"We rolled out hospital-wide almost overnight. We were able to embed the same process for change of shift in every unit. We were able to free our nurses to focus on care, not information gathering."
— CNO at a 600-bed US hospital
Can my unit do it ourselves?
Yes. To succeed with a homegrown approach, you’ll typically need 3-6 months and a few dedicated staff.
Recipe for a Homegrown Approach: 15 Ingredients
- Steering Committee – to lead the project and develop all materials
- Change of Shift Huddle form that covers the essentials
- Standard Bedside Handover form that covers the essentials
- A Pilot Period – to test and refine both forms
- Customize both forms for each unit – so nurses like their forms and feel that they’ve been tailored for them
- A Checklist of High Performance Behaviors for Bedside Handover – so nurses know what “great” looks like
- Communication Materials, like handouts and FAQs – so nurses buy into the change
- Training Videos – so nurses can learn the basics in a bite-size way
- In-Service Nurse Educators, Identified and Trained – to conduct in-service training for as many nurses as possible
- Learning Management System – to deliver online videos, quizzes, and to track learner progress
- Unit Assessors, Identified and Trained – to conduct real-time skills assessments at the bedside
- Skills Assessment Data Collection System – to capture and collate skills assessment results
- Conduct Skills Assessments – so nurses can discover their blind spots and verify their competency
- Progress Dashboards – so nurse leaders can track nurse and unit progress toward Bedside Handover Excellence, and to compare performance across units, managers, and individual staff
- Sustainability Plan – so nurses maintain the new routines and hold onto them tightly
Our Nurses First implementation program includes these 15 ingredients in a streamlined, field-tested way.