Pediatric Nurses' Perceptions of Bedside Shift Report
Nursing bedside shift report (BSR) is a form of nursing shift report that may be used to involve pediatric patients and their families in discussions about their plan of care. According to Healthy People.gov (Office of Disease Prevention and Health Promotion, 2020) in the ten years between 2007 and 2017, there has only been a 1.2% increase in the number of people who reported that health care providers included them in decisions about their health care, to the extent they wanted to be involved. The bulk of research focusing on BSR has been conducted on adult patient units or with nurses who care for adult patients. Adult patient care nurses’ perceptions of the benefits and challenges of using BSR have been explored (Jeffs, Cardoso, et al., 2013), in addition to issues that may have contributed to nurses’ not fully implementing BSR (Small & Fitzpatrick, 2017). There is a significant gap in the literature that looks at BSR’s utilization on pediatric nursing units and there is a lack of studies that aim to understand the perceptions of pediatric nurses who use BSR for nursing shift report. This study utilized Naturalistic Inquiry (NI), first introduced by Lincoln and Guba (1985) and further developed by Erlandson et al. (1993), to explore and describe pediatric nurses’ perceptions of BSR. Participants were recruited using purposive and snowball sampling resulting in a total of twelve pediatric nurses who worked on pediatric general medicine nursing units. Data collection and analysis for this study was ongoing and iterative beginning with the first participant interview utilizing a bio-demographic questionnaire and semi-structured interviews. Rigor was established by using Lincoln and Guba’s criteria as described by Erlandson et al. Findings from the study raised the question of whether BSR is the right form of nursing shift report for all patient populations. While nurses in the current study agreed with the underlying principles of BSR they also identified some issues with utilizing BSR on their pediatric units that frequently required them to modify BSR practices. Repeated modifications of BSR practices could easily lead to an erosion of those practices.