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I would like to thank:

Rochester Christian University

Professor Amy Guitar

Carley Duhaime

All staff at HF St. John Moross PICU

SCAN BELOW FOR REFERENCES

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INTRODUCTION

Scholarly, peer-reviewed articles focusing on pediatric and parental engagement from nurses during bedside shift report.

• Databases used: Google Scholar, CINAHL, Rochester Ham Library
• Keywords: (7) PICU nurses, pediatric, parental engagement, bedside report, handoff, nurse barriers, nurse perceptions

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• Sample: Registered nurses working in the PICU
• Inclusion criteria: Full-time nurses on unit >2 months who provide direct patient care
• Exclusion criteria: Pulled nurses from different units, travel nurses, or those not participating in direct patient care
• Variables:
• Independent: Implementation of standardized, feasible, bedside shift report protocol to engage in parental involvement and reduce communication errors.
• Dependent: Measuring PICU nurse ability to implement bedside shift report, nurse-perceived barriers and benefits to bedside report with parental involvement, and their comfort, confidence, and knowledge in doing so.

Bridging the Bedside: An Evidence-Based Approach Reinforcing Nurse-Family Engagement by Combating Perceived Barriers to Bedside Shift Report in the PICU

Sparre, Riley | Nursing, Rochester Christian University

Sponsor: Professor Amy Guitar

• Nurse change-of-shift reports are the backbone to effective communication within the healthcare setting to obtain, clarify, and emphasize information.  
• PICU nurses face challenges to implement bedside shift report that affect patient safety through medical errors, continuity of care, and family communication.
• This gap in practice is contributed to barriers such as time constraints, limited parental presence, patient developmental stage, and nurse resistance.
• Reinforcing bedside shift report improves trust, communication, and cultivates quality and safe family-centered care.

METHODOLOGY

CONCLUSIONS

• Evidence-based research supports bedside shift reports reinforce safety checks, increases family-patient centered care and satisfaction, initiate optimal care, and promote transparency and accountability for nurses.
• PICU nurses should be able to conduct bedside shift report with parental engagement to close the gap in practice.
• This initiates healthy relationships built on comfort and trust with proper communication from the nurse, optimizing quality and safe care.

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ACKNOWLEDGMENTS

INTERVENTION

THEORETICAL FRAMEWORK

FUTURE IMPLICATIONS

Iowa Model of Evidence-Based practice

Relevance:

• EBP framework guides implementation of research into practice
• Provides a systematic process: Identify problem, review evidence, implement change
• Supports continuous feedback to improve communication

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Application:

• Identify issue → Inconsistent bedside shift report with parental engagement
• Gather evidence → Use peer-reviewed research to develop a pilot intervention
• Implement change → Perform bedside shift report with active parental involvement

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DATA COLLECTION

Mixed-methods approach with a pre-post survey Likert-scale questionnaire and open-ended questions to capture qualitative feedback. This is an in-service by the implementer using the Grundy's C-scale.

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Purpose:

• Previous knowledge, comfort, and confidence of nurses.
• Effectiveness of the educational piece to see if nurses have the intention to change their practice to improve the quality and safety of critically-ill pediatric patients.

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• To observe more implementation of bedside shift report with parental engagement.
• Enhance safety measures in order to decrease medical errors/adverse events.
• Apply proper communication skills between nurses and families.

A 30-minute educational piece presented to the PICU nurses covering:

• How proper standardized bedside shift report improves communication, limits medical errors, amplifies safety measures, increases quality of care, and creates a sense of trust and comfort with parental involvement.

 The intervention contains:

• An educational pamphlet with supporting evidence on importance of standardized bedside shift report that addresses common barriers, benefits and solutions for change within the PICU setting.
• A catchy badge buddy acronym reminding PICU nurses of proper implementation of bedside shift report.

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CLINICAL QUESTION

In PICU nurses, does the implementation of an educational intervention promoting nurse-family engagement for standardized bedside shift report, in comparison to no proper educational intervention, refine nurse-perceived barriers and increase knowledge, resulting in enhanced parental engagement at bedside within three months?

RESULTS

BADGE CARD

Accredited to Riley Sparre

• 8 participants
• Positive results with active engagement
• Open-ended questions addressing:
• Nurse-perceived barriers and benefits to parental engagement and bedside shift report
• Post responses reported:
• Increased knowledge, support, and understanding
• Openness to change within clinical practice