Exploring the Hidden Functions of Nursing Bedside Shift Report: A Performance, Ritual, and Sensemaking Opportunity

J Nurs Care Qual. 2019 Jul/Sep;34(3):256-262. doi: 10.1097/NCQ.0000000000000357.

Abstract

Background: Implementing Nursing Bedside Shift Report (NBSR) is challenging for nurse leaders. Before implementing or improving NBSR, nurse leaders need a clear understanding of the process and functions of nursing shift report. However, the social-cultural latent functions (unrecognized or unintended uses) of NBSR are poorly understood.

Purpose: The purpose of this qualitative study was to describe the latent functions of NBSR from the perspectives of frontline nurses.

Methods: Thematic analysis of previously collected semistructured interviews with nurses (n = 13) about NBSR was used to explore NBSR's latent functions.

Results: Three latent functions emerged; nurses used bedside shift report as a performance, ritual, and sensemaking opportunity. The latent functions are described, and corresponding recommendations for successful implementation of NBSR are provided.

Conclusions: Nurse leaders can use this study's findings to inform the development or improvement of an efficient, effective, and sustainable NBSR process at their local institution.

MeSH terms

  • Adult
  • Communication*
  • Continuity of Patient Care / standards
  • Delivery of Health Care / methods
  • Delivery of Health Care / standards*
  • Female
  • Humans
  • Interviews as Topic / methods
  • Male
  • Nurse's Role / psychology
  • Patient Handoff / standards*
  • Patient Safety / standards
  • Qualitative Research