Research evidence related to bedside shift report including successful implementation at other institutions, advantages to nurses, benefits to patients, and cost/benefit ratio to institution.

Obtain approval from Unit Council to pilot bedside shift report on a medical-surgical unit.

Provide articles and data about improved patient safety and patient satisfaction related to bedside report to pilot unit. Create and distribute posters, flyers, and web-based tutorial on bedside shift report.

Collect baseline patient satisfaction and patient safety scores.

Provide staff with opportunity to ask questions and voice concerns prior to “Go-Live” in monthly staff meeting.

Tweak beside shift report to include the ideas of the nurses to make the procedure flow better. Begin to advertise "Go Live" date and time.

"Go-Live" for bedside shift report at 0700 on 5/1/2012.

Pilot in progress. Manager consistently asking for staff feedback. Encouraging nurses that they are doing well. Provide personal emails to employees that are doing an exceptional job implementing the new innovation.

Compare July 2012 patient satisfaction and patient safety data to April 2012 baseline data.

Continue to encourage pilot unit to sustain the changes they have made. Provide data about improved patient safety and patient satisfaction scores related to the new bedside report change. Continue to offer personal words of encouragement and support for engaging in the change.

Pilot Unit Planning Council meets to think about how they can successfully implement change throughout the organization.

Administrators, Pilot Unit Planning Council, managers, nurses, and other stakeholders work together to create plan for institution wide change. Policy and procedure document developed, revised, and submitted for approval by Institution.

Provide articles and data about improved patient safety and patient satisfaction related to bedside report to all units. Distribute posters, flyers, and web-based tutorial on bedside shift report. Encourage Pilot Unit to discuss their successes and challenges with colleagues on other units for peer-support.

Bedside report now mandatory throughout hospital.