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NursingNCT02714582

Feasibility, Appropriateness, Meaningfulness and Effectiveness of Bedside Shift Reporting

A study testing Bedside shift report in people with Nursing and Bedside Shift Report, run by University Hospital, Ghent at 8 sites in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Hospitals face the challenge to continually improve their quality of care. In order to achieve this goal, they have to focus on both improving clinical practice and increasing the involvement of patients in the healthcare process. Both factors are equally important to quality of care. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
What is being tested?
Bedside shift report
Could I receive a placebo?
No, everyone receives an active treatment
How many people
750 participants
Where
8 sitesBelgium
Study dates
Mar 2016to May 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Admitted on a participating hospital ward
  • Be conscious
  • Speak Dutch
  • Participated in at least 3 bedside shift reports
  • Work on a participating hospital ward
  • Have at least six months of experience on the ward
  • Have participated in 10 bedside shift reports or more

Who cannot join

  • Dementia or other severe cognitive/mental disorders
  • Nurses
  • No hands-on patient contact
  • Internship

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

Belgium8 sites
  • AZ Sint-Jan

    Bruges, 8000

  • AZ Alma

    Eeklo, 9900

  • AZ Sint-Lucas

    Ghent, 9000

  • Ghent University Hospital

    Ghent, 9000

  • AZ Virge Jessa

    Hasselt, 3500

  • AZ Groeninge

    Kortrijk, 8500

  • AZ Lokeren

    Lokeren, 9160

  • AZ Oudenaarde

    Oudenaarde, 9700

Other trials in Belgium

About this study

Official title: Patient Participation at the Bedside: Feasibility, Appropriateness, Meaningfulness and Effectiveness of Bedside Shift Reporting. A Matched Controlled Trial

Hospitals face the challenge to continually improve their quality of care. In order to achieve this goal, they have to focus on both improving clinical practice and increasing the involvement of patients in the healthcare process. Both factors are equally important to quality of care. The World Health Organization highlights the role that patients and their family could play in the improvement of healthcare. Active patient participation reduces communication errors, increases patient empowerment and is associated with positive health and psychosocial outcomes. A possible strategy to improve patient participation through communication can be bedside shift report (BSR).

Bedside shift report is a process where shift-to-shift report between nurses is, if approved by the patient, executed at the patient's bedside in order to improve the patient's involvement. Bedside shift report has the potential to result in more patient satisfaction, better clinical outcomes, improvement of health education and enhanced team coherence. Preliminary research indicates that BSR decreases safety incidents and adverse events and readmissions, positively influences staff satisfaction, offers beneficial financial effects by reducing nurses' overtime, and allows direct patient care to start earlier.

Read more

Despite of these effects, rigorous and large-scale scientific research on this topic is lacking. Currently, the available evidence is scarce and mostly consists of single case or small-scale studies. Longitudinal results on effectiveness and sustainability of BSR are also unknown or inconclusive. There is a need for an increased number of controlled studies to evaluate the impact of BSR on patient, staff and economic outcomes and its longitudinal results.

The aim of this study is four-folded:

  1. The development and fine-tuning of a BSR-intervention and implementation protocol by using diagnostic interviews, co-design, and pilot studies.
  2. A quantitative evaluation of BSR in comparison with care as usual on patient-related, clinical, and nurse-related outcomes.
  3. A qualitative evaluation of the feasibility, appropriateness and meaningfulness of BSR as a method to improve communication and patient participation with a particular interest in the experience of benefits and disadvantages by healthcare professionals and patients.
  4. A process evaluation of BSR to determine the intervention fidelity and to assess the evolution of BSR over the period of the study (e.g. adaptations, consistent practice).

The study design was based on the Medical Research Council-framework for developing and evaluating complex interventions. Power calculation indicates a minimum of 5 experimental wards with 35 patients should be included in the study. The hospital, the specialization of the ward and the nurse-patient ratio will be used for the matched controlled assignment.

Being tested
Bedside shift report
Keywords
Shift report, Bedside, Nursing, Matched controlled trial, Mixed method, Patient participation
Medical subject headings
Patient Participation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bedside shift reportBehavioural

    Also called Bedside shift handover

    Bedside shift report is a process where shift-to-shift report between nurses is, if approved by the patient, executed at the patient's bedside in order to improve the patient's involvement (Anderson \& Mangino 2006).

Study groups in NCT02714582
Study groupRoleWhat they receive
Bedside shift reportExperimentalThe experimental group (nurses and patients) will: * develop a tailored BSR-intervention by use of co-design, diagnostic interviews, and pilot testing * use the tailored BSR-intervention, with participation of the patient, instead of the regular nurse shift report
Receives: Behavioral: Bedside shift report
No bedside shift reportNo interventionThe control group will not use bedside shift report, but will use the regular nurse shift report without participation of the patient

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Patient Empowerment

    The change in Patient Empowerment during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for patients. A validated tool, the Patient Activation Measure (PAM13), will be used.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

Secondary outcomes (22)
  1. Change in Quality of Care

    The change in Quality of Care during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for patients. A validated tool, the QPP (Quality of care from the Patient's Perspective), will be used.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  2. Change in Individualized Care (patient)

    The change in Individualized Care during the study will be investigated by use of repeated measures. For patients, the patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for patients. A validated tool, the ICS (Individualized Care Scale), will be used.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  3. Change in Individualized Care (nurse)

    The change in Individualized Care during the study will be investigated by use of repeated measures. For nurses, the patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. A validated tool, the ICS (Individualized Care Scale), will be used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  4. Change in Job Satisfaction

    The change in Job Satisfaction during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. A validated tool, the MOAQ-JSS (Michigan Organizational Assessment Questionnaire - Job Satisfaction Subscale), will be used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  5. Change in Turnover Intention (1)

    The change in Turnover Intention during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. A validated tool, the MOAQ-TIS (Michigan Organizational Assessment Questionnaire - Turnover Intention Subscale), will be used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  6. Change in Turnover Intention (2)

    The change in Turnover Intention during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. Two questions from the RN4CAST (Nurse Forecasting: Human Resources Planning in Nursing) are used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  7. Change in Coordination of the Care Process

    The change in Coordination of the Care Process during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. A validated tool, the CPSET-COR (Care Process Self Evaluation Tool - Coordination subscale), will be used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  8. Change in Communication

    The change in Communication during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. A validated tool, the CPSET-COM (Care Process Self Evaluation Tool - Communication subscale), will be used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  9. Change in Work Interruptions (1)

    The change in Work Interruptions during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. A non-validated tool to measure nurses' perceptions on work interruptions, developed by the researchers, will be used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  10. Change in Work Interruptions (2)

    The change in Work Interruptions during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated..

    The data will be collected from electronic databases from within the participating hospitals that measure the number of work interruptions ('calls for assistance').

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  11. Change in Patient Participation

    The change in Patient Participation during the study will be investigated by use of repeated measures. The patterns of change between baseline and 24 months will be evaluated.

    The data will be collected by use of a questionnaire for nurses. Five questions from a validated tool, the PaCT-HCW (Patient Participation Culture Tool for Healthcare Workers), will be used.

    Measured: 24 months: 2 data collections during the study (baseline, 24 months)

  12. Change in Hospital Acquired Pressure Ulcers (HAPU)

    The change in incidence of HAPU's during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected from the patient's medical file. The timeframe for registration is from the admission on the ward until discharge from the ward. Any HAPU's during the patient's stay on the ward on heel and sacrum will registered by use of the NPUAP/EPUAP classification system.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  13. Change in Patient Falls

    The change in incidence of Patient Falls during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected from the patient's medical file. The timeframe for registration is admission on the ward until discharge from the ward. Any patient falls during the patient's stay on the ward will registered.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  14. Change in Unnecessary New Intravenous Drips

    The change in incidence of Unnecessary New Intravenous Drips during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected from the patient's medical file. The timeframe for registration is from admission on the ward until discharge from the ward with a maximum of 30 days. Newly placed intravenous drips without explicit physician indication will be registered.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  15. Change in Length of Stay

    The change in Length of Stay during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected from the patient's medical file. The total length of stay on the ward will be registered.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  16. Change in Unplanned Readmission

    The change in incidence of Unplanned Readmissions during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, and 24 months will be evaluated.

    The data will be collected from the patient's medical file. Readmissions within 30 days in the same hospital will be registered.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  17. Change in Pain

    The change in Pain scores during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months, 18 months, 24 months will be evaluated.

    The data will be collected from the patient's medical file. The timeframe for registration is from admission on the ward until discharge from the ward. The first pain score after the nurse shift report will be registered each day.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  18. Change in Duration of the shift report

    The change in the Duration of the Shift Report during the study will be investigated by use of repeated measures. The patterns of change between baseline, 12 months,18 months, and 24 months will be evaluated.

    Thirteen shift reports will be recorded during each data collection point. Based on the recordings, the duration of the shift report will be calculated.

    Measured: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)

  19. Feasibility

    The data concerning the experienced Feasibility of BSR will be collected by use of individual, semi-structured interviews (patients) and semi-structured focus group interviews (nurses) using an interview guide. The data will be collected at 12 months.

    Measured: 12 months: 1 data collection (12 months)

  20. Applicability

    The data concerning the experienced Applicability of BSR will be collected by use of individual, semi-structured interviews (patients) and semi-structured focus group interviews (nurses) using an interview guide. The data will be collected at 12 months.

    Measured: 12 months: 1 data collection (12 months)

  21. Meaningfulness

    The data concerning the experienced Meaningfulness of BSR will be collected by use of individual, semi-structured interviews (patients) and semi-structured focus group interviews (nurses) using an interview guide. The data will be collected at 12 months.

    Measured: 12 months: 1 data collection (12 months)

  22. Change in Intervention Fidelity

    The change in Intervention Fidelity during the study will be investigated by use of repeated measures. The patterns of change will be evaluated.

    The data will be collected by use of non-participating observations. A checklist will be used. During each period (12 months until 18 months / 18 months until 24 months) 20 non-participating observations on each ward will be performed.

    Measured: 24 months: 2 data collections during the study(between 12 months and 18 months; between 18 months and 24 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2016 (estimated)
  2. Study startMar 2016
  3. Primary completionApr 2018
  4. Study completionMay 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
750 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02714582
Sponsor's protocol ID
HA/RP/2015/086/EC
Other IDs
B670201627044
Status last verified
Jun 2021
First submitted
29 Feb 2016
Last updated
16 Jun 2021
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Anderson CD, Mangino RR. Nurse shift report: who says you can't talk in front of the patient? Nurs Adm Q. 2006 Apr-Jun;30(2):112-22. doi: 10.1097/00006216-200604000-00008.

    PubMed 16648723
  • Cairns LL, Dudjak LA, Hoffmann RL, Lorenz HL. Utilizing bedside shift report to improve the effectiveness of shift handoff. J Nurs Adm. 2013 Mar;43(3):160-5. doi: 10.1097/NNA.0b013e318283dc02.

    PubMed 23425914
  • Evans D, Grunawalt J, McClish D, Wood W, Friese CR. Bedside shift-to-shift nursing report: implementation and outcomes. Medsurg Nurs. 2012 Sep-Oct;21(5):281-4, 292.

    PubMed 23243785
  • Gonzalo JD, Wolpaw DR, Lehman E, Chuang CH. Patient-centered interprofessional collaborative care: factors associated with bedside interprofessional rounds. J Gen Intern Med. 2014 Jul;29(7):1040-7. doi: 10.1007/s11606-014-2817-x. Epub 2014 Mar 11.

    PubMed 24615186
  • Gregory S, Tan D, Tilrico M, Edwardson N, Gamm L. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014 Oct;44(10):541-5. doi: 10.1097/NNA.0000000000000115.

    PubMed 25208269
  • Griffin SJ, Kinmonth AL, Veltman MW, Gillard S, Grant J, Stewart M. Effect on health-related outcomes of interventions to alter the interaction between patients and practitioners: a systematic review of trials. Ann Fam Med. 2004 Nov-Dec;2(6):595-608. doi: 10.1370/afm.142.

    PubMed 15576546
  • Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001. Available from http://www.ncbi.nlm.nih.gov/books/NBK222274/

    PubMed 25057539
  • Longtin Y, Sax H, Leape LL, Sheridan SE, Donaldson L, Pittet D. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010 Jan;85(1):53-62. doi: 10.4065/mcp.2009.0248.

    PubMed 20042562
  • Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. Int J Nurs Stud. 2013 May;50(5):587-92. doi: 10.1016/j.ijnurstu.2012.09.010. Epub 2012 Nov 15. No abstract available.

    PubMed 23159157
  • Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database Syst Rev. 2014 Jun 24;2014(6):CD009979. doi: 10.1002/14651858.CD009979.pub2.

    PubMed 24957503
  • Wakefield DS, Ragan R, Brandt J, Tregnago M. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012 Jun;38(6):243-53. doi: 10.1016/s1553-7250(12)38031-8.

    PubMed 22737775
  • Malfait S, Eeckloo K, Van Opdorp L, Van Biesen W, Van Hecke A. The impact of bedside handovers on relevant clinical indicators: A matched-controlled multicentre longitudinal study. J Adv Nurs. 2020 Aug;76(8):2104-2112. doi: 10.1111/jan.14406. Epub 2020 May 25.

    PubMed 32347554

Questions about this trial

What is this clinical trial studying?

A study testing Bedside shift report in people with Nursing and Bedside Shift Report, run by University Hospital, Ghent at 8 sites in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Patient Empowerment (time frame: 24 months: 4 data collections during the study (baseline, 12 months, 18 months, 24 months)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02714582, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jun 2021.

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