Change Proposal Topic: Re-implementation of Bedside Shift Report

Submit Section I – VII of your change proposal, Your rough draft should be in APA format for instructor review and feedback. 

Parts I – IV is completed in the paper attached below called rough draft. Please now include parts V – VII to the paper. For instructions of parts V – VII please look at the Capstone guidelines and rubric attached below for what is needed to be done. We made an outline for parts VI – VII which is attached below that can be edited and added to the rest of the rough draft. Part V hasn’t been done yet and also needs to be added. Please be thorough and provide evidence based facts.

NUR 490 Capstone Project Guidelines and Rubric

As the final stop in your journey toward your Bachelor of Science in Nursing degree, you will complete a capstone that integrates the knowledge and skills you
have developed in previous coursework. Over the duration of the capstone course, you will create a proposal for change designed to address a specific
healthcare-related need in the organization where you currently work or a place where you have previously worked, or an issue of local, state, or national
importance, subject to instructor approval. You will also reflect on your journey through the Bachelor of Science in Nursing program and how you plan to
position yourself professionally by developing a brief philosophy of nursing statement. This statement will be an important tool for discussing the knowledge,
skills, and abilities that you have gained from the RN-BSN program and your own nursing values with potential employers or graduate school admissions officers.

Together, these capstone artifacts will set you apart from other workforce and/or graduate school applicants by showcasing your unique abilities and talents.
The artifacts will demonstrate your current knowledge, theoretical foundations, and expertise in the nursing profession and your ability to improve your own
performance and that of your organization through thoughtful reflection on your own practice.

Evaluation of Capstone
This capstone will be assessed somewhat differently than other courses you have taken online at SNHU. There are two separate components that operate
together to comprise the whole capstone experience and are not assessed separately. You will be evaluated on both artifacts as a one cohesive unit in
determining whether you have demonstrated proficiency in each outcome. Your instructor will guide you through this process and will maintain a running
narrative of your strengths and areas for development in relation to the outcomes as you progress through the class. Your work is expected to meet the highest
professional standards.

This assessment will evaluate your mastery with respect to the following outcomes:

• Apply skills in using patient care technologies, information systems, and clinical decision support tools to promote safe nursing practice and quality

patient outcomes

• Utilize evidence-based practice in planning, implementing, and evaluating outcomes of care

• Formulate strategies to promote health and prevent disease in individuals and populations across the life span

• Implement patient safety and quality initiatives within the complex clinical microsystem using leadership and communication skills

• Analyze trends in healthcare policy, finance, and regulatory environments and their implications for healthcare access, equity, and affordability

• Evaluate li

Reimplementation of a bedside shift report 1

Reimplementation of a bedside shift report 8

Reimplementation of a bedside shift report

Student Name





Change Proposal: Reimplementation of a Bedside Shift Report

The identified clinical problem that is relevant to nurses in the workplace is the bedside shift report (BSR). The bedside shift report may be used to help the development of teamwork, ownership, and accountability thus increasing the satisfaction of the nurses. The reason for selecting the reimplementation of a bedside shift report is because; at a targeted facility the implementation of the bedside shift report is becoming poor. This has led to the poor compliance with the standards of practice, and increase costs in the facility. Also, reimplementation of BSR will reduce operational costs by eliminating overtime pay and unnecessary legal fees that arise from preventable compliance errors.

The reimplementation of a bedside shift report is important for the nurses practicing in the organization. Bedside shift report assists in improving the experience of the client and improving the handoff care between the nurses through including the family and client in the delivery of care. Bedside shift report is leading to the introduction of a change in the nursing culture i.e. introduction of various methods of communicating patient-specific care at a shift transformation. Shift reports given at the bedside is helping in changing the manner in which nurses are communicating and practicing (Clark et al., 2020).

At the targeted facility, the execution of the bedside shift report is poor and this is associated to the lack of knowledge concerning the role of bedside shift reporting on the patient outcome. The healthcare providers at the facility are not directly engaged in the provision of healthcare. There is poor communication of the goals of the bedside shift reporting and their importance about the positive outcomes and benefits that are involved in the change (Clark et al., 2020).

According to the study by Gregory et al., (2014), the process of assessing the transformation in practice that involves transitioning of the bedside nurse shift handoffs is important. The evaluation process is helpful in the re-implementation plan to help in improving the areas of weaknesses. The evaluation process of the success in the implementation in the practice is assessing the perception of the nurses about the proposed changes i.e. the re-implementation plans. There is evidence showing the positive impacts of the bedside shift report in the safety of the patient, the control of the pain, the satisfaction of the patients, and improvement in the nurse to patient or nurse to nurse communication (Grego


Change Proposal Outline

Time and Resource Allocation

Several factors must be considered in the process of implementing the proposed change of bedside shift report (BSR). Time and availability of resources are the most important factors that should be considered. The success of implementing BSR as per the change proposal depends on customized planning and the resources available for use. Selecting the appropriate timeline allows the change management teams to pull together the necessary resources. It also promotes the participation of key stakeholders in the change implementation process.

The resources required for the implementation of the proposed change include digital telehealth equipment, additional manpower, as well as financial resources. Resources to facilitate extensive research are also required for the change implementation process. Financial resources are the most crucial in this process because everything else depends on the availability of sufficient funds. However, the required resources must be verified and approved by the board of directors at the facility before the change implementation process is officiated. For this reason, the timeframe must be designed to accommodate consultation with key stakeholders. The most appropriate timeframe, therefore, is six months beginning from the approval date for the change implementation project. Below is a detailed schedule of the activities to be undertaken, the resources and the time allocated for each activity.







3 specialists

1 week

Research to identify the appropriate implementation strategy.

2 specialists

5 nurse leaders

2 weeks

Nurse and Patient education

3 nurse leaders

4 trainers

4 weeks


Policy Formulation to accommodate BSR.

5 contracted specialists.

1 week

Acquisitions for the required digital devices and contracting.

10 laptops

50 telehealth devices

2 weeks

Pilot Project; testing the proposed BSR reimplementation change on a small population.

2 Nurse leadership teams.

10 Volunteers (Patients and relatives).

5 weeks

Change implementation; implementing BSR in th