crying every single time it happened. Later on I worked a lot with surgeons who allowed even dirtier things to be said, but even they were waiting till the patient was fully asleep, and I was only minimally sedated if anything at all. The final drop was the description of my "2 PM attacks" of unexplained tachy/SVT with following discussion of me having some sort of time-related psych or something. The fact was, a NICU RN came daily around 2 PM to update new moms about their babies and I, of course, was crazy apprehensive. I just wanted, for whatever it took, to hear something about my little, sick girl once in 24 hours!!!
Where I am now, bedside reports were mentioned a few times and we are sort of off-handidly "encouraged" to do it, but I won't do it unless I know for sure that patient is for real ok with it. Punishment or not, this us the case where I let the chips fall as they might.
NurseCard, ADN
2,850 Posts
We do this where I work, and I mostly feel like it is a waste of time. Not
all patients are comfortable with being basically talked about in front of
their faces.
We do this where I work, and I mostly feel like it is a waste of time. Notall patients are comfortable with being basically talked about in front oftheir faces.
Well, if patient is not comfortable with that, then it must be absolutely justified not to do bedside report. Otherwise, what sort of customer service we're going to provide?? (rolled eyes and horror look)
It might be smart to kind of steer a few patients who do not like being talked about like that toward the idea to mention it as negative experience in their discharge surveys or while talking with managers. I am pretty sure that, once it happens a few times, this silliness will disappear quicker than it came.
Cowboyardee
472 Posts
Bedside shift report is perfectly decent round peg that has been haphazardly jammed into all kinds of square, oblong, and star-shaped holes mostly by people who have no particular love for, experience in, or skill at the bedside.
Double post
quazar
603 Posts
I absolutely agree. Sorry. When I was in ICU after L&D, my husband had to go to the very top of the chain of commands to stop that done in my room. Even half sedated, I couldn't stand it. The most intimate details of the utter misery (which an ICU stay naturally is), like attempts to pass gas, staying of every of the three or four pelvic drains, stitches, discharges, my wane attempts to communicate, etc., etc., were all opened, physically touched and visually inspected and discussed in most colorful medical language. It was incredibly, monstrously humiliating - or at least I felt so, and still feel. Literally, feeling like a piece of meat being discussed in technical details by chefs. I was crying every single time it happened. Later on I worked a lot with surgeons who allowed even dirtier things to be said, but even they were waiting till the patient was fully asleep, and I was only minimally sedated if anything at all. The final drop was the description of my "2 PM attacks" of unexplained tachy/SVT with following discussion of me having some sort of time-related psych or something. The fact was, a NICU RN came daily around 2 PM to update new moms about their babies and I, of course, was crazy apprehensive. I just wanted, for whatever it took, to hear something about my little, sick girl once in 24 hours!!!Where I am now, bedside reports were mentioned a few times and we are sort of off-handidly "encouraged" to do it, but I won't do it unless I know for sure that patient is for real ok with it. Punishment or not, this us the case where I let the chips fall as they might.
I wonder how many other patients have felt like you, and what, if anything, administration would do if they heard more perspectives like yours? I cannot imagine feeling so helpless, and I'm so sorry you went through all that, fwiw.
caliotter3
38,333 Posts
Especially when there are from one to three other patients in the room who get to hear it all. No attempt at privacy.
martymoose, BSN, RN
1,946 Posts