The Impact of Nurse-to-Nurse Change of Shift Report at the Bedside on Patient Satisfaction Scores and Patient Safety
School of Nursing
Date of Degree
Doctor of Nursing Practice (DNP)
Joyce Knestrick, Ph.D., FNP-BC, FAANP, FAAN
Nursing shift report; Patient Satisfaction Scores; Patient Safety
Background: Nursing shift report is an essential part of the clinical practice. It allows nursing staff to exchange necessary patient information to ensure continuity of care and patient safety. Traditionally, nursing shift report was done at the nurses’ station or behind closed doors and did not involve the patient.
Objective: This project aims to implement an evidenced-based bedside shift report (BSR) on two medical and two surgical inpatient units to improve patient safety and patient satisfaction scores in the Communication with Nurses domain of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.
Methods: The project utilized a pre-post design to measure outcomes. Patient Satisfaction data was collected for the Communication with Nurses domain three (3) months before the implementation of the BSR and four (4) months after the activity implementation. Patient fall data was also retrieved from the safety event database since falls during the change of shift report were problematic pre-implementation. The intervention for this quality improvement pilot project included the implementation of BSR, training/education for impacted nursing staff, and a pre/post survey for nurses on the identified units. An evidence-based tool was used to measure nurse satisfaction with shift report. The tool gathered descriptive statistics and measured changes in accountability, communication adequacy, workload prioritization, medication reconciliation completion, and shift handoffs' ability to foster relationships. The tool comprised five questions and used a five-point Likert scale of strongly agree (1) to disagree (5) to rate each item.
Results: The study found a 61% increase in compliance with BSR, reduced falls from 50%-86%, and improved top box scores in the Communication with Nurses domain by 5%. Nurse satisfaction improved with increased reports matching patients’ conditions and fostering partnerships with patients and their families.
Conclusion: The results of this study suggest that implementing BSR can positively impact patient satisfaction, nurse satisfaction, and fall prevention.
©2023 Tonya Washington. All rights reserved.
Washington, T. (2023). The Impact of Nurse-to-Nurse Change of Shift Report at the Bedside on Patient Satisfaction Scores and Patient Safety. , (). Retrieved from https://hsrc.himmelfarb.gwu.edu/son_dnp/135
Available for download on Thursday, May 01, 2025