Medicine Essay: Improving Communication Using a Bedside Shift Report
PICOT is an acronym used to help develop clinical research questions and guide you in your search for evidence:
P = Patient population
I = Intervention or issue of interest
C = Comparison of interventions or comparison of interests
O = Outcome
T = Time frame
For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older.
Using this PICOT model,
In _________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)?
In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?
Assignment Directions
Begin by selecting a topic in nursing or medicine that is of interest to you. Next, use PICOT to format possible research questions about that topic. Provide 3 possible PICOT research questions.
Include the following:
-Title page
-Provide a brief description of the topic and background information.
-Explain the significance of the topic to nursing practice.
-Provide 3 clearly stated PICOT questions.
Your paper should:
-Be 2–3 pages (not including the title page and reference page)
-Use current APA format to style your paper and to cite your sources.
All sources used (CITED and REFERENCED) must be scholarly and peer-reviewed sources. This means that absolutely none of your sources are from Internet sites. You should have NO web addresses listed in your citations or references at all. All citations and references should come from library searches or from your assigned text.
Improving Communication Using a Bedside Shift Report
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Improving Communication Using a Bedside Shift Report
This paper describes the miscommunication among nurses during shift change as a problem in healthcare. It then proposes the use of bedside reporting as an appropriate approach to improve communication during shift change. The paper then uses the PICOT model to develop a question that can guide the research and implementation of a bedside shift report.
Background
Medical staff usually work in teams in order to deliver care. Effective communication among the team members is important to ensure appropriate medical care is delivered to the patients. In contrast, miscommunication results in errors, which contribute to negative patient outcomes. For instance, using data from Medicare beneficiaries, the Agency for Healthcare Quality and Research Patient Safety Indicators estimated that medical errors caused 195,000 deaths per year between 2000 and 2002, while the US Department of Health and Human Services Office of the Inspector General estimated that medical errors caused 180000 deaths in 2008 (Makary, & Daniel, 2016). The figures indicate that the deaths caused by medical errors might be much higher since Medicare data does not include all patients in the country. As such, addressing miscommunication in areas that it occurs is essential to reducing medical errors.
Shift change is one of the areas where miscommunication occurs. The lack of effective communication strategies among nurses during the change of shift is a problem that causes miscommunication. The current approaches, such as nurse station shift reporting, have been associated with causing miscommunication among nurses. Gregory, Tan, Tilrico, Edwardson, and Gamm (2014) assert that bedside reporting is an approach that can help improve communication and reduce errors. Adopting the approach can help to reduce miscommunication during shift change and improve patient outcomes in clinical settings.
Significance to Nursing
Reducing medical errors due to miscommunication is important to nursing. Streeter and Harrington (2017) claim that 80 percent of medical errors are caused by miscommunication during shift change. It causes patients to receive the wrong medication, wrong treatment, and fail to obt...