NDLI: Information structure and organisation in change of shift reports: An observational study of nursing hand-offs in a Paediatric Intensive Care Unit.

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Information structure and organisation in change of shift reports: An observational study of nursing hand-offs in a Paediatric Intensive Care Unit.

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Information structure and organisation in change of shift reports: An observational study of nursing hand-offs in a Paediatric Intensive Care Unit.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Foster-Hunt, Tara Parush, Avi Ellis, Jacqueline Thomas, Margot Rashotte, Judy
Description	Country affiliation: Canada Author Affiliation: Foster-Hunt T ( Carleton University, Ottawa, Ontario, Canada.); Parush A ( Carleton University, Ottawa, Ontario, Canada. Electronic address: avi_parush@carleton.ca.); Ellis J ( University of Ottawa, Ottawa, Ontario, Canada.); Thomas M ( Children's Hospital of Eastern Ontario, Canada.); Rashotte J ( Children's Hospital of Eastern Ontario, Canada.)
Abstract	Patient hand-offs involve the exchange of critical information. Ineffective hand-offs can result in reduced patient safety by leading to wrong treatment, delayed diagnoses or other outcomes that can negatively affect the healthcare system. The objectives of this study were to uncover the structure of the information conveyed during patient hand-offs and look for principles characterising the organisation of the information. With an observational study approach, data was gathered during the morning and evening nursing change of shift hand-offs in a Paediatric Intensive Care Unit. Content analysis identified a common meta-structure used for information transfer that contained categories with varying degrees of information integration and the repetition of high consequence information. Differences were found in the organisation of the hand-off structures, and these varied as a function of nursing experience. The findings are discussed in terms of the potential benefits of computerised tools which utilise standardised structure for information transfer and the implications for future education and critical care skill acquisition.
File Format	HTM / HTML
ISSN	09643397
Issue Number	3
Journal	Intensive and Critical Care Nursing
Volume Number	31
e-ISSN	15324036
Language	English
Publisher	Elsevier
Publisher Date	2015-06-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Critical Care Discipline Nursing
Content Type	Text
Resource Type	Article
Subject	Critical Care Nursing

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