Nurse perceptions of person-centered handovers in the oncological inpatient setting: A qualitative study

Kullberg, Anna; Sharp, Lena; Dahl, Oili; Brandberg, Yvonne; Bergenmar, Mia

doi:10.1016/j.ijnurstu.2018.06.001

Cited by 18 publications

(62 citation statements)

References 102 publications

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“…There were several handover styles employed by nurses focusing on nurse‐to‐nurse shift handovers within an inpatient ward (Bakon, Wirihana, Christensen, & Craft, ; Riesenberg, Leitzsch, & Little, ; Thomas & Donohue‐Porter, ). In terms of structured handoffs, there is a wide range of different formats (Table ), such as SBAR (situation, background, assessment, recommendation), ICCCO (identification of the patient and clinical risks, clinical history/presentation, clinical status, care plan and outcomes/goals of care), patient‐centred handovers (PCH) and a standardized nursing handoff form (NHF; Johnson, Sanchez, & Zheng, ; Kullberg, Sharp, Dahl, Brandberg, & Bergenmar, ; Ting, Peng, Lin, & Hsiao, ; Zou & Zhang, ). According to Meth and Bass (2013), there are six content categories that make up a handover process in general, namely patient identifies, symptoms/clinical impression, procedure and/or treatment, explanation, rationale and directives for anticipated events (Meth, Bass, & Hoke, ).…”

Section: Introductionmentioning

confidence: 99%

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Bukoh

Siah

2020

J Nurs Manag

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Nursing handovers, or handoffs, entail the process of transferring and accepting both the responsibility for the care of a patient and patient-specific information. This conveyance of patient data ensures the continuity and safety of the patient care in inpatient setting (The Joint Commission Center for Healthcare, 2014). However, when a misalignment of expectations occurs between the sender of information and the receiver, serious communication failures follow during the handover (The Joint Commission, 2017). A study on Harvard-affiliated hospitals has linked communication failures to 1,744 patient deaths in 5 years (Bailey, 2016). Therefore, it is essential that, in a high-turnover healthcare setting, effective communication be in place to ensure the clear and concise sharing of patient information (Gooch, 2016). AbstractAim: This review aimed to elucidate the effectiveness of structured handovers in improving patient outcomes in the wards.Background: Studies have reported that the lack of quality handovers is one of the main causes of adverse effects. Evaluation: A search over six electronic databases: MEDLINE; CINAHL; Web ofScience; EMBASE; Scopus; and CENTRAL via Ovid concluded nine studies and synthesized by two independent reviewers based on the Cochrane Handbook for Systematic Reviews of Interventions. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used to guide the undertaking of this review and meta-analysis. All studies published up to February 2019 were considered in this review. Key issues:This review has demonstrated that structured handovers reduced the incidences of patient complications, medication errors and general adverse events.However, the results were not statistically significant.Conclusion: Current structured handover formats were effective in reducing problematic handovers such as omission of information, inaccurate information and documentation errors. Implications for Nursing Management:Although there is limited high-quality and rigorous research conducted to gain a clearer understanding of the impacts on patient-related outcomes in nursing care, structured handovers remained effective in reducing the number of mistakes in information transfer. K E Y W O R D S communication, patient safety, handoff | 745 BUKOH and SIaH 2 | BACKG ROU N D Continuity management in an inpatient setting is essential to provide safe and effective patient care to minimize risks of medical errors and to achieve this, good communication within the nursing team is vital. A structured and standardized nursing handover can improve patient outcomes, including lowered patient fall rates, lengths of stay in the hospital, mortality and the number of code or medical emergency team calls (Mardis et al., 2017). Additionally, measures for nurse-related outcomes demonstrated improvement, with enhanced continuity of care for patients through better compliance to plans of care, timely delivery of care and improved recall of information provided (Smeulers, Lucas, & Vermeulen, 2014). As su...

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Section: Introductionmentioning

confidence: 99%

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Bukoh

Siah

2020

J Nurs Manag

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“…The goal of the method is to improve both communication between nurses and communication between nurses and patients (Gregory, Tan, Tilrico, Edwardson, & Gamm, ). As a result of this improved communication, safety incidents (Evans, Grunawalt, McClish, Wood, & Friese, ) and readmissions decrease, and patient satisfaction and participation increase (Gregory et al., ; Kullberg, Sharp, Dahl, Brandberg, & Bergenmar, ). Moreover, there are also some organizational benefits reported, such as enhanced handover efficiency due to decrease in irrelevant or nonpatient‐related information, and the immediate start of direct patient care (Evans et al., ; Slade, Pun, Murray, & Eggins, ; Tobiano, Bucknall, Sladdin, Whitty, & Chaboyer, ), both resulting in better time use by nurses.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, there are also some organizational benefits reported, such as enhanced handover efficiency due to decrease in irrelevant or nonpatient‐related information, and the immediate start of direct patient care (Evans et al., ; Slade, Pun, Murray, & Eggins, ; Tobiano, Bucknall, Sladdin, Whitty, & Chaboyer, ), both resulting in better time use by nurses. Looking at the proven and acclaimed benefits of the method, bringing the handover to the bedside is important for increasing the quality of the nursing handover (Kullberg et al., ; Slade et al., ; Tobiano, Bucknall, et al., ).…”

Section: Introductionmentioning

confidence: 99%

Do Bedside Handovers Reduce Handover Duration? An Observational Study With Implications for Evidence‐Based Practice

Malfait

Hecke

Biesen

et al. 2018

Worldviews Ev Based Nurs

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Introduction: Bedside handover is increasingly used and studied in nursing due to the method's acclaimed positive effects on patient safety, patient participation, communication, and efficiency. Still, reported results about its impact on handover duration are ambiguous. Revealing the root cause of these ambiguous effects is important, as increased duration could lead to overtime, lower job satisfaction, and failure in implementation. In contrast, decreased handover duration could lead to more efficient nursing care and facilitate implementation.Aim: To explore the effects of bedside handovers on the handover duration by comparing wards before and after the implementation of bedside handovers.Methods: As part of a multicentered longitudinal study, observations (N = 638) with time measurement were performed. Approximately 22% of the observations were performed by two researchers to check reliability. These time measurements were compared to the handover duration before the implementation of bedside handover, determined through interviews (n = 105), unstructured observations (n = 40), and a review of time schedules (n = 12). A descriptive, comparative research design was used.Results: On average, a bedside handover takes 146 s for one patient (83 s-204 s). Depending on the previously used handover model, the number of patients allocated to each nurse, and the use of a structured handover content, time gain or loss as a result of introducing the bedside handover can be expected.Linking Evidence to Action: The effect on time depends on the organizational changes necessary for the implementation of bedside handovers, most importantly the use of a decentralized handover model and structured handover content. Implementing bedside handover will therefore not always lead to a decrease in time use. A matrix for estimating the effects of bedside handover on time use is presented. While using bedside handovers will not always lead to decreased handover time, it will increase direct patient contact, increasing the possibilities for patient participation and enhancing patient safety.Additional supporting information may be found in the online version of this article at the publisher's web site: S1. Interview Guide S2. Checklist for the bedside handover observations.

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“…Encouraging greater patient involvement in decision-making is seen as a marker of the provision of high quality and safe person-centred care 4–6. The challenges identified in Kullberg et al ’s study2 resonate with the wider literature on patient participation and involvement where issues of uncertainty over what genuine ‘participation’ and partnership working looks like and how best to do this well in practice, were again highlighted 4–6. Power inequalities, highlighted in previous research,6 were also identified in Kullberg et al ’s study.…”

Section: Commentarymentioning

confidence: 85%

“…In Kullberg et al ’s2 study, semi-structured interviews were used to explore nurses’ (n=11) perceptions of the use and impact of PCH in two inpatient oncology wards in Sweden. In both wards, PCH were conducted at the patients’ bedside at the change of the morning and evening shifts.…”

Section: Methodsmentioning

confidence: 99%

Promoting patient involvement through person-centred handovers in nursing

Kidd

2019

Evid Based Nurs

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Nurse perceptions of person-centered handovers in the oncological inpatient setting: A qualitative study

Cited by 18 publications

References 102 publications

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Do Bedside Handovers Reduce Handover Duration? An Observational Study With Implications for Evidence‐Based Practice

Promoting patient involvement through person-centred handovers in nursing

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