Exploring the Hidden Functions of Nursing Bedside Shift Report: A Performance, Ritual, and Sensemaking Opportunity

Abstract

Background: Implementing Nursing Bedside Shift Report (NBSR) is challenging for nurse leaders. Before implementing or improving NBSR, nurse leaders need a clear understanding of the process and functions of nursing shift report. However, the social-cultural latent functions (unrecognized or unintended uses) of NBSR are poorly understood. Purpose: The purpose of this qualitative study was to describe the latent functions of NBSR from the perspectives of frontline nurses. Methods: Thematic analysis of previously collected semistructured interviews with nurses (n = 13) about NBSR was used to explore NBSR's latent functions. Results: Three latent functions emerged; nurses used bedside shift report as a performance, ritual, and sensemaking opportunity. The latent functions are described, and corresponding recommendations for successful implementation of NBSR are provided. Conclusions: Nurse leaders can use this study's findings to inform the development or improvement of an efficient, effective, and sustainable NBSR process at their local institution.