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Dissertation
Standardizing Nursing Shift Report in the CVICU
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Standardizing nursing shift report is an evidence-based practice shown in the literature to combat communication failures between healthcare team members during the transfer of patient information. Standardizing this process has shown to decrease omissions in report, lead to fewer preventable complications, and correlate with positive nursing impacts surrounding communication, confidence, knowledge, and accountability. Purpose: The purpose of this project was to evaluate if the implementation of a standardized communication tool for giving nursing shift report impact the nurses’ perception of communication and success in caring for post-operative cardiac surgery patients. Methods: This project used a group preimplementation and postimplementation comparison of nursing survey scores on a 24-bed CVICU, surveying nurses caring for post-operative cardiac surgery patients. We also followed HCAHPS survey scores for comparison preimplementation to postimplementation in the category “communication with nurses”. Findings: After implementing a standardized communication tool for utilization for nurses during shift report, a 2.5% increase in nursing confidence was found in postimplementation survey scores. HCAHPS survey scores improved from 80th percentile to 99th percentile post-implementation in the category “communication with nurses”. Discussion: Results postimplementation did not show expected significant results post implementation. A redesign process is necessary to find a sustainable standardized process for nursing shift report on this patient population and potentially target new graduates for insight to increase nursing confidence.
Details
- Title: Subtitle
- Standardizing Nursing Shift Report in the CVICU
- Creators
- Lucille Mae Johnston - University of Iowa
- Contributors
- Heather Dunn (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Adult/Gerontology Nurse Practitioner (Acute Care)
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Lucille Mae Johnston
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627255302771
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