Comparing nursing handover and documentation: forming one set of patient information

Abstract

One set of patient information, verbally generated at handover delivering electronic documentation within one process, will transform international nursing policy for nursing handover and documentation.

Nursing handovers: An integrative review of the different models and processes available

“…Most handover models and indeed those discussed generally concur on the minimum data that should be communicated during handover as including the patient identification, their reason for admission including their diagnosis, procedures completed or to be completed, relevant clinical history, clinical status, care plan, and treatment goals (Johnson et al, ; Johnson et al, ). Spooner, Chaboyer, Corley, Hammond, and Fraser () summarises these various elements suggesting that the inclusion of the patient's identity, clinical situation, important and recent observations, history, actions and assessments, requirements, appropriate documentation, oncoming staff comprehension, and the opportunity for clarification formed key principles in nursing clinical handover regardless of the model used.…”

“…These gaps may compromise patient safety resulting in medication and treatment error. Indeed, Johnson et al () suggests that 22% of nursing incidents arise from poor communication during the handover process.…”

“…Indeed, Johnson et al (2014) suggests that 22% of nursing incidents arise from poor communication during the handover process.…”

The art of oral handovers: A participant observational study by undergraduate students in a hospital setting

“…According to Bakon, Wirihana, Christensen, and Craft (), four different styles of handover are used in clinical practice: verbal bedside handover, tape‐recorded handover, verbal handover and written handover. This article focuses on verbal or oral handovers between shifts, carried out in the nursing station and not by the bedside, normally called a handover, handoff, sign out, intershift report or, simply, report (Johnson et al., ; Staggers & Blaz, ; Street et al., ). During oral handovers, the healthcare workers who are at the start of their shift receive a report from one of the team members who is ending a shift.…”

Identifying the nontechnical skills required of nurses in general surgical wards

“…The focus of publications pertaining to communication skills included verbal and nonverbal communication (Frankel et al, 2012), communicating with doctors (Donohue & Endacott, 2010), nursing handover (Cornell & Gervis, 2013;Cornell, Gervis, Yates, & Vardaman, 2014;De Meester, Verspuy, Monsieurs, & Van Bogaert, 2013;Radtke, 2013;Townsend-Gervis, Cornell, & Vardaman, 2014), the impact of different models of care on communication (Fernandez, Tran, Johnson, & Jones, 2010), communication technologies (Guarascio-Howard, 2011) and factors that impair communication (Johnson et al, 2014). The focus of publications pertaining to communication skills included verbal and nonverbal communication (Frankel et al, 2012), communicating with doctors (Donohue & Endacott, 2010), nursing handover (Cornell & Gervis, 2013;Cornell, Gervis, Yates, & Vardaman, 2014;De Meester, Verspuy, Monsieurs, & Van Bogaert, 2013;Radtke, 2013;Townsend-Gervis, Cornell, & Vardaman, 2014), the impact of different models of care on communication (Fernandez, Tran, Johnson, & Jones, 2010), communication technologies (Guarascio-Howard, 2011) and factors that impair communication (Johnson et al, 2014).…”