Achieving success in intervention studies: an analysis of variable staff engagement across three midwifery settings

Henderson, Amanda; Schoonbeek, Sue; Ossenberg, Christine; Caddick, Alison; Wing, Diane; Capell, Lorna; Gould, Karen

doi:10.1111/jocn.12296

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…This exploration also identified other important activities namely, the building of relationships and feedback to nurses in the form of recognition. These behaviours are often given little credence as their contribution is difficult to ascertain; however, this work supports other contemporary work to the importance of reinforcing outcomes that are powerful in sustaining and embedding desired behaviours 4. These are often invisible aspects of successful facilitation and, therefore, their significance is hard to independently demonstrate.…”

Section: Commentarymentioning

confidence: 57%

Use of multifaceted strategies and processes at multiple levels, and passionate frontline leaders are associated with uptake of best practice guidelines on breastfeeding

Henderson

2013

Evid Based Nurs

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Section: Commentarymentioning

confidence: 57%

Use of multifaceted strategies and processes at multiple levels, and passionate frontline leaders are associated with uptake of best practice guidelines on breastfeeding

Henderson

2013

Evid Based Nurs

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Building workplace social capital: A longitudinal study of student nurses' clinical placement experiences

Materne¹,

Henderson

Eaton

2017

Nurse Education in Practice

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Commentary on ‘Developing a framework for nursing handover in the emergency department: an individualised and systematic approach’ by Klim et al.

Henderson

Schoonbeek

2015

Journal of Clinical Nursing

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The article 'Developing a framework for nursing handover in the emergency department: an individualised and systematic approach' is a commendable endeavour by the team in a busy emergency department in Melbourne, Australia. It is a very timely paper for staff in emergency departments in Australia given the mandate specified in the National Safety and Quality Health Service Standards states 'Health service organisations implement effective clinical handover systems' (ACSQHC 2011). These requirements are based on the compelling evidence that good communication, namely the transfer of the appropriate breadth and depth of information pertaining to patient care issues to the relevant staff, is instrumental in reducing misadventure that results in poor patient outcomes. When advocating 'effective handover', the Australian Commission on Safety and Quality in Health Care recognises that handover occurs in many different situations for many different reasons. It is therefore appropriate that teams explore the best processes for their circumstances.Handovers in emergency departments are particularly challenging, and the authors clearly acknowledge some of these difficulties. Circumstances that are common to emergency departments and generally not as common to other in-patient areas include increased unpredictability and disruptions, nurses requiring to multitask and staff attending to patients with diverse and disparate needs. Given the unique nature of emergency departments, it is commendable that the team, Klim et al. (2013), are adopting a consultative approach to systematically explore what a useful tool would look like. If new initiatives and accompanying processes are to be successfully embedded into practice, then it is essential there are mechanisms for staff to discuss and provide suggestions about the intended activity (Henderson et al. in press). The broad consultation process and opportunity for feedback is a strategic approach to maximise staff engagement. However, these systematically organised and orchestrated processes may not be considering nurses capability in the many facets required in effective handover, in particular, the highly emotively charged situations that regularly confront emergency department staff.Nurses' emotional capability to openly discuss socially 'unacceptable' diagnoses and backgrounds have been given little consideration in the logical and ordered approach to nursing handover that is being developed by the team. The situation is that nurses can feel capable attending to the physiological abnormalities or deviations that can result following volatile situations such as drug overdoses or domestic violence, yet they may not feel confident to introduce and discuss these issues with the patient in the handover process. The authors identify 'recognition and inclusion of patients and carers' are recommended in the handover process (Klim et al. 2013). However, openly raising these issues with patients and carers can result in awkward social and emotional situations. Many nurses in emergency...

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Achieving success in intervention studies: an analysis of variable staff engagement across three midwifery settings

Abstract: It is important that investment is made to commitment and resources to all four stages before embarking on change processes.

Cited by 4 publications

References 10 publications

Use of multifaceted strategies and processes at multiple levels, and passionate frontline leaders are associated with uptake of best practice guidelines on breastfeeding

Use of multifaceted strategies and processes at multiple levels, and passionate frontline leaders are associated with uptake of best practice guidelines on breastfeeding

Building workplace social capital: A longitudinal study of student nurses' clinical placement experiences

Commentary on ‘Developing a framework for nursing handover in the emergency department: an individualised and systematic approach’ by Klim et al.

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