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Caring, Connecting, and Communicating: Reflections on Developing a Patient-Centered Bedside Handoff

A multihospital health system improved the nursing change of shift report process by bringing it to the bedside using a new process and tool referred to as ISHAPED (Introduction, Story, History, assessment, Plan, error Prevention, and Dialogue). Using a caring-science perspective, the process was optimized by gaining input from hospitalized patients and parents, and the Parent and the Patient & Family Advisory Councils. This input facilitated development of a more caring-focused nursing education on change of shift report through ISHAPED bedside handoffs, thus promoting more patient-centered care.