A project to improve bedside handover and engage patients in the process was developed at a hospital in Sweden. Implementation and outcomes of the project were presented in a European Oncology Nursing Society (EONS) session at the European Society of Medical Oncology (ESMO) Congress by Lace Matarlo Sölvebrand, of the Karolinska Institutet Hospital Solna in Sweden, and colleagues.

In her presentation, Ms Sölvebrand described this bedside handover tool as a project designed “to increase patient participation in bedside report and strengthen patient care safety in the clinical unit.” The breast endocrine tumors and sarcoma unit, in which she works, is a highly specialized department that relies significantly on providing patient-centered care.

Bedside handover is an evidence-based process for shift-to-shift reporting on patients. Structured bedside handover helps to engage patients in their care and also enhances the routine among healthcare staff regarding awareness of patient safety, Ms Sölvebrand explained. This project developed a checklist to facilitate this process.


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Ms Sölvebrand indicated that the project to develop a standardized routine was begun to improve patient safety and increase patient engagement. For the focus group of the project, morning-shift and afternoon-shift healthcare providers were selected to participate, together with patients. The aim of the project was to implement a structured bedside handover approach, using a checklist, in 6 weeks, with an intended result of higher patient engagement in care.

The project involved several components. Information was provided in staff meetings, and project ambassadors were chosen from among the healthcare staff. A bedside checklist was introduced and made accessible, and instructional materials were provided.

A Plan-Do-Study-Act wheel was instituted to strategically enact the implementation of the project, and Gibb’s Reflection Cycle was employed as a technique for reflection and evaluation of the project. Healthcare providers and patients were given questionnaires and evaluation sheets for assessment of the project.

The checklist contained entries for several items, with space next to each item where healthcare providers could fill in pertinent information on the item. These items included patient identification, vital signs, electrolyte balance, nutrition, access lines, wound care, elimination, dressings, physical activity, laboratory or other examinations, and technical equipment.

Staff and patients responded to questionnaires about their project experience at 6 weeks. Patients reported feeling included in the conversation at bedside handover. They indicated feeling more involved and informed regarding their care. They also expressed appreciation for getting repeated information about the care plan. Healthcare staff expressed appreciation for the practicality of the checklist and a sense that it improved information flow to support patient safety.

Reference

Matarlo Solvebrand L. Project bedside handover 2022 (a tool for health care professionals to increase patient participation in bedside report). Ann Oncol. 2022;33(suppl_7):S818-S819. doi:10.1016/annonc/annonc1044