Bringing change-of-shift report to the bedside: A patient- and family-centered approach
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.
Available from: Bernard Mbwele
- "Mothers are the main stakeholders of neonatal care, and they should be involved in decision making. However, they rarely have been involved in neonatal care in the health facilities . "
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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 the hospitals of Kilimanjaro region of Tanzania.
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.
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 noted neonatal problems and they assisted for attaining diagnosis after a showing a concern for a request for further investigations. 11 mothers (13.8%) were able to identify the baby’s diagnosis directly 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 that their babies needed medical attention. 24 times mothers in the peripheral hospitals reported bad language like “I don’t have time to listen to you every day and every time.” 77 mothers in the periphery (90.6%) were not satisfied with the amount of time spent by the doctors in seeing their babies.
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.
Available from: dspace.mah.se
- "Sjuksköterskan ser patienten i ett helhetsperspektiv, och inte bara som en diagnos eller behandling, när information delas tillsammans med patienten och anhöriga under rapporteringen (Griffin, 2010). Vid överrapportering enligt bedsidemodellen bevittnar patienten kommunikationen som sker mellan sjuksköterskor då patientansvaret överförs från avgående till pågående personal (Baker, 2010; Griffin, 2010). "
Available from: Jacqueline M Mcgrath
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ABSTRACT: Patient safety is a worldwide priority aimed at preventing medical errors before they cause death, harm, or injury. Medical errors impact 1 in 10 patients worldwide (WHO), and their implications may include death, permanent, or temporary harm, financial loss, and psychosocial harm to the patient and in some cases to the caregiver. The unique aspects and the complexity of the neonatal intensive (NICU) environment, in addition to the vulnerability of the neonatal population increase the risk for medical errors. The following article offers an overview of safety issues specific to neonatal intensive care and provides strategies and examples on how to ensure safe practice. In particular, the authors focus on strategies to improve the team process. Practice recommendations and research implications are presented.
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