Examining systems of nursing handover provides the opportunity to identify areas in need of improvement and modification. The aim of this study was to describe nursing handover practices for one organization and explore clinical nurses' opinions regarding the quality of the current shift-to-shift handover style. One hundred and fifty-three registered nurses employed in 23 wards in an acute tertiary hospital in Australia completed a survey. The survey collected information about demographic data, current methods and preferences for style of handover and opinions about the quality of nursing handover. This study found that existing handover practice is time-consuming, lacks patient involvement and essential information, and is varied in style. Only one ward (4.3%) conducted handover at the bedside. The majority (82%) expressed reluctance to change their current handover style. Modification of existing nursing handover is needed but might be challenging in view of the reluctance to change this ritual.
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http://dx.doi.org/10.1111/j.1440-172X.2011.01947.x | DOI Listing |
Am J Med
January 2025
Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, MA; Division of Sleep Medicine, Harvard Medical School, Boston, MA; Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.
We examined data from 17,498 physicians-in-training who reported on 92,662 months of work over a 20 year study interval that included three major revisions to work hour limits. Extended duration shifts (≥24 hours; EDS) are much less common than they used to be. On average, first-year resident physicians (PGY1s) currently work a total of 4 EDS per year and 3 EDS per month during months in which any EDS are worked.
View Article and Find Full Text PDFBackground: Cork University Hospital, Ireland's largest teaching hospital, faced challenges in maintaining consistent handover processes in its Acute Mental Health Unit (AMHU). Prior to 2019, handovers relied on informal methods, risking information loss and compromising patient care. This quality improvement (QI) initiative aimed to standardise handover practices using an electronic tool integrated with the ISBAR communication protocol.
View Article and Find Full Text PDFBMJ Open
December 2024
Health Services, University of Washington, Seattle, Washington, USA.
Introduction: Ineffective coordination during care transitions from hospitals to skilled nursing facilities (SNFs) costs Medicare US$2.8-US$3.4 billion annually and results in avoidable adverse events.
View Article and Find Full Text PDFJ Hosp Med
December 2024
Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Background: Prior reviews have shown that interventions to improve inpatient handoffs are inconsistently associated with improvement in patient outcomes. This systematic review examines the effectiveness of inpatient handoff interventions on outcomes affecting patients and physicians, including objective measures when reported (PROSPERO ID: CRD42022309326).
Methods: Pubmed, Embase, and Cochrane Central Register of Controlled Trials were searched on January 13th, 2022.
Nurs Rep
November 2024
Facultad de Enfermería, Universidad de Murcia, 30120 Murcia, Spain.
Unlabelled: Standardized transfer is an evidence-based framework designed to improve communication between healthcare professionals, reducing risks and ensuring safe, high-quality care. Despite its benefits, implementing this framework in clinical practice poses challenges. Nurses often do not use a systematic guide as a theoretical framework for handovers in daily practice.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!