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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Bedside Reporting: Improving Practice

Wichman, Lori 01 January 2017 (has links)
Bedside reporting is one way to improve communication among the health care team. At the study site, at least 50% of bedside reporting was being conducted at the door of the patient's room instead of at the patient's bedside. The project question addressed whether a computer-based education and training video on bedside reporting and a standardized bedside reporting checklist would increase the rate of bedside shift-to-shift reporting among a medical surgical unit (MSU) to 100%. The project addressed the implementation of standardizing bedside reporting through education and training using Agency for Health Care Research and Quality's (AHRQ) Guide to patient and family engagement. The project also promoted use of a standardized tool to conduct bedside reporting and a surveillance tool to ensure bedside reporting was being conducted. Data was collected through surveys and surveillance. The data was tabulated for frequencies displayed in percentages. Post-implementation findings indicated that bedside reporting went from 0% to 86% during the 2-week surveillance period. MSU nursing staff improved their knowledge and skill on how to conduct bedside reporting, but their attitude did not change as they thought the practice of bedside reporting was not an effective use of their time. Findings may be used to increase involvement of patients and families in their inpatient health care.
2

Vuxna patienters erfarenheter av bedsiderapportering : En litteraturöversikt / Adult patients’ experiences of bedside reporting : A literature review

Sandelius, Johnna, Sundberg, Louise January 2018 (has links)
Bakgrund: Personcentrerad vård blir allt viktigare i dagens sjukvård. Avsikten med det är att patienten ska inkluderas som en del av teamet. Patientens rätt till delaktighet står reglerat i patientlagen som anger att vården ska utformas i samråd med patienten. Informationsöverföringsprocessen är en kritisk del i vården som ofta ligger till grund för de patientskador som uppstår. Bedsiderapportering är en relativt ny form av överrapportering där målet är att göra patienten delaktig genom att överrapporteringen sker vid patientens säng. Sjukvårdspersonalen ska förvissa sig om att adekvat information nått fram och uppfattats av patienten och eventuella närstående. Syfte: Syftet var att beskriva vuxna patienters erfarenheter av bedsiderapportering. Metod: En litteraturöversikt har utförts enligt Fribergs metod. Till resultatet har sex kvalitativa, två kvantitativa och två artiklar med mixad metod använts. Dorothea Orems omvårdnadsteori har använts som teoretisk referensram. Resultat: I resultatet framkom tre teman om patienternas erfarenheter och upplevelser av bedsiderapportering: patientens önskan om delaktighet, att känna sig informerad, och hantering av känslig information. Diskussion: Resultatet diskuterades utifrån Orems omvårdnadsteori och adekvat litteratur. Orem belyser vikten av att sjuksköterskan med hjälp av patientens delaktighet och engagemang skapar en god vårdrelation, vilket är avgörande för att sjuksköterskan ska kunna göra en korrekt bedömning av patientens aktuella status. Vidare beskrivs patient empowerment som ett förhållningssätt som sjuksköterskan bör använda sig av i omvårdanden av patienten. Det här bör göras med avsikt att stärka patientens möjlighet till egenvård. / Background: In today's healthcare, person-centered care becomes increasingly important with the intention of including the patient as part of the team. The patient's right to participation is regulated in the law, which states that care should be designed in consultation with the patient. A critical part of the care is the communication between health care professionals about the patients’ condition. Bedside shift reports is a relatively new concept in healthcare with the purpose to make the patient involved in the care. Healthcare professionals must ensure that adequate information has been identified and perceived by the patient and any related persons. Aim: The aim was to describe adult patients’ experiences of bedside shift reports. Method: A literature review was performed according to Friberg's method. A total of ten scientific articles were included in the review, of which six were qualitative, two were quantitative and two articles used a mixed method. Dorothea Orem’s nursing theory has been used as a theoretical frame of reference. Results: The results revealed three themes about patients’ experiences of bedside shift reports: the patient's desire for participation, to feel informed, and handling of sensitive information. Discussion: The result were discussed based on Orem's nursing theory and adequate literature. Orem illuminates that the nurse, with help from the patients’ participation and commitment create a good healthcare relationship, which is crucial for the nurse to be able to make a proper assessment of the patient current status. Furthermore, patient empowerment is described as an approach that the nurse should use in the care of the patient. This should be done with the intention to strengthen the patient's ability to selfcare.

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