Patient participation in nursing bedside handover: A systematic mixed-methods review

Tobiano, Georgia; Bucknall, Tracey; Sladdin, Ishtar; Whitty, Jennifer A.; Chaboyer, Wendy

doi:10.1016/j.ijnurstu.2017.10.014

Cited by 85 publications

(145 citation statements)

References 85 publications

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“…How is it possible that although there is no pressing problem with privacy in practice, patients accept the bedside handover, and bedside handovers have many advantages, privacy remains such an important barrier for nurses and many initiatives are delayed or failing? 30 We elaborate on two possible explanations.…”

Section: Discussion: Reflection On the Resultsmentioning

confidence: 99%

“…Third, nurses can be trained or should have the professional expertise and sensitivity to identify and avoid mentioning sensitive information. 13,30,34 If there is no actual conflict between privacy and information, nurses use privacy to avoid bedside handovers for various reasons. For us, these various reasons are all indications that we should critically look at our guiding frameworks, codes of conduct, and ethical guidelines in order to fix the issues with bedside handover and by extension other patient participation initiatives that may challenge nursing staff in their daily behavior.…”

Section: Discussion: Implications For Nursingmentioning

confidence: 99%

“…16 The narrative review was conducted on PubMed ® , CINAHL ® , and Web of Science ® , mainly focusing on the following key words (or synonyms): bedside, handover or shift report, privacy or confidentiality or ethics. Moreover, a number of well-executed systematic reviews 9,13,14,30 were available. These systematic reviews were manually scanned for any additional publications that were missed in our search.…”

Section: Methodsmentioning

confidence: 99%

“…32 In the literature, similar observations in which nurses avoided patient participation during the bedside handover could be identified. 30,33,34 Although these studies do not report items relating to privacy, the studies note that less than half of the patients are actually involved in the bedside handover by nurses.…”

Section: The Researcher's Perspectivementioning

confidence: 99%

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Is privacy a problem during bedside handovers? A practice-oriented discussion paper

et al. 2018

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Bedside handover is the delivery of the nurse-to-nurse handover at the patient's bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient's privacy. By referring to this concept, nurses add a legal and ethical dimension to the delivery of the bedside handover, making implementation of the method difficult or even impossible. In this discussion article, the concept of privacy during handovers is being discussed by use of observations, interviews with nurses, and interviews with patients. These findings are combined with international literature from a narrative review on the topic. We provide a practiceoriented answer in which two mutually exclusive possibilities are discussed. If bedside handover does pose problems concerning privacy, this situation is not unique in healthcare and measures can be taken during the bedside handover to safeguard the patient. If bedside handover does not pose problems concerning privacy, privacy is misused by nurses to hide professional uncertainties and/or a reluctance toward patient participation. Therefore, a possible breach of privacy-whether a justified argument or not-is not a reason for not delivering the bedside handover.

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Section: Discussion: Reflection On the Resultsmentioning

confidence: 99%

Section: Discussion: Implications For Nursingmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: The Researcher's Perspectivementioning

confidence: 99%

See 2 more Smart Citations

Is privacy a problem during bedside handovers? A practice-oriented discussion paper

et al. 2018

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“…Still, the body of knowledge on this topic is limited because of the lack of longitudinal, multicentred studies (Smeulers, Lucas, & Vermeulen, ). 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, ). Therefore, a better body of knowledge is needed.…”

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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Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

et al. 2019

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AimTo investigate barriers to patient engagement in the delivery of safe hospital care.DesignQualitative exploratory study.MethodsA qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi‐structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis.ResultsBarriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient‐related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff‐related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community‐related barriers such as the inadequate dissemination of information via the mass media and a lack of community‐based services formed the fourth category.ConclusionResults demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome.

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Patient participation in nursing bedside handover: A systematic mixed-methods review

Cited by 85 publications

References 85 publications

Is privacy a problem during bedside handovers? A practice-oriented discussion paper

Is privacy a problem during bedside handovers? A practice-oriented discussion paper

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

Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

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