Standardization of Change-of-Shift Report

Athwal, Pam; Fields, Willa; Wagnell, Esther

doi:10.1097/01.ncq.0000347451.28794.38

Cited by 49 publications

(55 citation statements)

References 4 publications

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“…This result is consistent with findings of other research confirming increases in patients' sense of safety. 1,3,7,13,17 The bedside handover should not be conducted as a report from one member of staff to the other but should involve an interaction between the patient and the staff of the two shifts. The nurse is not obliged to inform the patient of his/her diagnosis, rather accompanying him/her along the way.…”

Section: Discussionmentioning

confidence: 99%

“…A more precise assessment of the various aspects of this method for the change of shift would require the collection of data over an adequate period on the following indicators: time spent during the handover in the patient's bedroom including time per individual patient and total for all patients, time spent in the nurses' room again both for each individual patient and the total for all patients, the number and type of interruptions in the nurses' room, and the number and type of interruptions in the patients' bedrooms. 13 It has to be recognized as a limitation of the study that the data collected did not cover these indicators, capable of providing further insight into the effectiveness and efficiency of the implementation, highlighting the involvement of the various players, and establishing the degree to which the project was successful. Not all the potential benefits of the bedside handover were covered in the questionnaires.…”

Section: Study Limitationsmentioning

confidence: 99%

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Patient Participation in Change-of-Shift Procedures

Wildner¹,

Ferri²

2012

Journal of Hospice & Palliative Nursing

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In the Italian health system, the most common handover model is that of a meeting between nurses at the shift change in the nurses' staff room. The information dealt with at the handover tends to cover patients' medical diagnoses, physical symptoms, and clinical events. Information tends to be omitted however, relating to patients' needs and their care plan, all elements that might benefit from involvement of the patient. This research, using Lewin's 3-Step Model for Change, tracks the change at an Italian hospice from verbal reporting in an isolated room to bedside handover with the patient present. An assessment of the hospice bedside handover was made by means of a questionnaire in collaboration with management and training staff. One questionnaire was drawn up for patients and family members and another for nurses and healthcare assistants. The universally positive reaction of patients, appreciating the handover model proposed and obtaining benefit from it, confirmed that bedside handovers represent an increase in quality for patients. The bedside handover can help to humanize relations and indeed, as at the hospice, to humanize dying itself. This result is consistent with findings of other research confirming increases in patients' sense of safety. KEY WORDSbedside handover, change of shift, hospice, patient participation, safety N urse handovers represent a fundamental part of professional activities generally and of the daily communication process in particular. 1,2 Communication between shifts of nurses requires written documentation and a verbal element. The purpose of the handover is to transfer responsibility from one nursing shift to the other, providing precise details of the patients' state of health and current physical condition. The information included in the verbal part of the handover tends to cover patients' personal details, medical diagnoses, medications, physical symptoms, and clinical events. On the other hand, it tends to omit information relating to patients' needs, their care plan, and the effectiveness of nurse interventions and planning of discharge, all elements that might benefit from an involvement of the patient.The handover seeks to ensure nursing continuity and guarantee sufficient individual care. 1-3 Given that it takes the form of a meeting between professionals, it also functions as an occasion for teaching and learning, an emotional debriefing, and as a source of support and cohesion within the group. 4 The handover provides an opportunity for socializing and fostering professional relations. 5,6 In the Italian context, the most common handover model is that of a meeting between nurses at the shift changeover in the nurses' staff room.Chaboyer and colleagues 7 reported that the bedside handover system improved safety, efficiency, and teamwork. Bedside handovers can be used to increase patients' collaboration in the drawing up of their care plan. 8 The nurse is able to give the patient the opportunity to participate, but it is the latter who decides the level of such involv...

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Section: Discussionmentioning

confidence: 99%

Section: Study Limitationsmentioning

confidence: 99%

Patient Participation in Change-of-Shift Procedures

Wildner¹,

Ferri²

2012

Journal of Hospice & Palliative Nursing

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“…Meade and colleagues (7) found that the incorporation of hourly nursing rounds on nursing units lead to both a decreased use of call lights and a decreased patient falls by anticipating patients' needs. Similarly, a study by Athwal and colleagues (8) concluded that improvements in communication during it the most common extrinsic risk factor for patient falls in that unit. Call lights not being answered on time (meaning quickly enough to meet the needs of an individual patient) were found to be contributing factors to a significant number of falls on the unit (9) .…”

Section: Introductionmentioning

confidence: 99%

Nursing teamwork and time to respond to call lights: an exploratory study

Kalisch

Labelle²,

Xie³

2013

Rev. Latino-Am. Enfermagem

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AIM: The aim of this exploratory study was to determine whether the level of nursing teamwork is correlated to call light answering time in acute care hospital patient care units. Background: Teamwork has been shown to improve productivity. In this study, we examine the relationship between unit call light response time as a measure of productivity and the level of teamwork on the unit. METHOD: The Nursing Teamwork Survey was administered to nursing staff on 18 inpatient units in 3 hospitals. In addition to the overall teamwork score, the NTS has 5 subscales. Call light response times were collected from electronic systems which measures the time it takes for nursing staff on a given unit to respond to patient call lights. RESULTS: There was no significant relationship between call light response time and teamwork overall or on the five subscales. Shared mental models, which comprise the conceptual understanding of the roles and responsibilities of each team member, however was moderately correlated with call-light answering times. CONCLUSIONS: It is logical that shared mental models would be associated with call light response time since a common problem in patient units is the "it's not my job syndrome" where nursing staff do not answer call lights for patients assigned to someone else. More research with a larger number of patient units is needed to validate these findings.

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“…Con un promedio de tiempo determinado para su desarrollo de 15 a 45 minutos, que varía según el número de pacientes y su condición, este es uno de los retos más reafirmados en los profesionales de enfermería para mantenerse dentro del marco de tiempo asignado (4) . Athwal et al y Hays han abordado principalmente el tipo, la duración, el contenido o características, sus ventajas y desventajas (2,12) , así como, pruebas con cambios en el proceso frente al paciente y su familia (13) . Riesenberg et al hacen hincapié en la complejidad del informe y las dificultades, como la falta de comunicación y la trasferencia inadecuada de los cuidados (14) .…”

Section: Características Del Cambio De Turnounclassified

“…-Normalización; la normalización es otra estrategia que influye positivamente en el proceso, el uso de bitácoras o formatos estandarizados (12) para la información tiene un uso frecuente y facilita o disminuye la posible variabilidad en la comunicación del reporte. Así mismo, se puede trabajar con los pacientes y las familias para determinar qué otros aspectos del cuidado deben ser incluidos en la plantilla del informe.…”

Section: Estrategias Para Mejorar El Recibo Y Entrega De Turnounclassified

El cambio de turno: Un eje central del cuidado de enfermería

Lozano

Marlés

2015

eglobal

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RESUMENCon el propósito de reflexionar acerca del valor del cambio de turno como momento y eje central del cuidado de enfermería, se realizó una revisión de la literatura en idioma español, inglés y portugués, a partir de los descriptores: cambio de turno, informe de turno, pase de guardia, traspas de información, y comunicación (circunscrita a informes de enfermería). La búsqueda se hizo en las bases de datos SciELO, Ovid, Science Direct, Redalyc, Publindex, Lilacs, EBSCOhost Academic Search Premier, pubmed y Dialnet; se revisaron un total de 80 artículos de los cuales se seleccionaron 50 que contenían los criterios de inclusión.Los resultados de la búsqueda evidenciaron gran cantidad de información frente al concepto, tipo, características y barreras, destacando la importancia que tiene para la disciplina comprender su significado en la práctica diaria.En conclusión, se debe reflexionar sobre la importancia del permanente crecimiento profesional; los cambios los procesos y procedimientos pero aún más ratificar que el informe no es una oportunidad de un momento, es necesario educar, realizar seguimiento, evaluación y retroalimentación para permitir mejoras de los grupos y fomentar su práctica diaria. La revisión de literatura muestra una tendencia en estudios cualitativos y en menor proporción cuantitativos, además de escasa investigación en mejores prácticas, evaluación de las mismas y la eficacia de los protocolos o guías estructuradas, que contribuyan a través de la investigación a la práctica diaria al cuidado con calidad y calidez. ABSTRACTWith the objective of reflecting on the value of the shift change as a central moment and concept in nursing care, a literature review was conducted in Spanish, English, and Portuguese using the following descriptors: cambio de turno [shift change], informe de turno [shift report], pase de guardia [handover],

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Standardization of Change-of-Shift Report

Cited by 49 publications

References 4 publications

Patient Participation in Change-of-Shift Procedures

Patient Participation in Change-of-Shift Procedures

Nursing teamwork and time to respond to call lights: an exploratory study

El cambio de turno: Un eje central del cuidado de enfermería

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