Integrated Care



Each group will present a 5-6 minute speech presentation depicting Integrated Care using TeamStepps and TeamStepps “I PASS the BATON” used in transitions in careA minimum of 5 peer-reviewed articles must be used to support the analysis of the group’s needs assessment and action and evaluation.  The speech needs to include:

  1. An accurate representation of the need at Kahi Mohala Behavioral Health. The topic area needs to be clearly understood in the speech presentation
  2. The speech must show creativity and accurateness of information. The speech must clearly represent the following: the needs, plan of action, and evaluation

Please write this paper as a SPEECH.  Thank you!!


After team review of a needs assessment, we are all in agreement to complete a final presentation and video about TeamStepps in Integrated Care.  Our goal is to transition from tape recording shift reports to live shift reporting using the handoff design “I Pass the Baton”.  Patient care would be seamless, as all vital issues would be directly communicated.  Preparation of the next shift will also reinforce a team approach from one shift to the next.  Patients will feel that there is no drop off in interest or intervention and this would engender greater trust in the therapeutic process.

Needs Assessment: (Create a SWOT Analysis)

  • Tape recording shift reports are currently used.
  • Live shift reports directly relay vital issues
  • Live shift reports reinforce a team approach seamlessly
  • Live shift reports will reduce/eliminate nurse “talking over” while the tape recording is being played
  • Live (face-to-face) shift report is best evidence based practice
  • Using TeamSTEPPS is a great way to implement changes
  • TeamSTEPPS may be used to incorporate inconsistencies in shift report
  • According to Kahi Mohala nurse manager, communication is one of the biggest challenges. She is also very interested in implementing TeamSTEPPS
  • I PASS the BATON may be useful in standardizing shift reports.


Strategy designed to enhance information exchange during transitions in care


For the speech please include:


Topic: Integrated Care with Exemplar on Nursing Shift Report


Learning Objectives: At the end of this presentation, participants will be able to:



  • Inpatient psychiatric nurses are commonly involved in shift reporting for the care of patients between one another during transitions in care including
    • Change of shift
    • Patient transfer from one setting to another


Shift Reporting Defined

  • Shift Reporting is defined as…


Shift Reporting Outcomes

  • Effective shift reporting ensures…
  • Ineffective shift reporting can result in…


Shift Reporting Challenges

  • Shift reporting can be challenging in inpatient psychiatric setting due to…


Identifying Best Practices in Nursing Shift Reports

  • An internal scan was conducted in the Inpatient Psychiatric Program and a SWOT Analysis was then created
  • A literature review was conducted to identify best practices in nursing shift reports in psychiatric inpatient setting


Improving Shift Reports

  • A Quality Improvement project was conducted at Kahi Mohala in Ewa Beach, Hawaii to implement best practices in patient handovers at change of shift in the Inpatient Psychiatric Program
  • The Quality Improvement project was initiated February 10, 2015 and was conducted by five Chaminade University of Honolulu nursing students
  • A survey was created to address advantages and challenges of the current shift reports at Kahi Mohala
  • A SWOT Analysis was then created and the use of TeamStepps’ I PASS the BATON Handoff Template recommended by the group to try to improve nursing shift reports


Best Practice in Nursing Shift Reports

  • I PASS the BATON is a handoff template used to communicate technical information about patients relevant to their care and condition at change of shift


Our Aim


Tape Recorded Change of shift Report                      Live Shift Report using standard template

using no standard template                        à


Implementing Best Practices in Nursing Shift Reports

  • A nursing shift reports worksheet was developed using the I PASS the BATON handoff template to standardize communication of technical information about patients relevant to their condition and care at change of shift
  • The handoff template was then used by the nursing students to compare the similarities and differences of Kahi Mohala’s inpatient end of shift report to a live shift report using the handoff template created


Evaluating Best Practices in Nursing Shift Reports

  • A second survey was then given to each nursing student to audit both shift reports



Recommendations to Improve Nursing Shift Reports

  • Baseline training in best practices in nursing shift reports for all RNs
  • Developing visual aids to support practice change
  • Utilizing methods to sustain best practices in patient handovers:
    • Newsletter
    • Posters
    • Communication board
    • Staff surveys
    • E-learning





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