Importance of Bedside Nursing in Improving Patient Satisfaction Scores - Annotated Bibliography Example

THE IMPORTANCE OF BEDSIDE REPORT TO IMPROVE PATIENT SATISFACTION SCORES goes here] [Due paper] Literature Review - Bedside Nursing and Patient Satisfaction A – Discussion of the Topic Improved interpersonal communication has always been the key to personal or professional success for every person. In case of nursing professionals, this factor holds even more importance because it not only improves the working relationship between the nursing staff but also improves the patient-nurse relationship which is essential for the provision of quality care to patients. The communication that takes place between two consecutive shifts of bedside nurses is known as ‘bedside nursing handoff’. The main objective of nursing handoffs is to make oncoming nurses aware of the present condition of the patient under care by providing them with all information about the present state of the patient. The nurses leaving the shift provide a handoff to the nurses taking charge at the end of each nursing shift. “It also allows the oncoming nurse an opportunity to visualize the patient and ask questions” (Maxson, Derby, Wrobleski, & Foss, 2012, p. 140). In the handoff, nurses inform the new in-charge nurses about the changes in patient’s progress level, as well as about the essentials that new nurses need to do for the patient during the shift. Nurses get information for preparing handoffs from the patient’s care plan, patient record, and other medical documents and present it to new nurses either through face-to-face communication or as taped handoffs. All of this relates to the concept of quality care nursing. However, the dilemma is that not every nurse is aware of the importance of bedside nursing; hence they do not participate actively in the preparation of a quality care plan. “Analysis of quality care literature reveals that practising nurses are rarely involved in developing or defining improvement programs for quality nursing care” (Burhans & Alligood, 2010, p. 1689). Delivery of quality care has always remained an area of debate in the field of nursing (Burhans & Alligood, 2010, p. 1689). Bedside nursing handoff is an essential part of a quality care plan about which every nursing professional should be trained. In some nursing facilities, nurses consult patients during preparation of handoffs in order to provide patient-centered care to patients. “Bedside handover provides an opportunity for patients to be involved as active participants in their care” (McMurray, Chaboyer, Wallis, Johnson, & Gehrke, 2011, p. 19). It is not the case that every nurse does this but this step is highly appreciated on the end of patients. The reason is that it plays a significant role in promoting safe and high quality care through higher levels of accuracy. The participation of patients in handover is considered to be one of the key aspects of an effective and patient-oriented quality care plan. Knowing the perspective of patients make nurses able to tailor their bedside handoffs in a way that they reflect patients needs and will (McMurray, Chaboyer, Wallis, Johnson, & Gehrke, 2011). The issue of bedside nursing handover is of significant importance in the field of nursing. Without handover, nurses are not able to offer flawless and safe medical care to patients because oncoming nurses always require some pertinent and reliable information to start doing their job properly. It is a type of clinical change that needs proper focus and attention of the bedside nurses. “A rapid change management cycle such as Transforming Care At the Bedside can be a useful process when implementing numerous clinical changes in short succession” (Chaboyer, Johnson, hardy, Gehrke, & Panuwatwanich, 2010, p. 1111). Transforming acre is a concept in which the front-line nurses, as well as the nurse leaders work side by side to ensure improvement in care provision level. The implication of bedside handovers cannot be neglected in any case because earlier observational studies and evidences from hospital wards and nursing facilities suggest that they play an exceptional role in the overall recovery procedure, promoting staff accountability, as well as in improving the patients’ satisfaction score (Maxson, Derby, Wrobleski, & Foss, 2012, p. 140). Bedside handoffs also improve the level of communication between nursing professionals and patients as the result of which not only the patient’s health progress level goes up but also the overall quality care plan improves. Bedside handoffs also prove useful for involving patients’ desires and concerns in the development of individual care plans. Patients become more satisfied because they know the person who is actually taking care of them, as well as the plan of care the nurses have adopted. One cannot deny the importance of bedside nursing handovers because in today’s settings, they have become an integral part of the nursing profession. They reflect a patient-centered approach and improve service delivery, accuracy, and patient-centered care (Chaboyer, McMurray, & Wallis, 2010, p. 27). Without such handoffs, nurses cannot ensure improvement in communication about medication and implementation of the patient safety care plan. Nursing handoffs save time of oncoming nurses and improve efficiency. The reason is that the oncoming nurses do not need to study each patient’s plan of care on their own. “Bedside reporting saves money, improves patient and nurse satisfaction, and is a more comprehensive approach to change-of-shift reporting” (Tidwell et al., 2011, p. E1). One of the key points that speak for the importance of beside handoffs is that they provide nurses with a chance to modify their plan of actions and care approach in accordance with the needs of the patients. Without such handoffs, improvement in the delivery of quality care cannot be made. The reason is that delivery of quality care needs some form of structured communication to take place between nurses. In case of lack of bedside handoffs presentation, such communication cannot take place. Not only this, moral distress among bedside nurses also increases as they have to start planning for healthcare delivery from the scratch. “Moral distress is a prominent problem for bedside nurses, and workable solutions for managing the toll it takes are needed” (Helft, Bledsoe, Hancock, & Wocial, 2009, p. 27). The improvement in the quality of patients’ treatment is hard to achieve without nursing handoffs. The reason is that bedside handovers make both nurses and patients involved in overall care delivery process. “Patient input reduces care fragmentation, miscommunication-related adverse events, readmissions, duplication of services and enhances satisfaction and continuity of care” (McMurray, Chaboyer, Wallis, & Fetherston, 2010, p. 2580). Patients communicate their concerns to the nurses considering which they prepare the plan of actions for the patients, write down the points about improvements in their personal diaries, and communicate information to the nurses taking charge. Doing this, not only the quality care approach of nursing professionals improves but also the patients become satisfied with the overall treatment process. Consequently, the patient satisfaction score goes high. Patients hold a very positive opinion about the use of bedside nursing handovers because they feel that bedside nursing improves the quality of care provision. Bedside nursing provides provide an opportunity to the patients to communicate their concerns to the staff in order to get the care plans prepared accordingly. Patients provide information about their health in a timely manner to the nursing professionals considering which the nurses design the care plans for the. Patients become active participants in their own plan of care development which is the most valued point regarding bedside handoffs for them. Not only this, handoffs also help the nursing staff to moving in the right direction by finding the right mix between the needs of the patients and the instructions of doctors. However, nurses need to use some standardized approach to develop bedside handoffs because an unjustified variation in this process can affect the delivery of quality care to patients. “The use of standardized protocols and communication tools for bedside handover improve continuity of patient care” (Street et al., 2011, p. 133). Along with a number of benefits of bedside nursing handoffs there also exist some challenges. For example, some nurses are not trained in doing proper documentation of the medical processes applied in any particular treatment due to which poor communication between staff occurs. Similarly, some nurses are not aware of the way to involve patients in the preparation of bedside handoffs. Some nurses are not trained in doing evidence-based practice. Prior researches have not properly highlighted these issues, as well as the ways to overcome these challenges. This research study is going to give a detailed insight into these issues along with discussing the role of bedside report in improving the patients’ satisfaction scores, which is the primary aim of the research. B – Problem Statement The problem statement for this research is: ‘There are many benefits and challenges in the right implementation of bedside nursing; therefore, steps need to be taken to overcome the associated challenges and reap maximum benefits’. The reason for performing a literature review on bedside nursing is to gain information from the existing credible sores about the importance and benefits of bedside nursing handovers in order to use that information in filling the gaps through a new study. This study proposes to (1) identify the benefits, as well as challenges associated with bedside nursing handoffs (2) determine the impact of bedside nursing handoffs on the patient satisfaction scores. Previous researches have been unable to give a deep insight into the factors that affect the proper presentation of handovers. Moreover, there is also less emphasis on the use of evidence-based practice in nursing facilities. Therefore, the goal will be to come up with some recommendations to bring improvements in the use of bedside nursing handovers. C – Evaluation of Resources The five resources or databases that I would use for my primary research include journal of advanced nursing, international journal of nursing practice, journal of critical nursing, journal of neuroscience nursing, and journal of professional nursing. These journals accept articles from the areas of educational research, higher degree nursing education, and field observations. All articles included in these databases are credible and are written in proper formats. These databases include all articles that a person needs to gain information about any particular area of nursing whether it is related to some existing nursing issue or an ongoing issue. The credibility of these resources for this study’s research topic lies in the fact that these resources have stored a complete range of well-researched primary research articles that the researcher needs to use for getting the required information. The researcher needs to use the evidence-based research to support the literature review. These resources have the amount of articles the researcher needs to use as evidence in the literature review. Therefore, these resources or databases hold extreme importance for the researcher to conduct research on the importance of bedside reports in improving the patient satisfaction scores. D – Primary Research 1. Evidence-Based Practice Matrix Evidence-Based Practice Matrix of Ten Pieces of Primary Research on One Topic Related to Nursing Authors Resource/ Database Year of Publication Research Type Population/ Sample Size Outcome Variables Measured Pertinent Data from Results Author’s Suggested Conclusions Comments Linda Maas Burhans and Martha Raile Alligood Journal of Advanced Nursing 2010 Qualitative, Inductive 12 nurses Nurses of medical or surgical adult units Nurses adopted the quality care system. Ensured care, empathy, and respectful interactions with patients. Nurse managers hold the responsibility to develop quality care strategies. The article is well written. Describes quality care system and the factors that create it. Wendy Chaboyer, Joanne Johnson, Linda Hardy, Tanya Gehrke, and Kriengsak Panuwatwanich Journal of Advanced Nursing 2010 Observational, time series study 2 medical units of an Australian hospital Patient outcomes as the result of transforming care strategies Reduction in pressure ulcers and medication errors from 91.3% to 46.6% and 46.3% to 17.1% respectively Bedside transforming care is helpful in implementing clinical changes Overall structure of the article was good. Change management cycle has been described as a valuable process in improving the patient care system. Wendy Chaboyer, Anne McMurray, and Marianne Wallis International Journal of Nursing Practice 2010 Observational study 6 wards in 2 hospitals. 532 bedside handovers studies. 34 interviews with nurses Flow of communication between patients and nurses. Processes for managing patients and visitors. Improvement in service delivery and patient care approach Bedside handover is a patient-centered approach Considering the type of research the researchers conducted, this study seems perfect to describe the importance of bedside nursing handovers in improving patient care. Paul R. Helft, Patricia D. Bledsoe, Maureen Hancock, and Lucia D. Wocial JONAs Healthcare Law, Ethics, & Regulation 2009 Experimental study Bedside nursing professionals were studied Unit-based ethics conversation program Improvement in the level of moral distress among bedside nursing professionals Facilitated ethics conversation programs improve nurses’ confidence. They feel more relaxed and stress-free. Unit-based ethics conversation programs can definitely improve nurses’ work approach as studied in this article. Pamela Maxson, Kelly Derby, Diane Wrobleski, and Diane Foss Medsurg Nursing 2012 Deductive approach 60 patients were studied. Convenience sample. Effects on patients before and after practice change Nurses’ satisfaction level is low for current shift change. Improvement was seen after practice change. Bedside nursing handovers are very beneficial. Promote patient satisfaction and staff accountability. The article has been written using a professional approach. Good research approach, good experimenting skills, and structured paragraphs. Anne McMurray, Wendy Chaboyer, Marianne Wallis, and Cathy Fetherston Journal of Critical Nursing 2010 Observational, inductive approach Interviews with 34 nurses of 2 hospitals. Change in patient-care approach due to implementation of bedside nursing handovers Quality improvement strategy as a broader initiative is essential and very valuable in making change successful. The authors believe that change can only be successful if it brought though a strategic move and as part of broader initiative. The article is well written. Supports for implementation of bedside handovers as a key for successful change management. Anne McMurray, Wendy Chaboyer, Marianne Wallis, Joanne Johnson, and Tanya Gehrke Collegian 2011 Descriptive study 10 patients of Queensland hospital Patients having experienced bedside handover in 2009 Patients like to be treated with care during hospitalization. Patients appreciate the patient-nurse interactions. Bedside nursing provide a way for patients to actively participate in clinical care. Bedside nursing plays a significant role in improving patients’ satisfaction level. This is the main point of this article. Renata Mistarz, Suzanne Eliott, Ann Whitfield, and David Ernest Australian Critical Care 2011 Observational study Bedside nurses of a 12-bed care unit Bedside nurses’ approach of using delirium detection tool Presence of delirium: 27% of positive assessments. Absence of delirium: 92% of negative assessments. Routine bedside nursing is unable to detect delirium in seriously ill patients The subject of the article was somewhat difficult to understand. Helped in knowing that bedside nursing does not always prove reliable in every case. Maryann Street, Paula Eustace, Patricia M Livingston, Melinda J Craike, Bridie Kent, and Denise Patterson International Journal of Nursing Practice 2011 Deductive approach 259 nurses. Completed a cross-sectional survey. Effects of bedside communication on patient care. Standardized bedside nursing improves patients’ involvement in care. Standardized protocols and communication tools improve delivery of patient care. Very helpful article with a lot of information on the effectiveness of bedside nursing in improving patient care. Tracy Tidwell, Jessica Edwards, Emily Snider, Connie Lindsey, Ann Reed, Iva Scroggins, Christy Zarski, and Joe Brigance Journal of Neuroscience Nursing 2011 Qualitative approach Patients and bedside nurses of a hospital. Effects of bedside reporting on patients and nurses satisfaction. Bedside reporting improves the satisfaction levels of patients, nurses, and families. Bedside reporting improves satisfaction and saves money. Bedside reporting is valuable tool to improve patient care and patient-nurse interaction. 2. Annotated Bibliography Source 1: ‘Quality nursing care in the words of nurses’ by Linda Maas Burhans and Martha Raile Alligood. In this article, the authors have talked about the importance of developing effective nursing strategies to improve nursing care quality and raise the level of patient satisfaction. The authors have researched the nurses of medical or surgical adult units. Through the research, they found that those nurses who adopted the quality care system in their nursing approach were able to develop empathy and respectful interactions with patients. The authors conclude that nurse managers hold the responsibility to develop quality care strategies. The article links with the subject area of my research in that it talks about the quality care system and the factors that create it. The article has enough information that I would like to use in my research. Source 2: ‘Transforming care strategies and nursing-sensitive patient outcomes’ by Wendy Chaboyer, Joanne Johnson, Linda Hardy, Tanya Gehrke, and Kriengsak Panuwatwanich. In this article, the authors have talked about the patient outcomes as the result of transforming care strategies. It has been found that through transforming care strategies, some significant reductions in pressure ulcers and medication errors can be brought. The authors have stressed on the importance of bedside transforming care in implementing clinical changes. The overall structure of the article is good enough to facilitate readers in extracting required information. In the article, change management cycle has been described as a valuable process in improving the patient care system. The article links to my research area in that it talks about the use of strategic care, which is another aspect of bedside nursing care, in improving the patient-client interactions. Source 3: ‘Bedside nursing handover: A case study’ by Wendy Chaboyer, Anne McMurray, and Marianne Wallis. In this article, the authors have talked about the ways to improve the flow of communication between patients and nurses, as well as to improve the processes for managing patients and visitors. Through the research, improvement in service delivery and patient care approach, such as, a patient-centered approach have been found helpful in improving the trust in patients on health providers. This article suits the most with my research area in that it also talks about the importance of bedside nursing handovers in improving patient care, which is the key objective of every healthcare provider. Source 4: ‘Facilitated Ethics Conversations: A Novel Program for Managing Moral Distress in Bedside Nursing Staff’ by Paul R. Helft, Patricia D. Bledsoe, Maureen Hancock, and Lucia D. Wocial. In this article, the authors have studied the bedside nursing professionals and their role in facilitating improvements in patient-nurse relationship. The researchers have advocated for the use of a unit-based ethics conversation program to decrease moral distress among nursing professionals in order for them to serve the patients with due attention. Improvement in the level of moral distress has been found a key outcome of facilitated ethics conversations among bedside nursing professionals. It has also been found that facilitated ethics conversation programs play a valuable role in improving the moral of bedside nurses. I would say that this article has stressed on the use of a very valuable program that can definitely improve nurses’ work approach which is essential for improving the patients’ satisfaction level. Source 5: ‘Bedside nurse-to-nurse handoff promotes patient safety’ by Pamela Maxson, Kelly Derby, Diane Wrobleski, and Diane Foss. In this article, the authors have studied the effects bedside handovers on patients before and after practice change. It was found through research that nurses’ satisfaction level tends to be low for current shift change, whereas improvement can be brought in this aspect after practice change. In this regard, the role of bedside nursing handovers is very valuable as it promotes patient satisfaction and staff accountability. The article links to my research area in that it talks about a very important aspect of patient satisfaction, which is patient safety. When patient safety will be ensured through bedside nursing handovers, patient satisfaction level will also be improved. Source 6: ‘Implementing bedside handover: strategies for change management’ by Anne McMurray, Wendy Chaboyer, Marianne Wallis, and Cathy Fetherston. In this article, the authors have talked about the need to bring change in patient-care approach by implementing the bedside nursing handovers. The authors have stressed on the use of quality improvement strategy as a broader initiative to bring change in the patient care strategy. The authors of the article believe that change management can only be successful if it brought as part of a strategic move. The article is well written and provides a lot of useful information on the strategies that can be used for implementing bedside handovers in hospitals. This article links to my research area in that it also supports the implementation of bedside handovers as a key for improving overall patient experience. Source 7: ‘Patients’ Perspectives of Bedside Nursing Handover’ by Anne McMurray, Wendy Chaboyer, Marianne Wallis, Joanne Johnson, and Tanya Gehrke. It is a fact that patients like to be treated with the highest level of care during their period of hospitalization. They appreciate when nurses talk to them in a friendly manner and take care of their needs. This article reflects this need of patient by stressing on the use of bedside nursing as a way for patients to be actively participated in clinical care. The main point of the article is that bedside nursing plays a significant role in improving patients’ satisfaction level. This article also links well to my research area as it talks about what patients feel about bedside nursing. The information included in this article can be used to build discussion on the ways to improve patient satisfaction. Source 8: ‘Bedside nurse–patient interactions do not reliably detect delirium: An observational study’ by Renata Mistarz, Suzanne Eliott, Ann Whitfield, and David Ernest. In this article, the authors have talked about delirium which is acute central nervous system disorder. This medical problem is associated mainly with people admitted in intensive care unit and requires special care. The authors conducted an observational study in a 12-bed intensive care unit to find whether bedside nursing can be helpful in detecting delirium or not. After comparing the results with an independent assessment performed by a nurse using Confusion Assessment Method, it was found that routine bedside nursing was unable to detect delirium in seriously ill patients. The information included in this article would help me provide a deviating perspective regarding the use of bedside nursing handovers in dealing with patient related issues. Source 9: ‘Communication at the bedside to enhance patient care: A survey of nurses experience and perspective of handover’ by Maryann Street, Paula Eustace, Patricia M Livingston, Melinda J Craike, Bridie Kent, and Denise Patterson. In this article, the authors have talked about the effects of bedside communication on patient care. Communication is always helpful in improving the relationship between any two people and in case of patient and nurse, its importance becomes even stronger. After conducting and analyzing a cross-sectional survey of 259 nurses, it was found that standardized bedside nursing improves patients’ involvement in care. However, there exist differences in the location, method, and duration of handover between full-time and part-time nurses. Through the research, it was also found that standardized protocols and communication tools improve delivery of patient care. This article is closely related to my subject of research as it talks about the effectiveness of bedside nursing in improving the level of patient care. Source 10: ‘A Nursing Pilot Study on Bedside Reporting to Promote Best Practice and Patient/Family-Centered Care’ by Tracy Tidwell, Jessica Edwards, Emily Snider, Connie Lindsey, Ann Reed, Iva Scroggins, Christy Zarski, and Joe Brigance. In this article, the authors have stressed on the significance of bedside reporting on the satisfaction of patients and nurses. It has been found through research that bedside reporting improves the satisfaction levels of patients, nurses, and families if implemented with proper monitoring and strategic mindset. It has also been found that bedside reporting improves satisfaction and saves money. The article relates to my research area in that it talks about the effectiveness of bedside nursing handover implementation in improving improve patient care and patient-nurse interaction. The article has enough information that can be used in any research based on finding the relationship between bedside using handovers in improving patient satisfaction scores. E - Results of Original Search Strategy The results of the original search strategy were very good as it helped me find the required number of articles relevant with my subject area. I used Google Scholar to find the sources. I typed three to four key words to refine my research. For example, I used ‘Bedside Nursing’ and ‘Patient Satisfaction’ as two main key words to retrieve the articles that I needed for this research. Next, I customized the publication years search for the research articles because the requirement was to use most recent articles in nursing field. The maximum limit was 5 years old articles. Therefore, I typed 2009 in the publication year field and the Google Scholar retrieved all articles that have been published from 2009 till 2014. How Search Strategy Could Have Been Improved? I think I could have brought a minor improvement to my search strategy by finding the primary research articles in the nursing databases. The reason is that nursing databases include all articles that have been published so far related to any particular field of nursing which would have saved my time and efforts. However, I would say that overall sear4ch strategy that I adopted was good as it provided me with the results I wanted. F - Major Points of the Research The research articles that I used for the research had some similar and a very few dissimilar points in them. Given below is the summary of the points that were similar to each other: Effective nursing strategies can improve nursing care quality. They can also raise the level of patient satisfaction. Bedside transforming care plays a significant role in implementing clinical changes. Nurses should make use of patient-centered approach can be helpful in improving the trust in patients on health providers. In this regard, the role of bedside nursing handovers is incredible in promoting patient satisfaction and staff accountability. They also improve the level of patient-nurse interaction. Similarly, standardized protocols and communication tools can also be used to improve patient care delivery. Sources for Similar Findings: Source 1: ‘Quality nursing care in the words of nurses’ by Linda Maas Burhans and Martha Raile Alligood. Source 3: ‘Bedside nursing handover: A case study’ by Wendy Chaboyer, Anne McMurray, and Marianne Wallis. Source 4: ‘Facilitated Ethics Conversations: A Novel Program for Managing Moral Distress in Bedside Nursing Staff’ by Paul R. Helft, Patricia D. Bledsoe, Maureen Hancock, and Lucia D. Wocial. Source 5: ‘Bedside nurse-to-nurse handoff promotes patient safety’ by Pamela Maxson, Kelly Derby, Diane Wrobleski, and Diane Foss. Source 7: ‘Patients’ Perspectives of Bedside Nursing Handover’ by Anne McMurray, Wendy Chaboyer, Marianne Wallis, Joanne Johnson, and Tanya Gehrke. Source 9: ‘Communication at the bedside to enhance patient care: A survey of nurses experience and perspective of handover’ by Maryann Street, Paula Eustace, Patricia M Livingston, Melinda J Craike, Bridie Kent, and Denise Patterson. Source 10: ‘A Nursing Pilot Study on Bedside Reporting to Promote Best Practice and Patient/Family-Centered Care’ by Tracy Tidwell, Jessica Edwards, Emily Snider, Connie Lindsey, Ann Reed, Iva Scroggins, Christy Zarski, and Joe Brigance. Given below is the summary of the points that were dissimilar to each other: Although most of the sources had similar findings, there were a very few dissimilar findings that I found. For example, the source 2 mentioned below conveys the information that bedside nursing can be helpful in implementing clinical changes if it is done in the form of transforming care strategy. This statement is similar to the main idea of source 6 which says that the implementation of bedside handovers should be done as a strategic move. Source 8 mentioned below is dissimilar to every other source in that it stands bedside nursing as an ineffective tool to detect delirium in seriously ill patients. Although the focus of the research is not delirium, but this is the only source which has stood bedside nursing ineffective in some form of nursing care. Sources for Dissimilar Findings: Source 2: ‘Transforming care strategies and nursing-sensitive patient outcomes’ by Wendy Chaboyer, Joanne Johnson, Linda Hardy, Tanya Gehrke, and Kriengsak Panuwatwanich. Source 6: ‘Implementing bedside handover: strategies for change management’ by Anne McMurray, Wendy Chaboyer, Marianne Wallis, and Cathy Fetherston. Source 8: ‘Bedside nurse–patient interactions do not reliably detect delirium: An observational study’ by Renata Mistarz, Suzanne Eliott, Ann Whitfield, and David Ernest. G - Best Practice Recommendation The best practice in nursing for bedside handovers to improve patient satisfaction is to make use of a patient-centered approach. Patient-centered approach helps nurses in making patients participate actively in the process of health management (McMurray, Chaboyer, Wallis, Johnson, & Gehrke, 2011, p. 19). Use of bedside nursing handovers should be based on the perspectives and needs of patients because it will help nurses in tailoring their work approach accordingly (Chaboyer, McMurray, & Wallis, 2010). This way the patient satisfaction level will definitely reach the high end. H - Gaps in Knowledge Based on the literature review, the gaps that I have found in knowledge on the use of bedside nursing to improve satisfaction scores are there in the area of challenges that some nursing professionals face in successful presentation of bedside handovers. Some nurses cannot do proper documentation of the medical processes that they need to apply in a patient’s treatment. This often results in poor communication with the nursing staff, information lost, and presentation of incomplete information to the oncoming nurses. Similarly, some nurses do not know the way they should involve patients in the implementation of nursing handover. The knowledge in these areas is limited; hence there are few gaps that need to be filled through research. I - Culture of Inquiry and Evidence-Based Practice Evidence-based practice is imperative in the field of nursing. However, there exist some challenges that need to be met effectively in order to reap the benefits of evidence-based practice. As a nursing leader, I hold the responsibility to create an environment of evidence-based practice and a culture of inquiry in the workplace. I would do this by making evidence-based practice a part of the nurse training program. I would implement the evidence-based practice competency as an essential part of staff requirements. I would also encourage my nursing staff to search databases from the intranet of the hospital to conduct their searches. These are some of the main ways I would sue to promote the culture of inquiry and evidence-based practice in my hospital. References Burhans, L., & Alligood, M. (2010). Quality nursing care in the words of nurses. Journal of Advanced Nursing, 66(8), 1689-1697. Chaboyer, W., Johnson, J., Hardy, L., Gehrke, T., & Panuwatwanich, K. (2010). Transforming care strategies and nursing-sensitive patient outcomes. Journal of Advanced Nursing, 66(5), 1111-1119. Chaboyer, W., McMurray, A., & Wallis, M. (2010). Bedside nursing handover: A case study. International Journal of Nursing Practice, 16(1), 27-34. Helft, P., Bledsoe, P., Hancock, M., & Wocial, L. (2009). Facilitated Ethics Conversations: A Novel Program for Managing Moral Distress in Bedside Nursing Staff. JONAs Healthcare Law, Ethics, & Regulation, 11(1), 27-33. Maxson, P., Derby, K., Wrobleski, D., & Foss, D. (2012). Bedside nurse-to-nurse handoff promotes patient safety. Medsurg Nursing, 21(3), 140-144. McMurray, A., Chaboyer, W., Wallis, M., & Fetherston, C. (2010). Implementing bedside handover: strategies for change management. Journal of Critical Nursing, 19(17-18), 2580-2589. McMurray, A., Chaboyer, W., Wallis, M., Johnson, J., & Gehrke, T. (2011). Patients’ Perspectives of Bedside Nursing Handover. Collegian, 18(1), 19-26. Mistarz, R., Eliott, S., Whitfield, A., & Ernest, D. (2011). Bedside nurse–patient interactions do not reliably detect delirium: An observational study. Australian Critical Care, 24(2), 126-132. Street, M., Eustace, P., Livingston, P., Craike, M., Kent, B., & Patterson, D. (2011). Communication at the bedside to enhance patient care: A survey of nurses experience and perspective of handover. International Journal of Nursing Practice, 17(2), 133-140. Tidwell, T., Edwards, J., Snider, E., Lindsey, C., Reed, A., Scroggins, I., … Brigance, J. (2011). A Nursing Pilot Study on Bedside Reporting to Promote Best Practice and Patient/Family-Centered Care. Journal of Neuroscience Nursing, 43(4), E1-E5. Read More