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handover, effective, knowledge,nurses,quality

Tünde Mako, Pernilla Svanäng, Kristofer Bjerså
BACKGROUND: Patients in surgical care have reported a fear of being discharged prior to sufficient recovery and a lack of control of their situation. Establishing the patient-nurse relationship is essential in the context of the care. The Swedish National Board of Health and Welfare has established indicators for good care for comparison, evaluation and improvement of the quality of the health care system. These indicators are knowledge-based, appropriate, safe, effective and equal health care, as well as care within a reasonable time and patient-centred care...
2016: BMC Nursing
Sandra Braaf, Sascha Rixon, Allison Williams, Danny Liew, Elizabeth Manias
AIMS AND OBJECTIVES: To investigate what and how medication information is communicated during handover interactions in specialty hospital settings. BACKGROUND: Effective communication about patients' medications between health professionals and nurses at handover is vital for the delivery of safe continuity of care. DESIGN: An exploratory qualitative design and observational study. METHODS: Participant observation was undertaken at a metropolitan Australian public hospital in four specialty settings: cardiothoracic care, intensive care, emergency care and oncology care...
October 2015: Journal of Clinical Nursing
Therese M Gardiner, Andrea P Marshall, Brigid M Gillespie
OBJECTIVES: The clinical handover of critically ill postoperative patients from the operating theatre to the intensive care unit is a dynamic and complex process that can lead to communication and technical errors. The objectives of this integrative review were to illustrate how the use of structured handover processes between the operating theatre and intensive care unit impacts information transfer, handover duration, post-handover technical error and high risk events. REVIEW METHOD USED: Integrative review methodology was used to allow for the inclusion of broad research designs, summarising current knowledge from existing research and identify gaps in the literature...
November 2015: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Marian Smeulers, Cees Lucas, Hester Vermeulen
BACKGROUND: An accurate handover of clinical information is of great importance to continuity and safety of care. If clinically relevant information is not shared accurately and in a timely manner it may lead to adverse events, delays in treatment and diagnosis, inappropriate treatment and omission of care. During the last decade the call for interventions to improve handovers has increased. These interventions aim to reduce the risk of miscommunication, misunderstanding and the omission of critical information...
2014: Cochrane Database of Systematic Reviews
Alison L Kitson, Åsa Muntlin Athlin, Janice Elliott, Megan L Cant
AIM: To describe, appraise and synthesize the seminal and empirical literature around Registered Nurses' communication behaviours between shifts in acute hospital settings. BACKGROUND: Effective communication between shifts (at nursing handover) is acknowledged as a prerequisite to safe and high-quality patient-centred care. However, gaps and inconsistencies continue to prevail. DESIGN: Narrative review and synthesis. DATA SOURCES: The electronic databases PubMED, CINAHL and Scopus were used...
June 2014: Journal of Advanced Nursing
Hendrik Drachsler, Wendy Kicken, Marcel van der Klink, Slavi Stoyanov, Henny P A Boshuizen, Paul Barach
BACKGROUND: Safe and effective patient handovers remain a global organisational and training challenge. Limited evidence supports available handover training programmes. Customisable training is a promising approach to improve the quality and sustainability of handover training and outcomes. OBJECTIVE: We present a Handover Toolbox designed in the context of the European HANDOVER Project. The Toolbox aims to support physicians, nurses, individuals in health professions training, medical educators and handover experts by providing customised handover training tools for different clinical needs and contexts...
December 2012: BMJ Quality & Safety
Beryl Göbel, Dorien Zwart, Gijs Hesselink, Loes Pijnenborg, Paul Barach, Cor Kalkman, Julie K Johnson
BACKGROUND: Much of the research on improving patient handovers has focused on enhancing communication within the hospital system, but there have been relatively few efforts aimed at addressing the challenges at the interface between the hospital and the primary care setting. METHODS: A qualitative thematic analysis using a clinical microsystems lens applied to 28 semi-structured key stakeholder interviews in the Netherlands. Data were organised into seven 'virtual' clinical microsystem datasets composed of patients, hospital-based physicians, hospital-based nurses and community-based general practitioners...
December 2012: BMJ Quality & Safety
Morris Gordon, Rebecca Findley
CONTEXT: Effective handover within the health care setting is vital to patient safety. Despite published literature discussing strategies to improve handover, the extent to which educational interventions have been used and how such interventions relate to the published theoretical models of handover remain unclear. These issues were investigated through a systematic review of the literature. METHODS: Any studies involving educational interventions to improve handover amongst undergraduate or postgraduate doctors or nurses were considered...
November 2011: Medical Education
Bianca M Buurman, Juliette L Parlevliet, Bob A J van Deelen, Rob J de Haan, Sophia E de Rooij
BACKGROUND: Older patients are at high risk for poor outcomes after acute hospital admission. The mortality rate in these patients is approximately 20%, whereas 30% of the survivors decline in their level of activities of daily living (ADL) functioning three months after hospital discharge. Most diseases and geriatric conditions that contribute to poor outcomes could be subject to pro-active intervention; not only during hospitalization, but also after discharge. This paper presents the design of a randomised controlled clinical trial concerning the effect of a pro-active, multi-component, nurse-led transitional care program following patients for six months after hospital admission...
2010: BMC Health Services Research
Nerolie Bost, Julia Crilly, Marianne Wallis, Elizabeth Patterson, Wendy Chaboyer
AIM: To provide a critical review of research on clinical handover between the ambulance service and emergency department (ED) in hospitals. METHOD: Data base and hand searches were conducted using the keywords ambulance, handover, handoff, emergency department, emergency room, ER, communication, and clinical handover. Data were extracted, summarised and critically assessed to provide evidence of current clinical handover processes. RESULTS: From 252 documents, eight studies fitted the inclusion criteria of clinical handover and the ambulance to ED patient transfer...
October 2010: International Emergency Nursing
J A Cleland, S Ross, S C Miller, R Patey
BACKGROUND: Changing patterns of work in the hospital setting mean different teams look after the same group of patients over the course of any given day. Shift handovers, or hand/sign-off, can give rise to miscommunication of critical information, a patient safety issue. How can we best prepare new doctors for handover? METHODS: This was a qualitative, focus-group study, exploring the views of doctors (Foundation Year, Senior House Officers, Registrars and Consultants) and night nurse practitioners, in Aberdeen, UK...
August 2009: Quality & Safety in Health Care
Brian McFetridge, Mark Gillespie, Deborah Goode, Vidar Melby
The transfer of information between nurses from emergency departments (EDs) and critical care units is essential to achieve a continuity of effective, individualized and safe patient care. There has been much written in the nursing literature pertaining to the function and process of patient handover in general nursing practice; however, no studies were found pertaining to this handover process between nurses in the ED environment and those in the critical care environment. The aim was to explore the process of patient handover between ED and intensive care unit (ICU) nurses when transferring a patient from ED to the ICU...
November 2007: Nursing in Critical Care
B O'Connell, W Penney
Communicating nursing care during the patient's total hospital stay is a difficult task to achieve within the context of high patient turnover, a lack of overlap time between shifts, and time constraints. Clear and accurate communication is pivotal to delivering high quality care and should be the gold standard in any clinical setting. Handover is a commonly used communication medium that requires review and critique. This study was conducted in five acute care settings at a major teaching hospital. Using a grounded theory approach, it explored the use of three types of handover techniques (verbal in the office, tape-recorded, and bedside handovers)...
July 2001: Collegian: Journal of the Royal College of Nursing, Australia
G Thurgood
Nurses require appropriate knowledge, skills and attitudes in order to give and receive verbal handover reports effectively. Reports are important for ensuring and maintaning continuity and quality of patient care, complying with legal and professional requirements and maintaining high team morale. This article will discuss the five main reasons for the importance of handover reports, and suggestions for further study will be made.
June 22, 1995: British Journal of Nursing: BJN
C Sherlock
This study investigates the nature of the ward handover report. It was undertaken following observations that student nurses seemed not to receive enough knowledge to care for patients in an informed way. Data were gathered through participant observation on two busy medical wards over a period of two weeks. The data revealed a complex system of communication was necessary to allow nurses to provide continuity of care for patients in a safe manner. The handover was seen as working effectively but with scope for improvement...
September 20, 1995: Nursing Standard
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