1
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Do J, Shin S. Development of nursing handoff competency scale: a methodological study. BMC Nurs 2024; 23:272. [PMID: 38658943 PMCID: PMC11044331 DOI: 10.1186/s12912-024-01925-w] [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: 05/16/2023] [Accepted: 04/09/2024] [Indexed: 04/26/2024] Open
Abstract
BACKGROUND Nursing handoff competency is the ability of the nurse performing the handoff to select and interpret the necessary information for patient care and to convey it efficiently to the nurse accepting the handoff. Nursing handoff is an important nursing task that ensures nursing care continuity, quality and patient safety. This study aimed to develop a scale to measure nursing handoff competency and verify its validity and reliability. METHODS This study adopted a methodological design. A research process included three phases: (1) scale development (literature review and interviews); (2) scale validation (validity and reliability); (3) standard setting. Data were collected from 496 clinical nurses currently working in hospital wards, intensive care units, and emergency rooms, and who independently perform a handoff in South Korea. RESULTS The final scale comprises a self-reported 4-points Ilert scale with 25 items based on four factors: knowledge on handoff methods, identification of patient information, judgment and transfer of nursing situation, and "formation of supportive relationships. Construct validity, criterion-related validity, and discrimination validities were verified and the fitness of the scale revealed good results in confirmatory factor analysis. The Cronbach's α of the whole tool was.912 and the cut-off score for satisfied/unsatisfied was.72. CONCLUSIONS The developed scale can evaluate the nurse's handoff competencies and determine whether training is necessary. The measurement results of the scale can be used to select training subjects and compose the contents of the education program.
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Affiliation(s)
- Jiyoung Do
- College of Nursing, Catholic University of Pusan, 74 Oryundae-ro, Geumjeong-gu, 46265, Busan, Korea
| | - Sujin Shin
- College of Nursing, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, 03760, Seoul, Korea.
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Mahran GSK, Mekkawy MM, Ibrahim BA, Saber EA, Ali M, Abbas MS, Mohamed SAA, Ahmed RD. Designing and Validating an Evidence-Based, Shift-to-Shift Handover Bundle for Nurses and Physicians. Crit Care Nurs Q 2024; 47:41-50. [PMID: 38031307 DOI: 10.1097/cnq.0000000000000490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
Abstract
This article reports a study aimed at developing and validating an evidence-based, shift-to-shift handover bundle for nurses and physicians to be used at shift changes in intensive care and emergency units. Deficient or absent clinical handovers, or failures to transfer information, responsibility, and accountability can have unwanted consequences for hospitalized patients, particularly those at critical areas. Clinical handovers are practiced every day, in many ways, in all institutional health care settings. Despite increasing demand for structured processes to guide clinical handovers, standardized handover bundles for nurses and physicians are limited in the emergency and intensive care unit. As a result of this study, a shift-to-shift handover bundle was created, which was an evidence-based research design. This bundle is expected to be helpful for proper patient transfers between these critical areas, ensuring patient safety and efficient quality management.
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Affiliation(s)
- Ghada Shalaby Khalaf Mahran
- Departments of Critical Care and Emergency Nursing (Drs Mahran and Ali) and Nursing Administration (Dr Saber), Faculty of Nursing, Assiut University, Assiut, Egypt; Department of Medical Surgical Nursing, Al-Galala University, Suez, Egypt (Dr Mekkawy); Department of Medical Surgical Nursing, Minia University, Minia, Egypt (Dr Ibrahim); Departments of Anesthesia and Intensive Care (Dr Abbas) and Chest Diseases and Tuberculosis (Dr Mohamed), Faculty of Medicine, Assiut University, Assiut, Egypt; Sultan Bin Abdulaziz Humanitarian City, Riyadh, Kingdom of Saudi Arabia (Dr Mohamed); and Department of Critical Care and Emergency Nursing, Faculty of Nursing, South Valley University, Qena, Egypt (Dr Ahmed)
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Choi JY, Byun M, Kim EJ. Educational interventions for improving nursing shift handovers: A systematic review. Nurse Educ Pract 2024; 74:103846. [PMID: 38007849 DOI: 10.1016/j.nepr.2023.103846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Revised: 10/28/2023] [Accepted: 11/13/2023] [Indexed: 11/28/2023]
Abstract
AIM This study analyzed the components of educational interventions for handovers among nursing students and nurses. BACKGROUND A handover is a communication process that occurs when patient care responsibilities and rights are transferred from one nurse to another. This process is important in nursing to ensure the continuity of nursing care and patient safety. DESIGN A systematic literature review of Korean and international studies was conducted to identify the components of handover educational programs for nursing students and nurses and analyze their effects, thereby providing a basis for the further development of these programs. METHODS Studies published in English or Korean no later than June 30, 2022, were found via an electronic database search using the MEDLINE, Embase, and CINAHL databases. Three reviewers independently evaluated all the studies. These studies focused on educational interventions for nursing students and nurses regarding covering shift-to-shift nursing handovers. After reviewing 1971 extracted articles, 18 satisfied the inclusion criteria. RESULTS Nine articles involved nursing students and nine involved nurses. Four articles covered bedside handovers as educational topics. Educational methods included lectures and active practice. Active practice comprised demonstrations, role-play, and feedback. The main content areas of the educational programs were an introduction to handovers; training regarding how to extract important information for handovers; and strategies using informatic and thematic structures, such as mnemonics, and concept mapping. The patient cases for role-play were provided in forms of written scenarios, virtual electronic charts, videos, scenario-based simulated situations, and actual patient cases assigned in clinical practice. The effects of the educational interventions were evaluated regarding knowledge, performance, and self-efficacy. Performance and self-efficacy were significantly higher in a study in which the intervention group was provided additional individual feedback compared to the control group and in a study in which the intervention group received multiple additional practice opportunities. CONCLUSIONS Handover education for nursing students and nurses should include individual feedback, demonstrations, and opportunities to practice to improve their performance and self-efficacy. Feedback methods should be further developed to increase the effectiveness of educational programs. Sample cases involving patients should be devised to increase these opportunities, and methods for improving educator efficiency should be identified.
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Affiliation(s)
- Jin Yi Choi
- Department of Nursing, Konkuk University, Chungju, Republic of Korea
| | - Mikyoung Byun
- Department of Nursing, Daejeon University, Daejeon, Republic of Korea
| | - Eun Jung Kim
- College of Nursing, Woosuk University, Wanju, Republic of Korea.
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4
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Pun J. Using a simulation-based approach to promote structured and interactive nursing clinical handover: a pre- and post-evaluation pilot study in bilingual Hong Kong. BMC Nurs 2023; 22:38. [PMID: 36765330 PMCID: PMC9921344 DOI: 10.1186/s12912-023-01189-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 01/24/2023] [Indexed: 02/12/2023] Open
Abstract
Effective clinical nursing handover involves the transfer of responsibility and accountability for patient care between nurses, leading to better patient safety and continuity of care. Nurses in bilingual contexts, such as Hong Kong - where nurses are trained in English but communicate in Cantonese - may find it challenging to deliver a safe clinical handover. This article reports a pilot study in which a simulation-based approach is being developed to enhance nursing handover with structured and interactive interactions, using handover protocols such as ISBAR (introduction, situation, background, assessment, recommendation and readback) and CARE-team (connect, ask, respond, empathise) protocols in a bilingual context. The study has a pre- and post-evaluation design involving a questionnaire survey before and after a 4-hour workshop. Fourteen selected bilingual nurses in Hong Kong were trained according to the ISBAR and CARE-team protocols, and their perceptions of complete and structured handovers were evaluated before and after training using the questionnaire. The nurses reported that they were more self-confident in their handover experiences, with a deeper understanding of ISBAR and CARE-team protocols after the simulation-based training intervention, leading to better (i.e., more structured and interactive) clinical handover between nurses. Overall, the staff perceived their handover communication to have improved using simulation-based training.
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Affiliation(s)
- Jack Pun
- Department of English, City University of Hong Kong, 83 Tat Hong Avenue, Kowloon Tong, Hong Kong.
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5
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Pun J, Kong B. An exploratory study of communication training for Chinese medicine practitioners in Hong Kong to integrate patients' conventional medical history. BMC Complement Med Ther 2023; 23:10. [PMID: 36635666 PMCID: PMC9834674 DOI: 10.1186/s12906-022-03811-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 11/28/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Despite Traditional Chinese medicine's (TCM) historical roles in Chinese society, few research has been investigated the nature of TCM practitioner-patient interactions. Improved communication skills among TCM practitioners will result higher-quality interactions and better clinical outcomes. METHODS To investigate the changes in TCM practitioners' communication practices after communications training focused on promoting their awareness of integrating a patient's medical history from conventional medicine in TCM treatment, Eight registered Cantonese-speaking TCM practitioners in Hong Kong were randomly recruited from local clinics and randomised into control (n = 12) and experimental groups (n = 12), with a total of 24 consultations. The experimental group was given training focused on patient-centred communication, with an internationally recognised and communication framework validated in global consultation settings (i.e. the Calgary-Cambridge Guide) on how to take a patient's medical history from conventional medicine and communicate diagnosis and treatment plans. Consultations before and after training were audio-recorded and rated. The efficacy of the training was evaluated by comparing the two groups before training (pre-test), immediately after training (post-test) and after a 3-month delay (delayed post-test). Using validated scales, the primary outcomes were measured for the practitioners' clinical communication skills and the quality of interactions. RESULTS The communication training significantly improved the TCM providers' patient-centred communication and communication proficiency. The results indicate that the team developed an effective communication model for integrating TCM and conventional medicine in Hong Kong. The framework helps trained TCM practitioners to integrate their patients' conventional medical history when delivering patient care. The findings shed light on how interpersonal relationships between TCM practitioners and patients can be constructed after communication training to better care for patients' psychological concerns in addition to their physical needs. CONCLUSION Trained TCM practitioners can provide an integrated model that takes patients' conventional medical history into account when delivering a holistic patient-centred care. The findings can enhance our understanding of better ways to train the future TCM practitioners and to develop a continuing professional training for the current TCM practitioners to expand our understanding of TCM communication in acute clinical contexts and, thus offer a firm evidence-based foundation upon which to develop communication strategies that improve their clinical cpractices.
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Affiliation(s)
- Jack Pun
- grid.35030.350000 0004 1792 6846Department of English, City University of Hong Kong, 83, Tat Chee Avenue, Kowloon Tong, Hong Kong SAR, China
| | - Brandon Kong
- grid.35030.350000 0004 1792 6846Department of English, City University of Hong Kong, 83, Tat Chee Avenue, Kowloon Tong, Hong Kong SAR, China
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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.
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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
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Angouri J, Mesinioti P, Siassakos D. Let’s talk about it: reframing communication in medical teams. Best Pract Res Clin Obstet Gynaecol 2022; 80:75-91. [DOI: 10.1016/j.bpobgyn.2022.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 01/06/2022] [Accepted: 01/13/2022] [Indexed: 11/30/2022]
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Van de Velde E, Van Hecke A, Van Cleemput N, Eeckloo K, Malfait S. Nursing handover involving consumers on inpatient mental healthcare units: A qualitative exploration of the consumers' perspective. Int J Ment Health Nurs 2021; 30:1713-1725. [PMID: 34495574 DOI: 10.1111/inm.12930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 08/14/2021] [Accepted: 08/23/2021] [Indexed: 11/30/2022]
Abstract
Handovers between nurses are a significant cause of communication problems and possible consumer safety issues. A potential solution for both problems is the nursing handover involving consumers, in which the consumer is present at the time of handover. This practice invites consumers to be more involved in their care process and supports a recovery-oriented practice. Research into nursing handovers involving consumers on inpatient mental health units is however very limited. A qualitative, phenomenological study was conducted. Semi-structured interviews with 13 consumers staying on an inpatient mental health unit of a general hospital were used. The interviews were transcribed verbatim and thematically analysed. Data saturation was reached after 11 interviews when no new themes or codes emerged from the data. Three themes were generated from the interviews: (i) the first moments on the inpatient mental health unit; (ii) the nurse as an ally; and (iii) informing each other. The COREQ-checklist was used. According to consumers, nursing handover involving consumers initiated a change in the relationship between consumers and nurses. Consumers and nurses got to know each other better during handover and built a relationship of trust. The introduction of nursing handover involving consumers created an accessible opportunity for consumers to exchange information with nurses and ask questions concerning their admission. Consumers felt jointly responsible for the continuity of the information about their healthcare process. Due to the use of nursing handover involving consumers, consumers experienced the opportunity to take more control in their health process and ensured that information is correct and complete.
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Affiliation(s)
| | - Ann Van Hecke
- Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Nursing Department, Ghent University Hospital, Ghent, Belgium
| | | | - Kristof Eeckloo
- Faculty of Medicine and Health Sciences, Department of Public Health, Ghent University, Ghent, Belgium
| | - Simon Malfait
- Strategic Unit & Nursing Department, Ghent University Hospital, Gent, Belgium
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9
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Street M, Dempster J, Berry D, Gray E, Mapes J, Liskaser R, Papageorgiou S, Considine J. Enhancing active patient participation in nursing handover: A mixed methods study. J Clin Nurs 2021; 31:1016-1029. [PMID: 34268829 DOI: 10.1111/jocn.15961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 06/20/2021] [Accepted: 06/23/2021] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore: i) the frequency and nature of patient participation in nursing handover and ii) patients' and nurses' perceived strategies to enhance patient involvement in nursing handover. BACKGROUND Patient participation in nursing handover is important for patient-centred care, shared decision-making, patient safety and a positive healthcare experience DESIGN: A multi-site prospective study using a mixed methods design. METHODS Between September and December 2019, nursing handovers were observed on ten randomly selected wards, followed by semi-structured interviews with patients (n = 33), and nurses (n = 20) from the observed handovers. Data were analysed using descriptive statistics for structured observations and thematic analysis of interviews, and triangulated to develop a greater understanding of patient participation in nursing handover. This study is reported using the Good Reporting of Mixed Methods Study guidelines. RESULTS The median patient age was 77 years and 47% (n = 55) patients were female. Of the 117 handovers, 76.9% (n = 90) were conducted in the patient's presence. Patients were active participants in 33.3% (n = 30) and passive participants in 46.7% (n = 42) of handovers; in 20% of handovers (n = 18), the patient had no input at all. Active participation was more likely in women (vs. men), surgical patients (vs. medical patients) and when nurses displayed engagement behaviours (eye contact, opportunity to ask questions, explanations). Three major themes were identified from the interviews: 'Being Involved', 'Layers of Influence' and 'Information Exchange'. CONCLUSIONS The main finding was that patient participation in handover was low and strongly influenced by a complex interplay of factors including patient and nurse preferences and perceptions. RELEVANCE TO CLINICAL PRACTICE Handover is an essential tool in the provision of safe patient care. Patients were able to actively participate in nursing handover when they understood the purpose and timing of handover and had rapport with nurses.
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Affiliation(s)
- Maryann Street
- Deakin University, Geelong, Vic., Australia.,School of Nursing and Midwifery; Centre for Quality and Patient Safety Research in The Institute for Health Transformation, Geelong, Vic., Australia.,Deakin University Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Vic., Australia
| | | | - Debra Berry
- Deakin University, Geelong, Vic., Australia.,School of Nursing and Midwifery; Centre for Quality and Patient Safety Research in The Institute for Health Transformation, Geelong, Vic., Australia.,Deakin University Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Vic., Australia
| | - Erika Gray
- Eastern Health, Box Hill, Vic., Australia
| | - Joanne Mapes
- Eastern Health, Box Hill, Vic., Australia.,Western Health, Footscray, Vic, Australia
| | | | | | - Julie Considine
- Deakin University, Geelong, Vic., Australia.,School of Nursing and Midwifery; Centre for Quality and Patient Safety Research in The Institute for Health Transformation, Geelong, Vic., Australia.,Deakin University Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Vic., Australia
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10
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Pun J. Factors associated with nurses' perceptions, their communication skills and the quality of clinical handover in the Hong Kong context. BMC Nurs 2021; 20:95. [PMID: 34116659 PMCID: PMC8196458 DOI: 10.1186/s12912-021-00624-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 05/17/2021] [Indexed: 11/24/2022] Open
Abstract
Background Clinical handover is a pivotal, high-risk communicative event because it involves the transfer of responsibility and accountability for patients and their care. Nurses’ perceptions and their communication skills inevitably impact on their ability of clinical handover. Limited studies have explored nurses’ handover practice in the Hong Kong context. This study aimed to identify factors associated with and specific impact paths between the quality, communication skills and nurses’ perceptions on clinical handover. Methods A questionnaire survey was conducted immediately after the nurses’ training in effective handover communication. A convenience sample of 206 bilingual nursing staff from a local hospital in Hong Kong participated in this paper-and-pencil survey adopted from the Nurses Handover Perceptions Questionnaire survey. Results The path analysis revealed that except the opportunity to ask questions and high perceptions of the ISBAR communication protocol, other factors were significantly correlated with improved quality of handover. In addition, nurses who had updated information were likely to ask more questions and obtain a better understanding of the patient care plan during handover. Conclusions The quality of nursing handover depended on the degree of nurses’ grasp of the patient care plan. The ISBAR communication protocol was considered helping nurses to improve their communication skills with other colleagues and indirectly enhance patient’s safety. However, although ISBAR facilitated nurses to structure clearer handover communication, it was not the most important predictive factor for determining handover quality. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00624-0.
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Affiliation(s)
- Jack Pun
- Department of English, City University of Hong Kong, 83, Tat Chee Avenue, Kowloon, Hong Kong SAR, China.
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11
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Dewi NA, Yetti K, Nuraini T. Nurses' critical thinking and clinical decision-making abilities are correlated with the quality of nursing handover. ENFERMERIA CLINICA 2021. [PMID: 33849179 DOI: 10.1016/j.enfcli.2020.09.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Critical thinking skills are instrumental for nurses to address patients complex situations and needs to ensure continuity of care. It's aimed to identify the relationship between nurses critical thinking and clinical decision-making abilities with the quality of nursing handover. A cross-sectional, descriptive correlational study was conducted with 205 nurses. Simple random sampling was used for participant recruitment. Data were collected by a questionnaire analyzed using Pearson's correlation test. In this study, nurses had good critical thinking, clinical decision-making abilities and handover quality. There is a strong relationship between critical thinking and clinical decision-making and the quality of nursing handover (p=0.001; r=0.384; r=0.247). This study confirms the relationships of nurses critical thinking and clinical decision-making abilities with the quality of nursing handover. Education level appears to have the largest influence, the results imply a need for nurses to have higher education.
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Affiliation(s)
- Nani Asna Dewi
- Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia
| | - Krisna Yetti
- Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia
| | - Tuti Nuraini
- Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia.
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Ghosh S, Ramamoorthy L, Pottakat B. Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction. J Patient Exp 2021; 8:2374373521997733. [PMID: 34179390 PMCID: PMC8205370 DOI: 10.1177/2374373521997733] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The Handover process is an essential aspect of patient care in daily clinical
practice to ensure continuity of patient care. Standardization of clinical
handover may reduce sentinel events due to inaccurate and ineffective
communication. Single arm experimental trial was conducted to assess the effect
of standard Situation, Background, Assessment, Recommendation (SBAR) protocol
implementation in overall bedside nursing handover process, patient
satisfaction, and nurses’ acceptance. As a sample, all nursing staff of
specified unit, all handover process performed by them, and patients admitted
during study the period were included. Initially, the prevailing handover
process and patient satisfaction regarding nursing handover was assessed using a
structured observation checklist. During the implementation phase, nurses were
trained on an SBAR handover protocol. After implementation, nursing handovers
were again assessed and data regarding patient satisfaction and nurses’
acceptance were collected. There was a statistically significant difference
(P < .05) in median scores between the pre and
post-intervention group on overall nursing handover and patient satisfaction
regarding nursing handover. Standardization of patient’s handover process is
effective in terms of improving nursing handover process, patient satisfaction,
and health professionals’ acceptance.
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Affiliation(s)
| | | | - Biju Pottakat
- Department Surgical Gastro Enterology, JIPMER, Puducherry, India
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Pun J, Chan EA, Eggins S, Slade D. Training in communication and interaction during shift-to-shift nursing handovers in a bilingual hospital: A case study. NURSE EDUCATION TODAY 2020; 84:104212. [PMID: 31669969 DOI: 10.1016/j.nedt.2019.104212] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2018] [Revised: 07/06/2019] [Accepted: 09/14/2019] [Indexed: 06/10/2023]
Abstract
AIM To explore the perceptions and practices of nurses on handovers. BACKGROUND At handover, accountability must be transferred to ensure a consistent quality of patient care. Studies highlighted unstructured handovers as a major factor contributing to critical incidents. The design of handover training requires a systematic method for evaluating nurses' practices. DESIGN An explorative case study, qualitative design that combined ethnography with discourse analysis. METHODS A training programme based on these practices was administered to 50 nurses, and a protocol focused on CARE was implemented. The nurses' perceptions and practices were evaluated, and 80 handovers were recorded. RESULTS Three areas likely to enhance the continuity of care emerged: 1) explicit transfer of responsibility by outgoing nurses; 2) responsible engagement of incoming nurses in the handover and 3) adherence to a systematic handover structure. CONCLUSION The change in practice from monologic handovers with passive incoming nurses before training to interactive and collaborative handovers, where all nurses appeared to take an active role in clarifying patients' cases, after training was significant.
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Affiliation(s)
- Jack Pun
- Department of English, The City University of Hong Kong, Hong Kong, China.
| | - E Angela Chan
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
| | - Suzanne Eggins
- School of Literature, Language and Linguistics, ANU College of Arts and Social Sciences, Australian National University, Australia
| | - Diana Slade
- School of Literature, Language and Linguistics, ANU College of Arts and Social Sciences, Australian National University, Australia
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Pun J, Chor W, Zhong L. Delivery of patient-centered care in complementary medicine: Insights and evidence from the Chinese medical practitioners and patients in primary care consultations in Hong Kong. Complement Ther Med 2019; 45:198-204. [DOI: 10.1016/j.ctim.2019.06.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2019] [Revised: 05/15/2019] [Accepted: 06/18/2019] [Indexed: 12/30/2022] Open
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Pun J, Chan EA, Man M, Eggins S, Slade D. Pre- and post evaluations of the effects of the Connect, Ask, Respond and Empathise (CARE) protocol on nursing handover: A case study of a bilingual hospital in Hong Kong. J Clin Nurs 2019; 28:3001-3011. [PMID: 30938014 DOI: 10.1111/jocn.14871] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Revised: 02/15/2019] [Accepted: 03/23/2019] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To evaluate (a) the perceived effects of the training provided to nurses under a standardised Connect, Ask, Respond and Empathise (CARE) protocol; (b) the ability to enhance the effectiveness of the ISBAR checklist; (c) any increase in nurses' spoken interactions and/or improved comprehension of the patient conditions upon the transfer of responsibility. BACKGROUND Nursing handover is a pivotal act of communication with effects on both patient safety and risk management. Previous studies of critical incidents have highlighted ineffective communication, including a lack of interaction and incomplete and unstructured handovers, as a major contributor to patient harm. DESIGN A pre- and post evaluation study involving a questionnaire survey before and after the 3-hours training. METHODS Forty-nine randomly selected bilingual nurses with no previous professional development experience in handover communication were trained according to the CARE protocol, and their perceptions of nursing handovers were assessed before and after training using questionnaire. The STROBE checklist is used (See File S1). RESULTS Training of the CARE protocol improved key areas of the handover process. All participating nurses exhibited significant improvements in their perceptions of effective handover from before to after training. Particularly, improvements were observed in the interactive frequency and quality and completeness of the presented patient information per handover. CONCLUSIONS The nurses reported a deeper understanding of their perceptions of handover after a patient-centred intervention, a better quality of interactions (e.g., querying and checking by incoming nurses), a greater focus when managing handovers and a more complete and comprehensive transfer of information between nurses. RELEVANCE TO CLINICAL PRACTICE CARE protocol-based training yielded significant improvements in nursing handover practice.
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Affiliation(s)
- Jack Pun
- Department of English, The City University of Hong Kong, Hong Kong SAR, China
| | - Engle Angela Chan
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Manbo Man
- Hong Kong Sanatorium and Hospital, Hong Kong SAR, China
| | - Suanne Eggins
- School of Literature, Language and Linguistics, ANU College of Arts and Social Sciences, Australian National University, Canberra, Australia
| | - Diana Slade
- School of Literature, Language and Linguistics, ANU College of Arts and Social Sciences, Australian National University, Canberra, Australia
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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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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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