Promoting Bedside Reporting Using Imogene King’s Goal Attainment Model and Change Theory
University of Wisconsin Oshkosh
April 13, 2012
Promoting Bedside Reporting Using Imogene King’s Goal Attainment Model and Change Theory Change of shift in the nursing profession is unique (Caruso, 2007). Information is transferred between nurses verbally and through written communication. In many facilities shift report from one shift to another involved sitting down and getting all your orders from a caredex and then talking with the previous nurse face to face going over pertinent information regarding their patients. This type of report usually happens in a report room or sometimes in the hallways or other common gathering areas where others may over hear your conversation. The patients are the center of communication but are seldom involved in the process (Caruso, 2007). The importance of an informative and effective nurse-to-nurse report has been highlighted most recently in the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
National Patient Safety Goals (NPSGs) (Caruso, 2007). The Joint Commission included managing hand-off communications among its 2009 national patient-safety goals (Trossman, 2009). The goals recommend that as part of high quality, patient centered care, hospitals implement a standardized approach to hand off communications, including an opportunity to ask and respond to questions (JCAHO, 2009). JACHO states the primary objective of a hand-off is to provide accurate information about a patient’s care, treatment, and services; current condition; and any recent or anticipated changes (2009). The predominant goal of bedside reporting is for better communication among staff, greater patient safety, and time efficiency (Webster, 1999).
The process for bedside reporting needs to be standardized. A pilot study was started on a medical/surgical unit at hospital X in 2011 before expanding to other
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