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Changes to a Shift Reporting Sheet on a Critical Care Unit—Nurse Perceptions and Lessons Learned

Authors McClay R, Natividad J, Mileski M

Received 9 November 2020

Accepted for publication 20 January 2021

Published 17 February 2021 Volume 2021:14 Pages 381—387


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Rebecca McClay,1 Jessica Natividad,2 Michael Mileski3

1School of Science, Technology, Engineering, and Math, American Public University System, Charles Town, WV, USA; 2Mother-Baby Unit, Midland Memorial Hospital, Midland, TX, USA; 3School of Health Administration, Texas State University, San Marcos, TX, USA

Correspondence: Michael Mileski
Texas State University, School of Health Administration, 601 University Drive, Encino Hall— 250, San Marcos, TX, 78666, USA
Tel +1 512 245 3556

Purpose: Improved perception and compliance with timely completion of the shift summary tool by bedside critical care nurses, and standardization of reported patient condition and treatment variables can be accomplished through collaboration and evidence-based modifications.
Materials and Methods: The IOWA Model was used as a framework to implement change in the population of practicing bedside nurses. In accordance with the AACN Healthy Work Environment standards, the population was given opportunity to complete surveys on a Likert scale to construct a best-fit instrument specific to the nurses’ home units.
Results: Employee satisfaction with the report process increased, compliance with completion of the form increased, and satisfaction with consistency and facilitation was noted by nursing managers.
Conclusion: Focusing on frequently used items, or identifiable bottlenecks in communications, are likely to have the fastest and most impactful results for change. Workflows can be streamlined by using stakeholder input and feedback to clearly define the desired parameters and outcomes from the process.

Keywords: nursing, nursing perceptions, change of shift, critical care

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