A Delphi study to identify the core components of nurse to nurse handoff

O’Rourke, Jennifer; Abraham, Joanna; Riesenberg, Lee Ann; Matson, Jeff; Lopez, Karen V. Dunn

doi:10.1111/jan.13565

Cited by 27 publications

(18 citation statements)

References 46 publications

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“…In addition to selecting which items should be included in an evidence-based, shift-to-shift nursing handover standard, this study sought to find a consensus about information flows, best practices, and patient involvement. The significant number of nurse experts involved in our survey determined the need for an electronic data collection method [ 30 , 53 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

An Evidence-Based, Nursing Handover Standard for a Multisite Public Hospital in Switzerland: Web-Based, Modified Delphi Study

Tacchini-Jacquier¹,

Hertzog²,

Ambord³

et al. 2020

JMIR Nursing

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Background Ineffective communication procedures create openings for errors when health care professionals fail to transfer complete, consistent information. Deficient or absent clinical handovers, or failures to transfer information, responsibility, and accountability, can have severe consequences for hospitalized patients. Clinical handovers are practiced every day, in many ways, in all institutional health care settings. Objective This study aimed to design an evidence-based, nursing handover standard for inpatients for use at shift changes or internal transfers between hospital wards. Methods We carried out a modified, multiround, web-based, Delphi data collection survey of an anonymized panel sample of 264 nurse experts working at a multisite public hospital in Switzerland. Each survey round was built on responses from the previous one. The surveys ended with a focus group discussion consisting of a randomly selected panel of participants to explain why items for the evidence-based clinical nursing handover standard were selected or not selected. Items had to achieve a consensus of ≥70% for selection and inclusion. Results The study presents the items selected by consensus for an evidence-based nursing handover standard for inpatients for use at shift changes or internal transfers. It also presents the reasons why survey items were or were not included. Conclusions This modified Delphi survey method enabled us to develop a consensus- and evidence-based nursing handover standard now being trialed at shift changes and the internal transfers of inpatients at our multisite public hospital in Switzerland.

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Section: Discussionmentioning

confidence: 99%

An Evidence-Based, Nursing Handover Standard for a Multisite Public Hospital in Switzerland: Web-Based, Modified Delphi Study

Tacchini-Jacquier¹,

Hertzog²,

Ambord³

et al. 2020

JMIR Nursing

View full text Add to dashboard Cite

show abstract

“…This is consistent with the literature. A Delphi study to identify core components of nursing handover reached 87% consensus to include patient summary information such as diagnosis, code status, medical history, vital signs, physical assessment, labs and medications (O’Rourke et al, 2018). Another study found 72% of handover content consisted of chief complaint, clinical condition, clinical impression, hospital course, current and ongoing issues, results, and invasive devices (Nasarwanji et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Nursing Handover: A Content Analysis of Nurses’ Handwritten Notes

et al. 2020

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The aim of this study was to describe characteristics and content of nurses’ handover tools used for handover report and congruence of content shift-to-shift. Nurses use handwritten notes to record information despite recommendations for standardizing content of handover to improve patient safety. A descriptive, cross-sectional study was conducted in a non-profit hospital in Southern California where a convenience sample of 105 registered nurses voluntarily submitted their paper handover tools. Twenty-seven types of handover tools were collected. Participants customized handover tools with color, writing implement, emphasis markings, and symbols. Content analysis revealed that most handover tools contained the patient’s name, birthdate, account number, room number, medical history, allergies, code status, systems review, vital signs, medications, vascular access, test results, plan of care, and tasks. Safety/risk-related information was rarely present. Handover tools were context-specific and individualized with handwritten information that was incongruent shift-to-shift. Safety/risk-related information was rare.

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“…The basic idea for all types is that a group of experts provides a more reliable judgement than an individual (Davidson, 2013; Diamond et al., 2014; Giannarou & Zervas, 2014; Hasson et al., 2000; Helms et al., 2017; Hsu & Sanford, 2007; Keeney et al., 2006). It has been widely adopted in medical and nursing research, as in other research fields (Giannarou & Zervas, 2014; Keeney et al., 2006; O'Rourke et al., 2018). Using the PPCs list as a starting point, the endpoint of this study was to achieve consensus on preventable complications on which nursing can have an impact (Hughes et al., 2006, 2013).…”

Section: Methodsmentioning

confidence: 99%

Defining a set of potentially preventable complications relevant to nursing: A Delphi Study among head nurses

et al. 2020

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Aim To establish a list of potentially preventable complications as a tool for nursing management. Background Different outcome parameters have been used in patient safety research. However, they have mainly been used for medical and administrative goals. The role of nurses in achieving patient safety outcomes has been given little attention. Method A three‐round Web‐based modified Delphi study was conducted in four hospitals, using the list of potentially preventable complications (PPCs) as a starting point. Consensus on a shortlist of nursing relevant complications was the endpoint. Results This study revealed a shortlist 12 PPCs relevant to the nursing profession, based on the expert opinion of more than sixty head nurses from different wards and hospitals. An overall consensus of 77.58% was reached. In surgical, medical and geriatric wards, a consensus of 95.7% was achieved. Conclusion This is the first study that points out which PPCs are related to nursing. The shortlist contains some of the most studied complications and can serve a wide variety of hospital wards. Implications for Nursing Management Prevention of complications reduces harm to patients and avoids the nursing work and costs to treat them. This list provides nursing managers with a powerful tool to raise awareness for risk assessment and preventive measures among nurses. It offers an instrument to facilitate the documentation and handover of patient safety outcomes in nursing. This shortlist can also serve as an assessment tool for patient safety interventions.

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A Delphi study to identify the core components of nurse to nurse handoff

Cited by 27 publications

References 46 publications

An Evidence-Based, Nursing Handover Standard for a Multisite Public Hospital in Switzerland: Web-Based, Modified Delphi Study

An Evidence-Based, Nursing Handover Standard for a Multisite Public Hospital in Switzerland: Web-Based, Modified Delphi Study

Nursing Handover: A Content Analysis of Nurses’ Handwritten Notes

Defining a set of potentially preventable complications relevant to nursing: A Delphi Study among head nurses

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