Mental Health Change of shift reports

Mental Health Change of shift reportsKevin costigliola:Excelsior college11/11/16

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In 2016 the United States has spent an estimated $201 billion on mental disorders. it the most costlymedical condition in the country.(namI, 2016)

Most common issues with change of shift reports. UnstructuredRepetitive Lacks Consistency Background of the problemI conducted a survey at NC DHHS psychiatric hospital asking 29 psychiatric nurses at various change of shift reports to circle which they feel is the most common issue during change of shift report. Plunktett, A. (2015)

Nursing model used to address issue

The Gordons 11 patterns of functional health, which are used to make patient assessments are shown in the list above.4

Description of the proposed initiativeConstruction of the shift report is made more professional by:Data selection: (Capek et al., 2013). Decision to use specific patient data in a change of shift report should never be random. Structured reports allow for consistency and limits distractions and redundancy in shift report.Word choices:Negative judgements and labelling can affect the quality of change of shift reports. Patients are often left with these labels throughout hospitalization. These labels are detrimental to evaluating a patients recovery (Parsons, 2016),Care planning24-hour collaborate care plans in change of shift reports improves patient care (Priest & Holmberg, 2000)

A change of shift report is made more professional by ensuring the three criteria are followed: data selection, word choices, and care planning. Any decision to have patient data in the change of shift report should never be random. For instance, making a decision as to what information can be transmitted to one professional nurse to another requires comprehensive assessment of patients during the shift. Appropriate data selection is a primary element of the nursing shift report and this is based on complete assessment of the Gordons 11 functional patterns of health. Word choices used in shift reports can impact patient care and outcomes. The negative judgements and labelling used in shift reports such as labelling patients as aggressive or difficult can result in the patients being treated the same throughout the hospitalization period. Another important aspec if care planning. Change of shift reports provides the nurses with the opportunity of discussing the care plans for patients. 5

Data selection

(Capek et al., 2013).

Data selection

Therapeutic interactions and interventions are critical when working with the psychiatric population Below include some KEY information to pass along in a psychiatric nursing shift report.

(Capek et al., 2013)

Word choices

https://youtu.be/Gzk7sSOHGSQCALLING ALL NURSESMake a pledge to be stigma free

Evidence-based literature(Priest & Holmberg, 2000)

(Athanasakis, 2013)(Amato,2010) (Priest & Holmberg, 2000)(Priest & Holmberg, 2000)(Amato,2010) (Capek et al., 2013)(Parsons, 2016)

The continuity of nursing care can only e maintained through the change of shift report. It is always important for the nursing shift reports to have baseline information about the patient such as bedside documentation and patient charts. Most shift reports lack important information such as a patients response to nursing interventions as well as identified nursing care problems. The nursing staff experience a lot of stress as a result of inconsistencies in shift reports content. 9

Evidence-based literature(Priest & Holmberg, 2000)

Data selection should be done appropriately when it comes to constructing a nursing shift report. The main source of criticism for nursing reports is associated with negative judgment and labeling. The change of shift reports form the basis of discussion in patient care plans. Patient assessment should include symptoms, activities of daily living, stress management and medication adherence (Priest & Holmberg, 2000). 10

conclusion

Change of shift reports plays an important role in nursing hence those preparing them needs to be conversant with ways on how to come up with an objective, descriptive as well as future oriented reports. The reports enhances a smooth transition between shifts hence there is a need for those preparing them to incorporate factual data rather than giving personal responses which do not give adequate focus on the patient. Order to come up with best reports, nurses can make use of organizing frameworks such as Gordons (1994) framework which helps a nurse to know the needed information when preparing the report as well as helping those reading the reports to comprehend them. This ensures no information about the client is lost. 11

referencesAmato, S. (2010). Incorporating bedside reporting into change-of-shift report. Rehabilitation Nursing, 35(2):70-74Athanasaki, E. (2013). Synthesizing knowledge about nursing shift handovers: Overview and reflections from evidence-based literature. International Journal of Caring Science, 6(3):300-313Capek, J. et al. 2013. Effective communication at change of shift. Nursing2016 Critical Care September 2013, Volume: 8(5), page 22- 24. Carroll, J. et al. (2012). The ins and Outs of Change of Shift Handoffs between Nurses: A Communication Challenge. New York: Cornell University ILR School.Parsons, L. (2016). Pathophysiology and Care Protocols for Nursing Management, an Issue of Elsevier health sciences. Priest, C.S., & Homberg, S.K. (2000). A new model for the mental health nursing change of shift report. Journal of Psychosocial Nursing and Mental Health Services, 38(8):36-43Plunktett, A. (2015). The Use of a Standardized System of Communication to Change the Perception of Handoff Communication in a Psychiatric Setting. New York: Walden University Scholar Works.