Bedside Nursing: Vital Role in Patient Safety & Recovery - Essay Sample

Introduction

Bedside nursing involves the exchange of shift reports containing vital patient data, duties, and responsibility between the on-going and incoming nurses. Bedside nursing aims to safeguard the safety of care and provision of best healthcare practices. The aim of bedside nursing aligns with the hospital's vision to increase patient's satisfaction and minimize the occurrence of errors (Chaboyer, McMurray & Wallis, 2010). A bedside nurse plays a very vital role in the patients stay and recovery in the hospital; they tend to be in charge of the general welfare of the patient's conditions and how they can be recovered (Chaboyer, McMurray & Wallis, 2010). The objective of bedside nursing is to provide the best available care to the patients through the quality improved programme, whereby the nurses tend to act as the major stakeholders of the given plan. Nurses tend to interact with patients on a day to day basis, and they provide the necessary care to the patients, henceforth the patients' participation towards the implementation of bedside nursing quality improvement is vital. They patients offer the required information concerning the care they are receiving and which sections they would prefer to be implemented to improve the quality service that is provided. Bedside nurses are highly sought after due to their hands-on experience with patients, with job offers from private practices, case management and even as assistance to physicians (Chaboyer et al., 2010).

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Methods of Evaluating Quality Improvement

There are various methods that can be put in place to ensure that there is an effective evaluation plan about the quality improvement of the services that are provided by the nurses (Yuan, Finley, Long, Mills & Johnson, 2013). Nurses need to understand the various advantages that exist in providing quality services to the patients, henceforth, there are various strategies to evaluate the plan of implementation, and the plan should be costly friendly to the given institution (McMurray, Chaboyer, Wallis & Fetherston, 2010). The most basic method of evaluating quality implementation concerning bedside nursing is managerial monitoring of the programme through the plan, do, study and act. The PDSA cycle is a model which is constructed that provides a framework where a programme is developed, tested and also implement to introduce changes that leads to quality improvement within the health institution. The model is created to evaluate the progress of the various introduced changes and implements the changes where necessary through substantial studying. The model answers the following three important questions that arise when a change is introduced: what is the institution aiming to achieve? What are the measures to be taken to ensure that the change is an improvement? And finally what are necessary implementations that will result in a significant improvement? The cycle involves:

Plan

Within this section, the question at hand is what change is the institution aiming to introduce within the given health organization. Before introducing the change, the following steps should be highly considered:

• Define the overall objectives of the intended implementation.
• Describe the challenges and the various barriers that tend to arise.
• Describe one's assumptions and predictions in introducing the change.
• Create a team that will be overseeing the project.
• Specify the process to be undertaken to push the project forward into actualization.
• Identify the population that one is working with; it can be doctors, nurses, patients or the entire staffs.
• The time limit required to execute the test.
• Finally, identify the data set that will be applied during the test.

Do

Within this given segment, the employed team to pursue the test carries out the given plan, proceeds to collect the required data and progresses in analyzing the collected data. At this given section the team notes down the various observation they were able to encounter and how does it affect the flow of work within the institution. Also, individuals are required to document the various challenges and problems that are witnessed in employing the change.

Study

In the study section, the overall results of the information and data collected are completely analyzed since the programme began. Comparing and contrasting the results gathered from the predictions that were made at the planning section are done within this section. After analyzing the results, one summarizes on the various lessons that were learned as they watch out for unintended surprises and consequences. The manager can act as the overall overseer whereby he keenly observes and proposes recommended the necessary changes when there was a failure in the planning and to do sections.

Act

This is the last section of the PDSA cycle whereby after gathering the required information the management compares the merits and demerits of the implementation, and the can decide to persecute the change if its value is not doubtable. The management recommends the necessary changes to be incorporated as they decide if they will proceed to the next cycle to optimize the quality of improvement within the organization. Managers should occasionally monitor the programme to ensure that their organization provides timely and useful feedbacks. Below at the appendix, there is a sample of a sample PDSA model.

Recommendation

I recommend that the organization creates a qualitative data collection plan whereby they would include various variables that will assist in improving the quality of the programme. The data can include the various implementation strategies that have been included in the hospital, how effective is the plan, the cost of production that has been included to the plan, its relevance to the patient care, its reliability to the nurses' performance, also the existing pros and cons. This data qualitative data representation variables cuts across on the various challenges and effectiveness of the programme, henceforth the managerial segment will be able to evaluate on which plan should be excluded while which plan should be improved. Also, the qualitative data plan should be collected occasionally since various patients enter the hospital and various patients adapt differently to the programme (SandJecklin, & Sherman, 2014).

Conclusion

The overall finance input to a given programme will reflect on the quality of service that is being provided. Although the organization will have to provide a substantial amount of finance towards the plan, it should not take a bigger percentage of the fundamentals of the hospital. The value-based programme should be controlled the management by constructing a roadmap that will provide a linkage between the cost and the quality provided to ensure that the organization does not suffer a significant loss.

References

Chaboyer, W., McMurray, A., & Wallis, M. (2010). Bedside nursing handover: a case study. International journal of nursing practice, 16(1), 27-34.

McMurray, A., Chaboyer, W., Wallis, M., & Fetherston, C. (2010). Implementing bedside handover: strategies for change management. Journal of clinical nursing, 19(1718), 2580-2589.

SandJecklin, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Journal of Clinical Nursing, 23(19-20), 2854-2863.

Yuan, M. J., Finley, G. M., Long, J., Mills, C., & Johnson, R. K. (2013). Evaluation of user interface and workflow design of a bedside nursing clinical decision support system. An interactive journal of medical research, 2(1), e4.