St.

John Medical Center

Journal Club Research Article Critique Form
Reviewer name: Tammy Tarner Unit: Med Surg Date: 03/06/2018_________
Approved 3/7/18:
Research study:_Hardwiring Bedside Shift Report (Scheidenhelm, Reitz)
https://insights.ovid.com/pubmed?pmid=28157819
1. Description of the study
• The purpose of the research is: To increase nurse compliance with bedside report and increase patient
satisfaction scores.
• Explain why this problem is significant to nursing practice: Bedside report is an evidence based practice
that is used to increase patient involvement in care and improve patient satisfaction, both Joint Commission
requirements.
2. Evaluation of literature
• Describe the previous research pertaining to the topic that the author’s reference (hint: look for a literature
review section in the article) Lit review found that bedside report allows patients to be actively involved in
their care. A standardized approach to bedside report and manager support of nurses can enhance shift
handoff and improve patient safety, outcomes, patient and nurse satisfaction, time management, and
accountability.
3. Study sample
The study sample was obtained from: (hint: describe the population and where the study is performed)
A 46-bed medical/surgical unit and a 12-bed obstetrics unit within a 149-bed community hospital
• What is the sample size?
Data was obtained from Press Ganey results for 4 months after implementation of bedside report. Results
were obtained from 190 medical/surgical patients and 99 OB patients
• List the inclusion criteria used in the study.
All patients were included in study
• List the exclusion criteria used in the study.
There were no exclusions
4. Study methods/design
• Describe or identify the study design (hint: quantitative/qualitative, experimental, meta-analysis, etc).
A quasi-experimental, between-group, preimplementation and postimplementation comparison of patient
satisfaction scores from returned surveys was used.
• Describe the study procedures. (hint: describe the intervention and how the data was collected).
Nurses were trained on bedside shift reporting, addressing barriers, using a standardized approach, and
evidence supporting the process. Nurses were given a tool kit with detailed process information. A trained
team monitored bedside report using a competency checklist for 2 months following implementation, then
again at 1 and 3 months post implementation. Press Ganey scores for 3 statements, “nurses kept you
informed”, “staff included you in decisions regarding treatment”, and “nurses explained in a way you
understand”, were compared preimplementation and 4 months postimplementation.
5. Results
• Describe the results of the study. Nurse compliance with bedside report increased on both units. Patient
satisfaction mean scores, percentile rank, and percentage of “always” responses improved on all
statesments for the medical/surgical floor. For OB, the satisfaction mean score improved on 1 statement
and decreased slightly on the other statements, but the percentile rank for OB remained high at 99.
Whereas med/surg demonstrated high improvement, the OB unit saw less improvement, possibly because
the OB unit had a higher percentage of compliance with bedside reporting prior to the study.
6. Clinical significance
• Explain how you will use this information for your nursing practice at SJMC. Information from this study
can be used to assist in the implementation of bedside reporting on the medical surgical unit at St John
Owasso. Methods used to increase nurse compliance at the sample hospital are applicable to St John
Owasso.