To explore the application and effect of "problem oriented" shift change mode in emergency department.

A retrospective control study was carried out on 304 cases of bedside shift events in the Emergency Department of Mentougou District Hospital, Beijing from June to November 2019, including 155 males and 149 females, aged 20-84 years with an average of (50.13±5.12) years. There were 77 cases of nervous system diseases, 58 cases of digestive diseases, 55 cases of respiratory diseases, 78 cases of cardiovascular diseases and 36 cases of trauma. Between the common bedside shift mode and the "problem oriented" bedside shift mode, the difference of patients’ condition control, patients’/family members’ satisfaction, nurses’ satisfaction and the incidence of adverse events was compared.

After adopting the "problem oriented" bedside shift mode, the nurses’ mastery of patients’ condition [(50.46±6.99) score (38.98±4.76) score], patients’ and family members’ satisfaction [(52.64±2.13) score (40.77±3.26) score], nurses’ satisfaction [(54.16±2.35) score (44.22±2.12) score] were improved, and the incidence of nursing adverse events was reduced [0.16%]. The difference was statistically significant (P < 0.05).

Compared with the common bedside shift, the degree of mastery of patients’ condition, the satisfaction of patients/family members and the satisfaction of the nurses who take over the shift are improved, and the incidence of nursing adverse events is reduced.