Next up is another article on nurses being empowered to impact patient care in important ways. This one has to do with something we all do when we are entrusted with patient care. It’s also one of the biggest areas where patient care can fall through the cracks, too. I’m talking about the change of shift and handover of care to the next nurse who comes along. A team of nurses at Island Hospital in Washington state enacted a program there called “Shift Happens.”

Shift Change  and Patient Handover

shift change nurseThe Shift Happens program was seen as a way to better involve the patient in their own care and has shown great improvement in patient satisfaction scores. Their change of shift program has the patient handover happening in the patient’s room so that the patient can be more involved in the continuance of their care to the next nurse. It also facilitates them meeting the new nurse and gives them the opportunity to ask and answer questions directly related to their own care.

This is a great example of nurse-led interventions that can improve overall care and help create a teamwork system that helps the patients take an active role in their own care. This program was enacted as part of the Clinical Scene Investigator (CSI) Academy organized by the American Association of Critical-Care Nurses (AACN).

I’ve talked about the CSI program for several years here on the Nursing Show and I’m glad that other news outlets are starting to cover the nurses who are going through this nurse leadership program. This particular CSI academy project took a year to complete and increased compliance with the bedside shift report.

The team expects that to continue to improve, as the program continues its ongoing education and compliance program in the hospital. The change of shift is an important part of patient care and this program is an innovative way to improve on that process.

What do you think? Is this something that you could enact in your facility? I want to know so leave a comment on it in the article over at or email me with your thoughts at I look forward to hearing from you.


Make sure you follow-up on the links for this news item and all of the other news and additional resource links from this week’s episode – Zika Virus Review with Vince Racaniello and Episode 384.



Share →

Leave a Reply