Bringing change-of-shift report to the bedside: a patient- and family-centered approach.
ABSTRACT Change-of-shift report is the time when responsibility and accountability for the care of a patient is transferred from one nurse to another. The communication that ensues during this process is linked to both patient safety and continuity of care giving. While many nurses already recognize the value of bringing report to the patient's bedside and have practiced in this manner, this remains relatively uncommon. Typically, nurse change-of-shift report has occurred at a nurses' station, conference room, or hallway and may be face to face, audio-taped, recorded on a telephone service, or in a written format. When report is given away from the bedside, the opportunity to visualize the patient and include the patient and family in an exchange of information and care planning is lost. Yet, patients and families, also stewards of patient safety, are given an opportunity to hear and participate in the exchange of information when report is brought to the bedside. Welcoming patients and families into the report process may be a new and challenging process for nursing staff.
- SourceAvailable from: Bernard Mbwele[Show abstract] [Hide abstract]
ABSTRACT: BACKGROUND: With a decline of infant mortality rates, neonatal mortality rates are striking high in development countries particularly sub Saharan Africa. The toolkit for high quality neonatal services describes the principle of patient satisfaction, which we translate as mother's involvement in neonatal care and so better outcomes. The aim of the study was to assess mothers' experiences, perception and satisfaction of neonatal care in district hospitals in the Kilimanjaro region of Tanzania. METHODS: A cross sectional study using qualitative and quantitative approaches in 112 semi structured interviews from 14 health facilities. Open ended questions for detection of illness, care given to the baby and time spent by the health worker for care and treatment were studied. Probing of the responses was used to extract and describe findings by a mix of in-depth interview skills. Closed ended questions for the quantitative variables were used to quantify findings for statistical use. Narratives from open ended questions were coded by colours in excel sheet and themes were manually counted. RESULTS: 80 mothers were interviewed from 13 peripheral facilities and 32 mothers were interviewed at a zonal referral hospital of Kilimanjaro region. 59 mothers (73.8%) in the peripheral hospitals of the region reported that they noticed their babies had a medical problem and then requested for further check up. 11 mothers (13.8%) noticed the baby's problem themselves without any assistance, followed by 7 mothers (8.7%) who were told by a relative, and 3 mothers (3.7%) who were told of the problem by the doctor. 24 times mothers in the peripheral hospitals reported bad language like "I don't have time to listen to you everyday and every time". 77 mothers in the periphery (90.6%) were not satisfied with the amount of time spent by the doctors to see their babies. CONCLUSION: Mothers of the neonates play great roles in identifying the illness of the newborn. Mother's awareness of what might be needed during neonatal support strategies to improve neonatal care in both health facilities and the communities.BMC Pediatrics 05/2013; 13(1):68. · 1.92 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Parents are important partners in the neonatal intensive care unit, collaborating with staff in caregiving and decision making for their infants. These essential and mutually beneficial partnerships between families and staff are the cornerstone of family-centered care and require that parents are welcomed to be with their baby at any time. This concept is not new and, yet, many neonatal intensive care units continue to have "visitation" policies that restrict parent's access to their infants, failing to recognize parents as partners. Changing the "visitation" policy is part of a welcoming approach in the context of family-centered care. Neonatal intensive care unit nurses may be accustomed to a more strict policy, needing communication tools and strategies to collaborate with parents and implement a family-centered "visitation" or welcoming policy.The Journal of perinatal & neonatal nursing 01/2013; 27(2):160-5. · 0.81 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: A Cross- Sectional study conducted to find out patients’ perspectives of nursing performance and the factors influencing their satisfaction, on 250 patients hospitalized in 2 hospital of Sanandaj, Iran in 2006, using Quality from the Patients' Perspective (QPP) questionnaire. Generally, our patients satisfied weakly (48.4%) with nursing care. Inpatient satisfaction showed significant relation to age (p=0.000), gender (p=0.001), level of education (p=0.001), marital status (0.03), job (p=0.005), personal recommendation about care (p=0.000), family members (p=0.005), place of residing (p=0.001), previous hospitalization(s) (p=0.000), shift of nursing (p=0.000), undergoing surgery (p=0.000) and the medical center (0.002). No significance was found in relation to duration of hospital stay (p=0.13).Procedia - Social and Behavioral Sciences 07/2013; 84:243-247.