Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients

Smeulers, Marian; Lucas, Cees; Vermeulen, Hester

doi:10.1002/14651858.cd009979.pub2

Cited by 77 publications

(107 citation statements)

References 61 publications

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“…Therefore, every professional is informed of the latest situation. The findings of other studies show that handover situations are a great risk for this population [3,22]. The results of our study show that this risk can be alleviated with a digital communication system, including a patient record.…”

Section: Discussionsupporting

confidence: 63%

How Professionals Share an E-Care Plan for the Elderly in Primary Care: Evaluating the Use of an E-Communication Tool by Different Combinations of Professionals

Jong¹,

Ros²,

Leeuwen³

et al. 2016

J Med Internet Res

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BackgroundHome-dwelling elderly patients with multimorbidity are at risk of fragmentation of care because of the many different professionals involved and a potentially unclear level of communication. Multidisciplinary communication seems to occur incidentally. Mutual feedback is needed for a professional team to provide consistent care and adequate support to the patient system. eHealth technology can improve outcomes.ObjectiveThe aim of this study was to evaluate the use of a tool, Congredi, for electronic communication by professionals for the care of home-dwelling elderly patients.MethodsThe research group was recruited through general practices and home care organizations. Congredi, a tool designed for multidisciplinary communication, was made available for professionals in primary care. It consists of a care plan and a communication channel (secure emailing). Professionals opened Congredi records for elderly patients who had 2 or more professionals involved. The records were the unit of analysis. Data were gathered from the Congredi system over a period of 42 weeks.ResultsAn inclusion rate of 21.4% (203/950) was achieved; nearly half of the participants were nurses. During the study, professionals were active in 448 patient records; female professionals were prevalent. In the patient records, 3 types of actions (care activities, emailing, and process activities) were registered. Most activities occurred in the multidisciplinary records (mean 12.2), which had twice the number of activities of monodisciplinary records (6.35), and solo records had a mean of 3.43 activities. Most activities were care activities (mean 9.14), emailing had a mean of 0.89 activities, and process activities had a mean of 0.29.ConclusionsAn e-communication tool (Congredi) was usable for improving multidisciplinary communication among professionals. It even seemed to yield results for 40% of the professionals who used the e-care plan on their own. The content of the tool provided an active communication practice, with significant increases observed in the actions that must be shared for the effective coordination of care.

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Section: Discussionsupporting

confidence: 63%

How Professionals Share an E-Care Plan for the Elderly in Primary Care: Evaluating the Use of an E-Communication Tool by Different Combinations of Professionals

Jong¹,

Ros²,

Leeuwen³

et al. 2016

J Med Internet Res

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“…Reviews available have highlighted that different NH practices have been studied to date using moderate or poor-quality methodologies and reported data. Moreover, frequently available material on this topic has been documented as anecdotal or based on healthcare professionals' (HCPs) perceptions and experience on different NH methodologies (Staggers & Blaz, 2013) so that the field is in great need for methodologically sound studies (Halm, 2013;Riesenberg, Leisch, & Cunningham, 2010;Riesenberg et al, 2010;Smeulers, Lucas, & Vermeulen, 2014;Staggers & Blaz, 2013). As a consequence, the methodological lacks of the primary studies available have prevented evidence-based attempts to improve the quality of NHs.…”

Section: Introductionmentioning

confidence: 99%

“…Alongside the above-mentioned issues, linguistic and terminology barriers, different professional backgrounds and expectations, as well as constraints introduced by healthcare institutions regarding the time available for face-to-face NHs, have all been reported as affecting the quality of the NH's process in daily practice (Birmingham et al, 2015;Lee, Phan, Dorman, Weaver, & Pronovost, 2016;The Joint Commission, 2017). Furthermore, nurses are often not trained in conducting handovers (Smeulers et al, 2014) so that they have to learn mostly through imitation, thus increasing the risk of perpetuating errors.…”

Section: Introductionmentioning

confidence: 99%

Nursing handovers and patient safety: Findings from an umbrella review

Bressan

Mio

Palese

2019

Journal of Advanced Nursing

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Aims To summarise available reviews on nursing handover (NH) and patient safety (PS), providing a set of evidence‐based recommendations for clinical practice and research. Design Umbrella review. Data sources We systematically searched PubMed, CINAHL, and Cochrane Library CENTRAL databases up to October 2018. Review methods Retrieved reviews were critically evaluated using the Checklist for Systematic Review and Research Syntheses. Then, an iterative approach and two different frameworks were adopted to categorize the findings in: (a) practice; and (b) research recommendations. Results A total of 17 reviews were included: among them, 16 reported a range of recommendations for clinical practice to promote PS by reducing adverse events. For what concerns research, 16 reviews recommended specific strategies to improve and strengthen research and its quality in the field of NHs and PS. Conclusion Changing nursing handover practices to increase PS is complex: it means changing the culture, roles and behaviour of any given clinical nursing setting. To be effective, the change requires a tailored approach, time and implementation strategies including education and support. Future studies should address the flexibility required by handovers in daily practice and the multiple needs with the aim of increasing the robustness of the available evidence on NHs. These should also embrace the Complex Interventions Research Framework. Impact Several reviews have been performed as summaries of research and practice evidence on NHs, but no summary of the established clinical and research recommendations on NHs and PS has been provided to date. Standardized handovers supported by technological solutions, facilitating face‐to‐face contact between nurses, possibly alongside bedside reports, can improve PS. Well‐designed longitudinal studies, on a wide scale, in different settings, based on a strong rationale and focused on measuring the association between handover and patients’ safety issues are recommended.

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“…The bedside handover, where the nurse-to-nurse handover is performed at the patient's bedside (Anderson & Mangino, 2006), is an upcoming method in nursing due to the many advantages attributed to it (Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014). Still, the body of knowledge on this topic is limited because of the lack of longitudinal, multicentred studies (Smeulers, Lucas, & Vermeulen, 2014). Most probably, many failed initiatives remain unreported, resulting in a distorted perception on the effects of bedside handover and a lack of knowledge on the implementation process of the method (Tobiano, Bucknall, Sladdin, Whitty, & Chaboyer, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Due to this positivity in international nursing literature, the method is spreading across the Anglo-Saxon countries and the European continent (Ferguson & Howell, 2015). But, although these assumptions appear sound, longitudinal and multicentred studies on the effects of bedside handovers are lacking (Smeulers et al, 2014). Such longitudinal research in different contexts and including multiple centres is necessary before evidence-based statements can be made about the 4 possible effects of an intervention (Hallberg, 2009).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of bedside handovers: A multilevel, longitudinal study of effects on nurses and patients

Malfait

Eeckloo

Biesen

et al. 2019

Journal of Advanced Nursing

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Aims To investigate the effectiveness of bedside handovers. For nurses, effects on nurse–patient communication, individualized care, coordination of the care process, job satisfaction, intention to leave, patient participation and work interruptions were measured. For patients, effects on patient activation, individualized care and quality of care were measured. Design This is a longitudinal, controlled, multicentred study on 13 nursing wards in five hospitals. The seven interventional wards consisted of two medical rehabilitation, two geriatric and three surgical/medical wards. Methods A questionnaire for patients and nurses at baseline (May–June 2016), 3 (July–August 2017) and 9 months (December 2017–January 2018) after implementation was completed by 799 patients and 165 nurses. Per protocol analysis was used in combination with linear mixed models analysis. Results With exception for work interruptions and patient participation for nurses, no overall effects could be found for both patients and nurses. For nurses, patient participation increased, and work interruptions decreased in the intervention group. Individualized care remained stable in the intervention group, whereas it decreased in the control group. Conclusion The results indicate that bedside handover can be regarded as superior to more commonly used handover models as it enhances patient participation and decreases work interruptions. However, the positive image of bedside handovers, mostly based on observational, short‐term and single‐centred experiences, cannot be confirmed as there were no effects on any of the other measured parameters. As bedside handovers put patient participation on the agenda and negative effects are absent, implementing bedside handovers should be considered a mean for more patient‐centeredness instead of a goal itself.

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Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients

Abstract: www.cochranelibrary.com E ectiveness of di erent nursing handover styles for ensuring continuity of information in hospitalised patients (Review)

Cited by 77 publications

References 61 publications

How Professionals Share an E-Care Plan for the Elderly in Primary Care: Evaluating the Use of an E-Communication Tool by Different Combinations of Professionals

How Professionals Share an E-Care Plan for the Elderly in Primary Care: Evaluating the Use of an E-Communication Tool by Different Combinations of Professionals

Nursing handovers and patient safety: Findings from an umbrella review

The effectiveness of bedside handovers: A multilevel, longitudinal study of effects on nurses and patients

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