A novice nurse asks the preceptor why the staff spends time talking about the clients between shifts when the oncoming nurses can read the charts instead. Which is the best response by the preceptor?
A) "Maybe we should suggest primary nursing."
B) "Change-of-shift report ensures that the oncoming staff knows the most critical information about the client requiring care."
C) "It has always been done this way."
D) "You are right. It is a waste of time."
Answer: B
Nurses often do not have time to read the clients' charts prior to assuming care, which could result in errors and assumptions; by participating in change-of-shift reports, nurses make sure the oncoming staff knows critical information. The preceptor would not tell the new nurse that a change-of-shift report is a waste of time because valuable information regarding changes in the client is communicated during a change-of-shift report. Stating that it has always been done a certain way does not help the graduate understand why a change-of-shift report is necessary. Primary nursing promotes continuity of care, but even the primary nurse needs to be apprised of changes in the client during the nurse's absence.
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