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Reply by author Edward R. McAllen to Katie Matthews on “Moving Shift Report to the Bedside: An Evidence-Based Quality Improvement Project”

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February 14, 2019

Response by author Edward R. McAllen to Katie Matthews on “Moving Shift Report to the Bedside: An Evidence-Based Quality Improvement Project” (April 9, 2018)

Ms. Matthews,

I am greatly appreciative of your well written and informative letter. I agree that Bedside Report (BSR) should be mandatory in all hospitals. Without quantifying my response, I would say that in most hospitals today, as a result of the many articles written that utilized evidence-based practice for their research of the topic, it is required by policy and thus mandated. Unfortunately, it is not thoroughly managed in all hospitals and on all nursing units. This is the result of so many required processes that the individual nurses must accomplish in their shift as well as the overly extended requirements nursing management has to complete their duties as assigned. Too much to do, too little time. So what can one do? Talk up the benefits of the process, post articles that reinforce nurses acceptance of the process and the benefits to nurses, and basically, re-energize the process. Persuasion is the best way to get buy-in; mandating or reinforcement through authoritarian methodology is probably the least successful (Dorvil, 2018). By the way, the Dorvil article has some great ideas on how to implement and sustain BSR.

Dr. McAllen

Reference

Dorvil, B. (2018). The secrets to successful nurse bedside shift report implantation and sustainability. Nursing Management, 49(6), 20-25. Doi:10.1097/01.NUMA.0000533770. 12758.44

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