NDLI: Nurse handover: patient and staff experiences.

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Nurse handover: patient and staff experiences.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bruton, Jane Norton, Christine Smyth, Natasha Ward, Helen Day, Sophie
Description	Author Affiliation: Bruton J ( Clinical Research Manager, Patient Experience Research Centre, Imperial College London.); Norton C ( Professor of Clinical Nursing Research, King's College London and Imperial College Healthcare NHS Trust.); Smyth N ( Research Assistant, Wellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London.); Ward H ( Professor of Public Health, Imperial College London.); Day S ( Visiting Professor of Anthropology, Patient Experience Research Centre, Imperial College London.)
Abstract	AIM AND OBJECTIVES: to understand the purpose, impact and experience of nurse handover from patient and staff perspectives. BACKGROUND: poor communication is increasingly recognised as a major factor in healthcare errors. Handover is a key risk point. Little consensus exists regarding the practice in nursing but the trend is towards bedside handover. Research on patient and staff experiences of handover is limited. DESIGN: a qualitative and observational study on two acute wards in a large urban hospital in the UK. METHODS: interviews conducted with patients and staff and observation of handovers, ward rounds and patient-staff interactions. RESULTS: diverse forms of nurse handover were found, used in combination: office based (whole nursing team), nurse in charge (NIC) to NIC, and bedside. Patients' and nurses' views concurred on the purpose of bedside handover--transference of information about the patient between two nurses--and about the medical ward round, which was seen as a discussion with the patient. Views diverged regarding the purpose and value of office handover. Bedside handover differed in style, content, and place of delivery, often driven by concerns regarding confidentiality and talking over patients, and there were varied views on the benefits of patient involvement in bedside handover. Nurses worked beyond their shift end to complete handover. Communication problems within the clinical team were identified by staff and patients. CONCLUSIONS: while it is important to agree the purpose of handover and develop appropriate structure, content and style, it need not be a uniform process in all clinical areas. Nurse training to deliver bedside handover and patient information on the purpose of handover and the patient's role would be beneficial.
File Format	HTM / HTML
ISSN	09660461
Issue Number	7
Volume Number	25
e-ISSN	20522819
Journal	British Journal of Nursing
Language	English
Publisher	MA Healthcare
Publisher Date	2016-04-14
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Discipline Nursing Patient Handoff Organization & Administration Communication Humans Interviews As Topic Nurse-patient Relations Patient Satisfaction Teaching Rounds Great Britain Journal Article Observational Study Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Nursing

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