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Malfait S, Eeckloo K, Van Biesen W, Van Hecke A. Barriers and Facilitators for the Use of NURSING Bedside Handovers: Implications for Evidence‐Based Practice. Worldviews Evid Based Nurs 2019; 16:289-298. [DOI: 10.1111/wvn.12386] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Simon Malfait
- Ghent University Hospital Ghent Belgium
- Department of Public Health, University Center for Nursing and Midwifery, Faculty of Medicine and Health Sciences Ghent University Ghent Belgium
| | - Kristof Eeckloo
- Ghent University Hospital Ghent Belgium
- Department of Public Health, Faculty of Medicine and Health Sciences Ghent University Ghent Belgium
| | - Wim Van Biesen
- Ghent University Hospital Ghent Belgium
- Department of Internal Medicine, Faculty of Medicine and Health Sciences Ghent University Ghent Belgium
| | - Ann Van Hecke
- Ghent University Hospital Ghent Belgium
- Department of Public Health, University Center for Nursing and Midwifery, Faculty of Medicine and Health Sciences Ghent University Ghent Belgium
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52
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Chegini Z, Janati A, Bababie J, Pouraghaei M. The role of patients in the delivery of safe care in hospital: Study protocol. J Adv Nurs 2019; 75:2015-2023. [PMID: 31087572 DOI: 10.1111/jan.14045] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Revised: 02/18/2019] [Accepted: 03/13/2019] [Indexed: 12/17/2022]
Abstract
AIM This paper outlines the protocol for a study aimed at exploring perspectives about the role of patients' in the delivery of safe care in hospital. DESIGN Qualitative exploratory study. METHODS Research Ethics Committee approval for this study was obtained in October 2018. The study will be conducted between February-April 2019 with data collected through focus group discussions and semi-structured interviews and will involve patients and healthcare professionals from hospitals in Tabriz. A descriptive qualitative approach will be adopted, and the data will be managed and analysed using MAXQDA 10 software. DISCUSSION The role of patients in furthering their own safety whilst in hospital cannot be underestimated and the results from this study can be used to support the development of practical strategies that address the delivery of safe hospital care and which involve patients and their caregivers.
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Affiliation(s)
- Zahra Chegini
- Department of Health Services Management, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.,Students' Research Committee, School of Management and Medical Informatics, Tabriz University of Medical Science, Tabriz, Iran
| | - Ali Janati
- Department of Health Services Management, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.,Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Javad Bababie
- Department of Health Services Management, Faculty of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahboub Pouraghaei
- Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
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Sharp L, Dahlén C, Bergenmar M. Observations of nursing staff compliance to a checklist for person-centred handovers - a quality improvement project. Scand J Caring Sci 2019; 33:892-901. [PMID: 30963604 PMCID: PMC7432179 DOI: 10.1111/scs.12686] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 03/03/2019] [Indexed: 11/30/2022]
Abstract
Nursing shift‐to‐shift handovers are important as they impact the care quality indicators such as safety, patient satisfaction and continuity. However, nurses’ handovers have also been criticised and described as unstructured and ineffective. To improve the handovers and involve patients and their loved ones in the process, a person‐centred handover (PCH) model performed at bedside has been developed and tested at Karolinska University Hospital, Sweden. This study reports on the nursing staffs’ compliance to a checklist used for the newly introduced PCH model. A total of 43 PCH sessions were observed at two acute care wards, using a structured observation protocol. None of the observed handover sessions included all the 13 PCH checklist subcomponents. The checklist was used in 18 (44%) of the observed handover sessions. A statistically significant higher number of subcomponents were observed when the nurses used the PCH checklist (6.4 vs. 4.5 subcomponents, p < 0.05). The mean time spent on each PCH was 6 minutes. In 56% of the sessions, the patients were observed to actively participate in the handover. Overall, the nursing staffs’ compliance to the PCH checklist needs to be improved. The observations suggest that training on communication‐oriented tasks would be beneficial to establish a person‐centred handover process.
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Affiliation(s)
- Lena Sharp
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.,Regional Cancer Centre, Stockholm-Gotland, Sweden
| | - Carina Dahlén
- Department of Oncology, Karolinska University Hospital, Stockholm, Sweden
| | - Mia Bergenmar
- Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.,Center for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden
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54
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Bressan V, Cadorin L, Stevanin S, Palese A. Patients experiences of bedside handover: findings from a meta-synthesis. Scand J Caring Sci 2019; 33:556-568. [PMID: 30866081 DOI: 10.1111/scs.12673] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 02/03/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND Bedside shift reports have been recently recommended to ensure handovers. However, no evidence summarising studies designed to determine the qualitative approaches capable of better understanding patient experience have been published to date. AIM The aim of this study was to acquire a deeper understanding of the experiences of patients regarding bedside shift reports. DATA SOURCES AND REVIEW METHODS A systematic review of qualitative studies followed by a meta-synthesis method based upon Sandelowski's and Barroso's guidelines was performed. Four databases were systematically explored (PubMed, CINAHL, Scopus and PsycINFO) without any limitation in time and up to the 31 August 2018. A total of 10 studies were included and evaluated in their methodological quality; then, a thematic synthesis was developed to synthetize the findings. RESULTS Three major themes reflect patients' experience regarding the bedside shift reports: (i) 'Being involved'; (ii) 'Being the centre of nursing care processes'; and (iii) 'Experiencing critical issues'. Patients are supportive of bedside shift reports as a right, as an opportunity to be involved, and of being in the centre of the nursing care process. By designing and implementing bedside shift reports, nurses also have an opportunity to increase patient safety and to provide concrete proof of the advancements achieved by the nursing profession in recent years. CONCLUSIONS The bedside shift reports experience has been little studied to date from the perspective of patients. According to the findings, implementation of the bedside shift reports should include providing education to nurses with regard to the preferences and expectations of patients, as well as the critical issues that they can experience during the bedside shift reports. Presenting the bedside shift reports method, asking patient consent, discussing potential critical issues and the degree of involvement preferred at hospital admission, is strongly recommended.
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Affiliation(s)
- Valentina Bressan
- School of Nursing, Department of Medical Sciences, University of Udine, Udine, Italy
| | - Lucia Cadorin
- Continuing Education Centre, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano - Pordenone, Italy
| | | | - Alvisa Palese
- School of Nursing, Department of Medical Sciences, University of Udine, Udine, Italy
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55
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Improving the Patient Experience and Decreasing Patient Anxiety With Nursing Bedside Report. CLIN NURSE SPEC 2019; 33:82-89. [DOI: 10.1097/nur.0000000000000428] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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56
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Malfait S, Eeckloo K, Van Biesen W, Van Hecke A. The effectiveness of bedside handovers: A multilevel, longitudinal study of effects on nurses and patients. J Adv Nurs 2019; 75:1690-1701. [DOI: 10.1111/jan.13954] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 11/06/2018] [Accepted: 11/21/2018] [Indexed: 12/26/2022]
Affiliation(s)
- Simon Malfait
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health; University Center for Nursing and Midwifery; Ghent University; Ghent Belgium
| | - Kristof Eeckloo
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health; Ghent University; Ghent Belgium
| | - Wim Van Biesen
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Internal Medicine; Ghent University Hospital; Ghent Belgium
| | - Ann Van Hecke
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health; University Center for Nursing and Midwifery; Ghent University; Ghent Belgium
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Bressan V, Cadorin L, Pellegrinet D, Bulfone G, Stevanin S, Palese A. Bedside shift handover implementation quantitative evidence: Findings from a scoping review. J Nurs Manag 2019; 27:815-832. [DOI: 10.1111/jonm.12746] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2018] [Accepted: 01/03/2019] [Indexed: 11/25/2022]
Affiliation(s)
| | - Lucia Cadorin
- Continuing Education Centre, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS Aviano Italy
| | | | | | | | - Alvisa Palese
- Department of Medical SciencesUniversity of Udine Udine Italy
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58
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Piper D, Lea J, Woods C, Parker V. The impact of patient safety culture on handover in rural health facilities. BMC Health Serv Res 2018; 18:889. [PMID: 30477488 PMCID: PMC6257960 DOI: 10.1186/s12913-018-3708-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Accepted: 11/12/2018] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Effective handover is crucial for patient safety. Rural health care organisations have particular challenges in relation to handover of information, placing them at higher risk of adverse events. Few studies have examined the relationship between handover and patient safety in rural contexts, particularly in Australia. This study aimed to explore the effect of handover on overall perceptions of patient safety and the effect of other patient safety dimensions on handover in a rural Australian setting. METHODS A cross-sectional online survey using The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture was implemented across six rural Local Health Districts in NSW, Australia and resulted in 1587 respondents. Hierarchical multiple linear regression analysis was conducted to account for the nested nature of the data. Models were developed to assess the effect of handover on patient safety perceptions, and the effect of other patient safety culture composites on handover variables. Open-ended questions about patient safety were inductively analyzed for themes. Quotes from the handover theme are presented. RESULTS All models were significant overall (p < .001), with explanatory powers ranging from 29 to 48%. Within rural health settings, effective handover is significantly related to patient safety perceptions (R2 = .29). A strong teamwork culture and management support culture was found to enhance effective handover of patient information (R2 = .47), and effective handover of personal responsibility (R2 = .37). A strong teamwork, management support, and open communication culture enhances handover of department accountability (R2 = .41). Despite the implementation of standardised communication tools and frameworks for handover, patient safety is compromised by inadequate coordination, poor or absent documentation between departments, between other health care agencies and in transfer of care from acute facilities to primary/community care. CONCLUSION Approaches to handover need to consider the particular challenges associated with rurality and strengthening elements found to be associated with increased safety, such as a strong teamwork and management culture and good reporting practices. Research is required to examine how communication at transition of care, particularly between facilities, is conducted and ways in which to enhance patients' and families' participation.
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Affiliation(s)
- Donella Piper
- UNE Business School University of New England, Armidale, NSW 2351 Australia
| | - Jackie Lea
- School of Health, University of New England, Armidale, NSW 2351 Australia
| | - Cindy Woods
- School of Health, University of New England, Armidale, NSW 2351 Australia
| | - Vicki Parker
- School of Health, University of New England, Armidale, NSW 2351 Australia
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Boman LE, Sandelin K, Wengström Y, Silén C. Patients' participation during treatment and care of breast cancer - a possibility and an imperative. Eur J Oncol Nurs 2018; 37:35-42. [PMID: 30473049 DOI: 10.1016/j.ejon.2018.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Revised: 07/11/2018] [Accepted: 09/17/2018] [Indexed: 11/25/2022]
Abstract
PURPOSE To explore how patients experience participation during treatment and care for breast cancer related to their understanding. METHOD Semi-structured individual interviews with 16 women diagnosed with breast cancer. Interpretative qualitative content analysis was performed. RESULTS Three main themes describe patient participation. Theme 1 Respectful and personal encounters illustrates how the treatment from health care staff contributed to feelings of being "seen" as a human, a basis for participation. Theme 2 Part-owner in decision making describes the women's varied wishes of participating in treatment decisions. Theme 3 Striving to manage treatment, care and self-care concerns the need to manage self-care for well-being. CONCLUSIONS Patient participation is both a possibility and an imperative. Patients must be recognized as unique human beings with varying needs of participation. Shared learning and understanding in dialogue with health care staff is a prerequisite. A novel approach where patients and health care staff are both partners and participants is presented. PRACTICAL IMPLICATION The results call for an initiation of training programs supporting pedagogical competence in staff and patients' learning in breast cancer care. Access to health care in the outpatient and the hospital settings is needed long term after treatment to support patient participation.
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Affiliation(s)
- Lena Engqvist Boman
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden.
| | - Kerstin Sandelin
- Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Solna, P9:03, 171 76, Stockholm, Sweden.
| | - Yvonne Wengström
- Theme Cancer, Karolinska University Hospital, Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83, Huddinge, Sweden.
| | - Charlotte Silén
- Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden.
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Malfait S, Van Hecke A, Van Biesen W, Eeckloo K. Do Bedside Handovers Reduce Handover Duration? An Observational Study With Implications for Evidence‐Based Practice. Worldviews Evid Based Nurs 2018; 15:432-439. [DOI: 10.1111/wvn.12330] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Simon Malfait
- Ghent University Hospital Belgium
- Faculty of Medicine and Health SciencesDepartment of Public HealthUniversity Center for Nursing and MidwiferyGhent University Belgium
| | - Ann Van Hecke
- Faculty of Medicine and Health SciencesDepartment of Public HealthUniversity Center for Nursing and MidwiferyGhent University Belgium
- Staff member Nursing DepartmentGhent University Hospital Belgium
| | - Wim Van Biesen
- Faculty of Medicine and Health SciencesDepartment of Internal MedicineGhent University Belgium
- Head of the Renal DepartmentChair of European Renal Best PracticeGhent University Hospital Belgium
| | - Kristof Eeckloo
- Faculty of Medicine and Health SciencesDepartment of Public HealthGhent University Belgium
- Head of Strategic Policy CellGhent University Hospital Belgium
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Walsh J, Messmer PR, Hetzler K, O'Brien DJ, Winningham BA. Standardizing the Bedside Report to Promote Nurse Accountability and Work Effectiveness. J Contin Educ Nurs 2018; 49:460-466. [PMID: 30257029 DOI: 10.3928/00220124-20180918-06] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 05/22/2018] [Indexed: 11/20/2022]
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Slade D, Murray KA, Pun JKH, Eggins S. Nurses’ perceptions of mandatory bedside clinical handovers: An Australian hospital study. J Nurs Manag 2018; 27:161-171. [DOI: 10.1111/jonm.12661] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Revised: 04/18/2018] [Accepted: 05/16/2018] [Indexed: 01/08/2023]
Affiliation(s)
- Diana Slade
- School of Literature, Language and Linguistics, ANU College of Arts and Social Sciences; Australian National University; Canberra ACT Australia
| | - Kristen A. Murray
- Department of English; The Hong Kong Polytechnic University; Hong Kong SAR China
| | - Jack K. H. Pun
- Department of English; City University of Hong Kong; Hong Kong SAR China
| | - Suzanne Eggins
- School of Literature, Language and Linguistics, ANU College of Arts and Social Sciences; Australian National University; Canberra ACT Australia
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Malfait S, Van Hecke A, Van Biesen W, Eeckloo K. Is privacy a problem during bedside handovers? A practice-oriented discussion paper. Nurs Ethics 2018; 26:2288-2297. [PMID: 30134750 PMCID: PMC7323750 DOI: 10.1177/0969733018791348] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Bedside handover is the delivery of the nurse-to-nurse handover at the patient’s bedside.
Although increasingly used in nursing, nurses report many barriers for delivering the
bedside handover. Among these barriers is the possibility of breaching the patient’s
privacy. By referring to this concept, nurses add a legal and ethical dimension to the
delivery of the bedside handover, making implementation of the method difficult or even
impossible. In this discussion article, the concept of privacy during handovers is being
discussed by use of observations, interviews with nurses, and interviews with patients.
These findings are combined with international literature from a narrative review on the
topic. We provide a practice-oriented answer in which two mutually exclusive possibilities
are discussed. If bedside handover does pose problems concerning privacy, this situation
is not unique in healthcare and measures can be taken during the bedside handover to
safeguard the patient. If bedside handover does not pose problems concerning privacy,
privacy is misused by nurses to hide professional uncertainties and/or a reluctance toward
patient participation. Therefore, a possible breach of privacy—whether a justified
argument or not—is not a reason for not delivering the bedside handover.
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Affiliation(s)
- Simon Malfait
- Ghent University Hospital, Belgium; Ghent University, Belgium
| | - Ann Van Hecke
- Ghent University Hospital, Belgium; Ghent University, Belgium
| | - Wim Van Biesen
- Ghent University Hospital, Belgium; Ghent University, Belgium
| | - Kristof Eeckloo
- Ghent University Hospital, Belgium; Ghent University, Belgium
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Abstract
Background: Empirical evidence supports the contention that implementing caring nurse behaviors results in improved patient experience; however, previous studies find differences between patient and nurse perceptions of caring. Significance: Good patient experience is positively related to desired clinical and financial outcomes. Nurse caring is a critical component in the patient experience. Objective: The purposes of this project were to evaluate the congruency between nurse and patient perceptions of nurse caring in a long-term acute care hospital and to determine how much patient perception of nurse caring changes over time. Method: The study employed mixed methods using a triangulation strategy in which quantitative data from patients and qualitative data from nurses were collected simultaneously and compared for interpretation. Results: Time affected patient perception of caring significantly. Patients and nurses disagreed about the extent to which nurses ask patients what they know about their illnesses, help them deal with bad feelings, and make them feel comfortable. Conclusion: Patients and nurses do not always agree about the quality of caring behaviors, but exposure to nurses over time positively affects patient perception of nurse caring.
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Affiliation(s)
- Diane Thomas
- Texas Health Specialty Hospital, Fort Worth, TX, USA
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