Publications by authors named "L I Goncharov"

Article Synopsis
  • The study aimed to enhance nursing clinical handovers through a tailored communication intervention, focusing on qualitative improvements in practice across multiple hospitals.
  • Data was collected through interviews, focus groups, and observations before and after the intervention, which involved redesigning handover practices based on feedback from various healthcare staff and patients.
  • Post-intervention results showed significant improvements in bedside handovers, with better patient engagement and information transfer, indicating that effective communication training and leadership can positively impact nursing practices.
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Background: Nurses play an essential role in patient safety. Inadequate nursing physical assessment and communication in handover practices are associated with increased patient deterioration, falls and pressure injuries. Despite internationally implemented rapid response systems, falls and pressure injury reduction strategies, and recommendations to conduct clinical handovers at patients' bedside, adverse events persist.

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Aims: To increase the quality and safety of patient care, many hospitals have mandated that nursing clinical handover occur at the patient's bedside. This study aims to improve the patient-centredness of nursing handover by addressing the communication challenges of bedside handover and the organizational and cultural practices that shape handover.

Design: Qualitative linguistic ethnographic design combining discourse analysis of actual handover interactions and interviews and focus groups before and after a tailored intervention.

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