Capstone project final project: EBP project on the importance of bedside shift report

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: -each of these areas are on the Rubric, which means I will be looking for each piece to grade! Background (Introduction and Thesis Statement-as the author, what is your purpose for the paper, what are you planning to cover or address???) Problem statement—-this is not your PICOT ( you state that a little further down) Purpose of the change proposal- why do you think the change needs to happen based on the problem you identified. PICOT-the entire statement, not just a breakdown of each component!!—-If I do not get the actual PICOT statement, you will lose significant points!! Literature search strategy employed (GCU Library, CINAHL, PubMed, and such) Evaluation of the literature- remember that literature evaluation tool you filled out (use that data, but do NOT include that template in the paper!!) Applicable change or nursing theory utilized— make sure you provide an actual established theory you can cite from. Proposed implementation plan with outcome measures- what your plan to roll out your proposal? Identification of potential barriers to plan implementation, and a discussion of how these could be overcome Conclusion—Comprehensive conclusion for the entire paper! Not at the end of each section like you copied and pasted all of your papers together. This is supposed to be one paper that flows as one paper and not the pasted papers you have done since week 2. All it takes is some minor editing to fit all of your papers into one complete work!! Don’t think you have to start over and don’t overthink this paper, you have already pretty much written it, now turn it into one complete paper! Appendix section (if tables, graphs, surveys, educational materials, etc. are created) ANY TOOL YOU WOULD USE FOR IMPLEMENTATION OR EVALUATION YOU MUST INCLUDE IN THE APPENDIX. Do not describe what you would use, include the actual tool. This is where I see students lose the most points because they don’t attach any form of Appendix. Think about it this way, if you were ACTUALLY going to present, or implement and evaluate your proposal, what tools would you use to do that? And don’t say there are not any you would use, that will not meet any point expectation for this project. Review the feedback from your instructor on all of the assignments you have submitted thus far. Use the feedback to make appropriate revisions to the portfolio (Capstone Paper) components before submitting (this is also on the Rubric, Evidence of Revision) Remember this is your final paper and your pulling it all together, and you are not just copying and pasting each paper together, you are turning this into ONE paper that flows as one paper. You need one all inclusive Introduction, and one all inclusive Conclusion. Prepare this assignment according to APA Style. An abstract is not required. My expectation is that APA format is not new and should be a non-issue for any of you at this point. SPELL/GRAMMAR CHECK YOUR WORK BEFORE YOU SUBMIT-THERE ARE POINTS ASSOCIATED WITH THIS!! Also, if there are any errors on the paper that were not cleaned up before you submit, there are point deductions associated here too. This is the last paper you will do for your degree, make it look professional!!! You are required to submit this assignment to Turnitin**** I will upload my paper down below. Please use the information from that paper to help you work on the final project. Thanks

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Evidence Based Practice Change: The effect of bedside shift report on patient care
Capstone Project
Capstone Project Topic – The Problem
The bedside nursing offers the patient and the nurse the chance to share information,
plan for personalized interventions and ask questions. A literature search performed through
the PubMed, EBSCOhost, Cumulative Index of Nursing &Allied Health (CINAHL Plus), and
other databases which focused on the given keywords aimed at defining information about
bedside shift. The purpose of this evidence-based research project is to examine the effect of
bedside report on patient outcome and nurse/patient satisfaction. Primarily, a nursing’s
bedside shift report provides various functions. Fundamentally, this allows central
information processing amongst patients and practitioners. Additionally, it helps to achieve
social cohesion and participation as well as to facilitate teaching and coaching. Furthermore,
this team building practice ensures efficient transfer of essential data and information thereby
promoting patient satisfaction and safety (Halm, 2013). In comparison, issuing clinical
handoff reports outside the patient room negatively affects an individual attitude during their
length of hospitalization. Occasionally, the off-bed handoffs create substandard procedures
which contribute to medical errors, omissions and patients’ care insufficiencies conceivably
due to treatment delays and work repetition.
The Setting and Context
Bedside shift reports and the nursing handoffs occur within the healthcare facilities’
twenty-four-hour clinical cycles. In this context, the nursing and technical staff within the
clinical care share relevant informational details concerning particular patient requirements.
Amongst the on-coming and the off-going nurses, appropriate communication is a significant
consideration towards maintaining patient’s clinical safety. The quality of such handoffs and
bedside report allows professionals to expeditiously recognize adjustments in patient status in
addition to enabling the practitioners to anticipate risks (Birmingham, Buffum, Blegen &
Lyndon, 2015).
Description of the Problem
Inter-shift handoffs entail the exchange of accountability and responsibility between
nurses. Several mechanisms to achieve the interchange include the use of written documents,
tape recordings and through verbal face to face communications. Nursing information must
involve accuracy, completeness, and timeliness of the relevant details. Giving handoff reports
outside the patient vicinity faces challenges such as interpersonal distractions, noise
interruptions, and time constraints. As a result, the information incorporates
misunderstandings, inaccuracies, and bias. Conversely, physician bedside shift reporting
which involves patients improves caregivers’ communication effectiveness and
consequentially patients’ satisfaction (Wakefield, Ragan, Brandt & Tregnago, 2015).
Impact of the Problem
Bedside presentations encompass mixes reactions concerning patient’s attitude.
Concerns relating to the degree of confidentiality and the level of engagement differ
depending on individual parties (Spinks, Chaboyer, Bucknall, Tobiano, & Whitty, 2015).
Some patients feel that conducting bedside shift infringe their confidential and personal
details. Ultimately, it is necessary to handle such matters discretion. Similarly, both patients
and medical staff perceive varying perspectives for the participation level they wish to
undertake. However, despite the situations, significant numbers of patients find their active
involvement in the handover process as beneficial (Radtke, 2013).
The Significance of the Problem
Nursing shifts necessitate successful communication transfer amongst staff and their
clients to avoid adverse effects and medical inconsistencies. Adopting a patient-centered
approach, involving patients and families in relaying essential information revamps quality of
patient care resulting in exemplary nurse and patient satisfaction scores (Reinbeck &
Fitzsimons, 2013). Within the United States, the nursing shift reports and staff handover
processes entail the most crucial strategies that enhance patient support and caregiver
education (Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014). Numerous benefits of
bedside reporting include patients ability to understand the care, lower family and patients
anxiety, minimal chances of patients abandonment, high nurses’ practice accountability and
profound medical relationships and teamwork (Rush, 2014).
Proposed solution
To realize positive outcomes, averting barriers that impede efficient handover is
critical. Examples of such impediments include cultural frameworks within particular
medical units and organizations, staffing problems, human aspects as well as educational
issues. Organizations executives must design professional interactions that encourage
teamwork. Situational awareness and reliable communication that ensures a consistent flow
of patient information result in fault-free operations.
Birmingham, P., Buffum, M. D., Blegen, M. A., & Lyndon, A. (2015). Handoffs and patient
safety: Grasping the story and painting a full picture. Western journal of nursing
research, 37(11), 1458-1478.
Gregory, S., Tan, D., Tilrico, M., Edwardson, N., & Gamm, L. (2014). Bedside shift reports:
what does the evidence say?. Journal of Nursing Administration, 44(10), 541-545.
Halm, M. A. (2013). Nursing handoffs: ensuring safe passage for patients. American Journal
of Critical Care, 22(2), 158-162.
Radtke, K. (2013). Improving patient satisfaction with nursing communication using bedside
shift report. Clinical Nurse Specialist, 27(1), 19-25.
Reinbeck, D. M., & Fitzsimons, V. (2013). Improving the patient experience through bedside
shift report. Nursing management, 44(2), 16-17.
Rush, S. K. (2014). Bedside reporting: dynamic dialogue. Nursing management, 43(1), 4044.
Spinks, J., Chaboyer, W., Bucknall, T., Tobiano, G., & Whitty, J. A. (2015). Patient and
nurse preferences for nurse handover—using preferences to inform policy: a discrete
choice experiment protocol. BMJ open, 5(11), e008941.
Vines, M.M. Dupler, A. E. Van Son, C. R. & Guido, G. W. (2014). Improving patient and
nurse satisfaction and outcome through the utilization of bedside report. Journal for
Nurses in Professional Development, 304(4), 166-173
Wakefield, D. S., Ragan, R., Brandt, J., & Tregnago, M. (2015). Making the transition to
nursing bedside shift reports. Joint Commission journal on quality and patient safety,
38(6), 243-253.

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