1
|
Chien LJ, Slade D, Goncharov L, Taylor J, Dahm MR, Brady B, McMahon J, Raine SE, Thornton A. Implementing a ward-level intervention to improve nursing handover communication with a focus on bedside handover-A qualitative study. J Clin Nurs 2024; 33:2688-2706. [PMID: 38528438 DOI: 10.1111/jocn.17107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 12/08/2023] [Accepted: 01/19/2024] [Indexed: 03/27/2024]
Abstract
AIM To improve the effectiveness of nursing clinical handover through a qualitative, tailored communication intervention. DESIGN A multisite before and after intervention using qualitative ethnography combined with discourse analysis of nursing handover interactions. METHODS We implemented a tailored ward-based intervention to redesign nursing handover practice with co-constructed recommendations for organisational and cultural change on seven wards across three affiliated metropolitan hospitals between February 2020 and November 2022. The intervention was informed by pre-implementation interviews and focus groups with nursing, medical and allied health staff and patients (n = 151) and observed and/or audio-recorded handover events (n = 233). Post-intervention we conducted interviews and focus groups (n = 79) and observed and/or audio-recorded handover events (n = 129) to qualitatively evaluate impact. RESULTS Our translational approach resulted in substantial changes post-intervention. Nurses conducted more shift-to-shift handovers at the bedside, with greater patient interaction and better structured and more comprehensive information transfer, supported by revised handover documentation. Redesigned group handovers were focused and efficient, communicating critical patient information. CONCLUSION Contextualised training combined with changes to ward-level systemic factors impeding communication results in improved nursing handovers. Practice change requires strong executive leadership and project governance, combined with effective ward-level leadership, collaboration and mentoring. The speed and degree of change post-intervention demonstrates the power of interdisciplinary collaborative research between hospital executive, ward leadership and communication specialists. RELEVANCE TO CLINICAL PRACTICE Nurses are more likely to conduct efficient group handovers and informative, patient-centred bedside handovers in line with policy when they understand the value of handover and have practical strategies to support communication. Communication training should be combined with broader ward-level changes to handover practice tailored to the ward context. A multilevel approach results in more effective practice change. REPORTING METHOD We adhered to the COREQ guidelines. PATIENT OR PUBLIC CONTRIBUTION We interviewed patients on study wards pre and post intervention.
Collapse
Affiliation(s)
- Laura J Chien
- Institute for Communication in Health Care, College of Arts and Social Sciences, Australian National University, Canberra, Australia
| | - Diana Slade
- Institute for Communication in Health Care, College of Arts and Social Sciences, Australian National University, Canberra, Australia
| | - Liza Goncharov
- Institute for Communication in Health Care, College of Arts and Social Sciences, Australian National University, Canberra, Australia
| | - Joanne Taylor
- St Vincent's Health Network Sydney, Sydney, Australia
- Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne and Australian Catholic University, Sydney, Australia
| | - Maria R Dahm
- Institute for Communication in Health Care, College of Arts and Social Sciences, Australian National University, Canberra, Australia
| | - Bernadette Brady
- Institute for Communication in Health Care, College of Arts and Social Sciences, Australian National University, Canberra, Australia
| | - Jake McMahon
- Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne and Australian Catholic University, Sydney, Australia
- St Vincent's Hospital Melbourne, Melbourne, Australia
- Australian Catholic University, Australia
| | - Suzanne Eggins Raine
- Institute for Communication in Health Care, College of Arts and Social Sciences, Australian National University, Canberra, Australia
| | - Anna Thornton
- St Vincent's Health Network Sydney, Sydney, Australia
- Australian Catholic University, Australia
| |
Collapse
|
2
|
Gauthier-Wetzel HE. Bedside Nurse Documentation Practices: At the Patient Bedside or Not? Comput Inform Nurs 2024:00024665-990000000-00201. [PMID: 38913982 DOI: 10.1097/cin.0000000000001165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/26/2024]
Abstract
High-quality care requires precise and timely provider documentation. Hospitals have used technology to document patient care within both the inpatient and outpatient areas and long-term care facilities. Research has demonstrated, by revealing a reduction in medical errors, that there has been a worldwide improvement in our community health and welfare since the implementation and utilization of documenting patient care electronically. Although electronic documentation has proven to be an improvement in patient record keeping, the most efficient location in which this documentation is to occur remains a question. At the location where this project took place, only the ICU had computers within the patient rooms for documentation purposes. This project evaluated bedside nurses' opinions related to the efficiency of documentation practices compounded by the location where documentation took place. The options were at the patient's bedside, on a workstation on wheels, or at the nursing station. Surveys were provided to bedside nursing staff both before and after computers were installed in patients' rooms in surgical and medical/surgical nursing units at a Veteran Affairs Medical Center located in the Northeastern region of the United States. The results of this project inconclusively answer the question posed: "Which mode of entry do nurses feel is more efficient to document patient care, on a computer in the patient room, at the nurses' station, or on a workstation on wheels?" Innovative strategies should be explored to develop a user-friendly design for computers located within the patient rooms for patient documentation.
Collapse
Affiliation(s)
- Holly E Gauthier-Wetzel
- Author Affiliation: Research & Development, Center of Innovation (COIN), Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson VA Medical Center, Medical University of South Carolina
| |
Collapse
|
3
|
Guevara-Lozano M, Pérez-Giraldo B, Arroyo-Marlés LP, Nonsoque-Cholo MA, Sánchez-Herrera B. The Nursing Inter Shift Handover: A Moment of Care for Patients and Their Family Caregivers. HISPANIC HEALTH CARE INTERNATIONAL 2024:15404153241246804. [PMID: 38711274 DOI: 10.1177/15404153241246804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Abstract
Precedents: The transfer between nursing shifts must guarantee the quality of care for patients and their families in the hospital. This study aimed to transform the handover between nursing shifts to strengthen the care capacity of patients and their family caregivers, and improve the care capacity of nursing staff, in a Latin American university hospital. Methods: This is a Nursing Methodology Research developed in the following phases: (a) identification of the best handover practices between nursing shifts to apply them within the institutional culture; (2) diagnosis of the transfer between shifts in the hospital; (3) design and validation of the transformation proposal; (4) measurement of transfer indicators; and (5) definition of a path to improve this transfer. Results: The proposal developed focuses on the patient and their family caregiver. The proposed protocol considered the perspective of the care recipients, the nursing staff, and the best available evidence. The overall transfer rating over 10 months went from 65% to 84%. Conclusions: The adjustment to the transfer process made it possible to strengthen the care capacity of patients and their family caregivers and improve the care capacity of the nursing staff.
Collapse
Affiliation(s)
- Maryory Guevara-Lozano
- School of Nursing and Rehabilitation, Universidad de La Sabana, Chía Cundinamarca, Colombia
| | - Beatriz Pérez-Giraldo
- School of Nursing and Rehabilitation, Universidad de La Sabana, Chía Cundinamarca, Colombia
| | | | | | | |
Collapse
|
4
|
Määttä S, Björkman I. We are not even allowed to call them patients anymore: Conceptions about person-centred care. Health Expect 2023; 27:e13887. [PMID: 37854003 PMCID: PMC10726140 DOI: 10.1111/hex.13887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 09/04/2023] [Accepted: 09/28/2023] [Indexed: 10/20/2023] Open
Abstract
Although the implementation of person-centred care (PCC) has gained momentum in healthcare systems, it is not always obvious why it is an important objective in clinical settings and educational institutions that train future healthcare professionals. Various conceptions about PCC have flourished, such as that it only works in certain healthcare contexts, it is the same as the patient making all their own healthcare decisions, it is too demanding for most patients, the word 'patient' may no longer be used, the care provided is already person-centred, and that there is simply not enough time and resources to achieve it. This viewpoint paper aims to problematize these conceptions and may be used for didactical and reflective exercises that support the transition towards more person-centred healthcare. PATIENT OR PUBLIC CONTRIBUTION: The Person Council for patients and carers at the University of Gothenburg provided focus group input on and validated the occurrence of the conceptions discussed in the present paper. The person council consists of a group of persons with many years of personal experiences of health care, either as patients and/or relatives/carers. One member of the person council who is also a designer and artist created the illustration for the article.
Collapse
Affiliation(s)
- Sylvia Määttä
- Institute of Health and Care Sciences, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| | - Ida Björkman
- Institute of Health and Care Sciences, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- University of Gothenburg Centre for Person‐Centred Care (GPCC), Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| |
Collapse
|
5
|
Abou Hashish EA, Asiri AA, Alnajjar YK. Shift handover quality in Saudi critical care units: determinants from nurses' perspectives. BMC Nurs 2023; 22:186. [PMID: 37259086 DOI: 10.1186/s12912-023-01348-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 05/22/2023] [Indexed: 06/02/2023] Open
Abstract
BACKGROUND Nurses' effective handover communication is vital for patient safety and quality of care. Few studies have empirically tested how certain factors influence the quality of handover in the Saudi context. METHODS A descriptive correlational design was used with a convenience sample of all nurses (N = 201) working in Saudi hospital CCUs in 2022. Demographics and handover quality instruments were used to collect the necessary data in addition to two open-ended questions that asked about perceived barriers and facilitators to handover. The analysis was conducted using descriptive statistics and regression analysis. RESULTS The majority of nurses reported good-quality handover. The regression analysis showed that staffing, cognitive capacity, the focus of attention, relationships, and safety climate factors contributed positively to the variance of handover quality. In contrast, intrusions, distractions, anxiety, time stress, and acute and chronic fatigue factors negatively affected the prediction of handover quality (p < 0.05). Nurses added types of shifts and languages as barriers to handover while emphasizing training and the use of standardized tools for handover as facilitators. CONCLUSION AND RECOMMENDATIONS Nursing handover is a multidimensional phenomenon. By understanding the determinants that contribute to or hinder handover quality, it is possible to develop targeted interventions aimed at improving communication and the quality of shift handover in CCUs. The current study's findings highlight the need for nurses to work in a more supportive environment, receive better training, and follow a standardized handover protocol. Additionally, nurse managers should pay more attention to nurses' well-being to control or mitigate the effect of psychological precursors on the quality of nurses' handover. Future research should investigate handover practices and outcomes on units that have both good and bad practice environments.
Collapse
Affiliation(s)
- Ebtsam Aly Abou Hashish
- College of Nursing, King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia.
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.
- Faculty of Nursing, Alexandria University, Alexandria, Egypt.
| | - Atheer Ahmed Asiri
- College of Nursing, King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| | - Yara Khaled Alnajjar
- College of Nursing, King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| |
Collapse
|
6
|
Morán-Pozo C, Luna-Castaño P. Shift change handovers between nurses in Critical Care Units. ENFERMERIA INTENSIVA 2023:S2529-9840(23)00012-5. [PMID: 36934076 DOI: 10.1016/j.enfie.2022.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 02/17/2022] [Indexed: 03/18/2023]
Abstract
AIM To know the characteristics of the handover performed by nurses working in Critical Care Units in Spain. METHODS Descriptive and cross-sectional study, whose population was nurses working in Critical Care Units in Spain. An ad hoc questionnaire was used to explore the characteristics of the process, the training received, the information forgotten and the influence of this activity on patient care. The questionnaire was online and dissemination was done through social networks. The sample was selected by convenience. A descriptive analysis was performed according to the nature of the variables and comparison of groups through ANOVA with R software version 4.0.3 (R Project for Statistical Computing). RESULTS The sample was 420 nurses. Most of them answered that (79,5%) perform this activity in an individual way, from outgoing nurse to incoming nurse. Location varied according to the size of the unit (p<0,05). Interdisciplinary handover was rare (p<0.05). In the last month, with regard to the time of data collection, 29,5% had to contact the unit due to forgetting relevant information, using WhatsApp as the first channel to transmit this information. CONCLUSIONS There is a lack of standardization in the handoff between shifts, in terms of the physical space where it is done, tools to structure the information, participation of other professionals and the use of unofficial communication channels to contact for omitted information during the handover. Shift change was identified as a vital process to ensure continuity of care and patient safety, so further researchs are important for patients handoffs.
Collapse
Affiliation(s)
- C Morán-Pozo
- Responsable de Investigación de Enfermería, Hospital Central Cruz Roja, Madrid, Spain.
| | - P Luna-Castaño
- Supervisora de Investigación en Cuidados, Hospital Universitario La Paz, Madrid, Spain
| |
Collapse
|
7
|
Morán-Pozo C, Luna-Castaño P. El traspaso de información en los cambios de turno de enfermeras en Unidades de Cuidados Críticos. ENFERMERÍA INTENSIVA 2022. [DOI: 10.1016/j.enfi.2022.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
|
8
|
Chien LJ, Slade D, Dahm MR, Brady B, Roberts E, Goncharov L, Taylor J, Eggins S, Thornton A. Improving patient-centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. J Adv Nurs 2022; 78:1413-1430. [PMID: 35038346 PMCID: PMC9304151 DOI: 10.1111/jan.15110] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 09/18/2021] [Accepted: 11/05/2021] [Indexed: 12/05/2022]
Abstract
Aims To increase the quality and safety of patient care, many hospitals have mandated that nursing clinical handover occur at the patient's bedside. This study aims to improve the patient‐centredness of nursing handover by addressing the communication challenges of bedside handover and the organizational and cultural practices that shape handover. Design Qualitative linguistic ethnographic design combining discourse analysis of actual handover interactions and interviews and focus groups before and after a tailored intervention. Methods Pre‐intervention we conducted interviews with nursing, medical and allied health staff (n = 14) and focus groups with nurses and students (n = 13) in one hospital's Rehabilitation ward. We recorded handovers (n = 16) and multidisciplinary team huddles (n = 3). An intervention of communication training and recommendations for organizational and cultural change was delivered to staff and championed by ward management. After the intervention we interviewed nurses and recorded and analyzed handovers. Data were collected from February to August 2020. Ward management collected hospital‐acquired complication data. Results Notable changes post‐intervention included a shift to involve patients in bedside handovers, improved ward‐level communication and culture, and an associated decrease in reported hospital‐acquired complications. Conclusions Effective change in handover practices is achieved through communication training combined with redesign of local practices inhibiting patient‐centred handovers. Strong leadership to champion change, ongoing mentoring and reinforcement of new practices, and collaboration with nurses throughout the change process were critical to success. Impact Ineffective communication during handover jeopardizes patient safety and limits patient involvement. Our targeted, locally designed communication intervention significantly improved handover practices and patient involvement through the use of informational and interactional protocols, and redesigned handover tools and meetings. Our approach promoted a ward culture that prioritizes patient‐centred care and patient safety. This innovative intervention resulted in an associated decrease in hospital‐acquired complications. The intervention has been rolled out to a further five wards across two hospitals.
Collapse
Affiliation(s)
- Laura J Chien
- Institute for Communication in Health Care, College of Arts and Social Sciences, The Australian National University, Canberra, Australian Capital Territory, Australia
| | - Diana Slade
- Institute for Communication in Health Care, College of Arts and Social Sciences, The Australian National University, Canberra, Australian Capital Territory, Australia
| | - Maria R Dahm
- Institute for Communication in Health Care, College of Arts and Social Sciences, The Australian National University, Canberra, Australian Capital Territory, Australia
| | - Bernadette Brady
- Institute for Communication in Health Care, College of Arts and Social Sciences, The Australian National University, Canberra, Australian Capital Territory, Australia
| | | | - Liza Goncharov
- Institute for Communication in Health Care, College of Arts and Social Sciences, The Australian National University, Canberra, Australian Capital Territory, Australia
| | - Joanne Taylor
- St Vincent's Health Network Sydney, Sydney, New South Wales, Australia.,Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne and Australian Catholic University, Sydney, New South Wales, Australia
| | - Suzanne Eggins
- Institute for Communication in Health Care, College of Arts and Social Sciences, The Australian National University, Canberra, Australian Capital Territory, Australia
| | - Anna Thornton
- St Vincent's Health Network Sydney, Sydney, New South Wales, Australia.,Australian Catholic University, Sydney, New South Wales, Australia
| |
Collapse
|
9
|
Clari M, Conti A, Chiarini D, Martin B, Dimonte V, Campagna S. Barriers to and Facilitators of Bedside Nursing Handover: A Systematic Review and Meta-synthesis. J Nurs Care Qual 2021; 36:E51-E58. [PMID: 33852530 DOI: 10.1097/ncq.0000000000000564] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Bedside nursing handover (BNH) has been recognized as a contributor to patient-centered care. However, concerns about its effectiveness suggest that contextual factors should be considered before and after BNH implementation. PURPOSE This review aimed to identify, evaluate, and synthetize the qualitative literature on the barriers to and facilitators of BNH as experienced by nurses and patients. METHODS The Joanna Briggs Institute meta-aggregation method was applied. A systematic search was performed to identify qualitative studies published from inception to June 30, 2020. Two independent researchers assessed methodological quality and extracted data. RESULTS Twenty-four articles were included, comprising 161 findings, and 5 synthesized findings emerged with a moderate level of confidence. CONCLUSIONS BNH ensures patient safety and increases satisfaction and recognition among patients and nurses. This evidence on the barriers to and facilitators of BNH could help health care providers who have implemented or plan to implement this practice.
Collapse
Affiliation(s)
- Marco Clari
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy (Drs Clari, Conti, and Campagna and Ms Martin and Mr Dimonte); and Department of Surgery, Città della Salute e della Scienza University Hospital, Torino, Italy (Ms Chiarini)
| | | | | | | | | | | |
Collapse
|
10
|
Do Falls and Other Safety Issues Occur More Often During Handovers When Nurses Are Away From Patients? Findings From a Retrospective Study Design. J Nurs Care Qual 2021; 36:202-209. [PMID: 33079821 DOI: 10.1097/ncq.0000000000000526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND No studies have assessed the differences in the incidences of falls and other patient safety events (PSEs) during handovers performed away from patients compared with when nurses are on the unit. PURPOSE The primary aim was to explore the incidence of falls and their severity during handovers compared with during nonhandover times; the secondary aim was to explore the occurrence of other PSEs during handover versus nonhandover times. METHODS This was a retrospective study of all PSEs that occurred from 2013 to 2017 in a large Italian academic trust. RESULTS There were 1966 falls and 1523 other PSEs. The incidence of falls per 100 hours was 4.9 during handovers and 4.4 during nonhandover times. The incidences of other PSEs were 2.9 and 3.5, respectively. No significant differences in fall outcome severity emerged. CONCLUSIONS No differences emerged in the occurrence of falls during handovers performed away from patients and when nurses were on the unit. Other PSEs decreased in occurrence during handovers as compared with other times during the shifts.
Collapse
|
11
|
Abstract
BACKGROUND Two evidence-based practice projects and an innovative model provided best evidence and a framework for the implementation and sustainment of a bedside shift report (BSR) quality improvement project. PROBLEM Without a standardized BSR process, there was a lack of Veteran involvement in care planning decisions and nurse dissatisfaction related to missed communication of pertinent patient information. APPROACH Facilitators and barriers were identified and addressed during planning. Key elements of BSR were incorporated. After approval by shared governance, unit-based champions and leaders supported the change. Implementation began every 2 weeks on a different unit. OUTCOMES Implementation was completed in 4 months for 11 units. After 15 months, there was consistent BSR on 82% of the units and improved patient satisfaction with nurses taking time to listen. CONCLUSIONS Best evidence, unit-based champions, leadership support, project coordinators, and persistence are critical to implementing and sustaining practice change.
Collapse
|
12
|
Mullen A, Isobel S, Flanagan K, Harman K. Involving Mental Health Consumers in Nursing Handover: A Qualitative Study of Consumer Perspectives. Issues Ment Health Nurs 2021; 42:730-735. [PMID: 33315485 DOI: 10.1080/01612840.2020.1853288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
A number of benefits have been identified for including consumers in nursing handover, such as improved safety and information exchange. In mental health settings these benefits may translate to improved nurse-consumer engagement and working towards the provision of recovery orientated practice. The process of including the consumer, whilst considered best practice, is not well established in mental health settings. Therefore further understanding, in regards to the consumer perspectives about this practice, is needed to inform its adoption and implementation.This qualitative descriptive study explores consumers' perspectives of their possible involvement in the nursing handover process within a mental health inpatient setting. The study took place in two mental health inpatient units in regional New South Wales, Australia. Thirteen semi-structured individual interviews were conducted with consumers, and a conventional content analysis method was used to analyse the data. Findings are presented under two categories: understanding the purpose and process of nursing handover and considering consumer involvement in handover.Findings provide insight into the views of consumers about being involved in nursing handover and further strengthen the rationale for establishing the process as part of routine practice within acute inpatient mental health units. The study also highlights the need to ensure that all processes within these settings accommodate consumer perspectives and involvement.
Collapse
Affiliation(s)
- Antony Mullen
- Hunter New England Mental Health, University of Newcastle, Waratah, Australia
| | | | - Karen Flanagan
- Gold Coast Hospital and Health Service, Southport, Australia
| | | |
Collapse
|
13
|
Mullen A, Harman K, Flanagan K, O'Brien B, Isobel S. Involving mental health consumers in nursing handover: A qualitative study of nursing views of the practice and its implementation. Int J Ment Health Nurs 2020; 29:1157-1167. [PMID: 32677320 DOI: 10.1111/inm.12756] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 04/28/2020] [Accepted: 05/28/2020] [Indexed: 01/05/2023]
Abstract
Nursing handover occurs between shifts and is an important means of communication and information exchange around consumer care. The involvement of consumers in nursing handover, known as 'bedside handover', is well established within general health settings and promotes a patient-centred approach to care. Bedside handover represents an opportunity for mental health settings to consolidate recovery-oriented principles, albeit with some unique challenges in the way that involving consumers in nursing handover is implemented. This qualitative descriptive study explores the views of nursing staff and nursing managers about involving consumers in nursing handover and the process of implementation across five mental health inpatient units in Australia. The study took place in a local health district covering regional and rural areas of New South Wales that had issued a directive to implement bedside handover. The consolidated criteria for reporting qualitative research (COREQ) checklist was applied to this study. Six focus groups were held with nursing staff (n = 22), and eleven individual interviews were undertaken with nursing managers to explore their perceptions of bedside handover and its implications for nursing practice. The data were analysed using thematic analysis. Data from focus groups and interviews were analysed separately and then combined to generate three themes: (i) the mental health context is different; (ii) protecting consumer privacy and confidentiality; and (iii) it might make things worse. The findings provide insights into both the challenges, and the process of involving consumers in nursing handover within mental health settings and provides guidance for future implementation.
Collapse
Affiliation(s)
- Antony Mullen
- Hunter New England Mental Health, University of Newcastle, Newcastle, New South Wales, Australia
| | - Katryna Harman
- Hunter New England Mental Health, University of Newcastle, Newcastle, New South Wales, Australia
| | - Karen Flanagan
- Gold Coast Hospital and Health Service, SouthPort, Queensland, Australia
| | - Beth O'Brien
- Hunter New England Mental Health, University of Newcastle, Newcastle, New South Wales, Australia
| | - Sophie Isobel
- Faculty of Medicine and Health, School of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia
| |
Collapse
|
14
|
Forde MF, Coffey A, Hegarty J. Bedside handover at the change of nursing shift: A mixed‐methods study. J Clin Nurs 2020; 29:3731-3742. [DOI: 10.1111/jocn.15403] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Revised: 06/21/2020] [Accepted: 06/27/2020] [Indexed: 12/26/2022]
Affiliation(s)
| | - Alice Coffey
- Catherine McAuley School of Nursing and Midwifery University College Cork Cork Ireland
- Department of Nursing & Midwifery Health Science Building Northbank Campus University of Limerick Limerick Ireland
| | - Josephine Hegarty
- Catherine McAuley School of Nursing and Midwifery University College Cork Cork Ireland
| |
Collapse
|
15
|
Exploring Practices of Bedside Shift Report and Hourly Rounding. Is There an Impact on Patient Falls? ACTA ACUST UNITED AC 2020; 50:355-362. [DOI: 10.1097/nna.0000000000000897] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
16
|
Bressan V, Mio M, Palese A. Nursing handovers and patient safety: Findings from an umbrella review. J Adv Nurs 2019; 76:927-938. [DOI: 10.1111/jan.14288] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Revised: 11/16/2019] [Accepted: 12/03/2019] [Indexed: 01/18/2023]
Affiliation(s)
| | - Moreno Mio
- School of Nursing Department of Medical Sciences University of Udine Udine Italy
| | - Alvisa Palese
- Department of Medical Sciences University of Udine Udine Italy
| |
Collapse
|