Unit leadership designated use of standardized template as optional greatly limiting staff participation. Limitations: A quality improvement effort was attempted with a relatively small sample size. Per shift change equivalence: 1-2 nurses out of 6-8 using the template and 3-4 nurses out of 6-8 performing bedside handoff. Average template use was about 20% while the average bedside handoff was about 46%. No direct correlation could be ascertained between the use of the standardized template and bedside handoff due to limited utilization of the standardized template. Results: Direct observation data revealed very limited use of the SBART template Bedside handoff although improved, remains limited and variable. A PDSA cycle was utilized during direct observations of shift report to assess the template design and ease of use. Pre- and post-intervention surveys were completed and compared. ![]() Methods OR Process/Procedures: Small group learning sessions were conducted to educate staff on the rationale, supporting evidence, and components of effective bedside handoff, and instruction on standardized template design and use. Purpose/Learner Objectives: This project was a quality improvement effort aimed at increasing bedside handoff practice from 0% to 70% compliance utilizing a one-page per patient standardized template to overcome barriers and facilitate the practice over 4 weeks. Background/Introduction: Bedside handoff has been encouraged and endorsed by nursing leadership however, the practice remains limited and sporadic, often implemented with workarounds on a 34-bed acute care medical-surgical unit.
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