A standardized approach to bedside handoff improves nurse and patient satisfaction as well as quality outcomes.
To compare the preference for bedside handoff in the emergency department post implementation by analyzing nursing surveys and Press Ganey data.
A mixed method pilot study.
A not-for-profit community-based safety net hospital which is Magnet designated. ED is a level 3 trauma center with 60,000 visits annually.
ED nurses (n=52) and adult patients (n=86)
A pre and post implementation survey that utilized the 5-point Likert scale was given to nursing staff in the emergency department. Questions were asked two weeks prior to implementation and education roll out to determine baseline ratings from nurses. Post implementation survey was given after 10 weeks to compare with pre survey. Press Ganey data was collected and analyzed to determine if bedside handoff improved the patient’s perception of care provided by nursing staff.
Patient satisfaction scores increased in overall percentile rank and in overall nursing post implementation. Rounding in the ED by management showed an increase in patient satisfaction with handoff process feeling as though they were kept informed of their plan of care. Pre and post implementation surveys had an increase in all aspects except for report time was appropriate with post implementation.
In this study, it was determined that nurses and patients preferred bedside handoff compared to report at the bedside. Nursing staff reported an increase in thoroughness of handoff as well as increased accountability and respect between shifts. Patient satisfaction scores increased with patients reporting an increase in nursing communication, information about plan of care, family members were kept updated.
Date of publication
MSN Capstone Project
Pochron, Sheila, "Bedside Handoff in the Emergency Department" (2021). MSN Capstone Projects. Paper 174.