Training in communication and interaction during shift-to-shift nursing handovers in a bilingual hospital: A case study.
Bilingual
Clinical handover
Communication
Discourse analysis
Ethnography
Nursing
Patient safety
Perceptions
Journal
Nurse education today
ISSN: 1532-2793
Titre abrégé: Nurse Educ Today
Pays: Scotland
ID NLM: 8511379
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
15
12
2018
revised:
06
07
2019
accepted:
14
09
2019
pubmed:
2
11
2019
medline:
17
6
2020
entrez:
1
11
2019
Statut:
ppublish
Résumé
To explore the perceptions and practices of nurses on handovers. At handover, accountability must be transferred to ensure a consistent quality of patient care. Studies highlighted unstructured handovers as a major factor contributing to critical incidents. The design of handover training requires a systematic method for evaluating nurses' practices. An explorative case study, qualitative design that combined ethnography with discourse analysis. A training programme based on these practices was administered to 50 nurses, and a protocol focused on CARE was implemented. The nurses' perceptions and practices were evaluated, and 80 handovers were recorded. Three areas likely to enhance the continuity of care emerged: 1) explicit transfer of responsibility by outgoing nurses; 2) responsible engagement of incoming nurses in the handover and 3) adherence to a systematic handover structure. The change in practice from monologic handovers with passive incoming nurses before training to interactive and collaborative handovers, where all nurses appeared to take an active role in clarifying patients' cases, after training was significant.
Sections du résumé
AIM
OBJECTIVE
To explore the perceptions and practices of nurses on handovers.
BACKGROUND
BACKGROUND
At handover, accountability must be transferred to ensure a consistent quality of patient care. Studies highlighted unstructured handovers as a major factor contributing to critical incidents. The design of handover training requires a systematic method for evaluating nurses' practices.
DESIGN
METHODS
An explorative case study, qualitative design that combined ethnography with discourse analysis.
METHODS
METHODS
A training programme based on these practices was administered to 50 nurses, and a protocol focused on CARE was implemented. The nurses' perceptions and practices were evaluated, and 80 handovers were recorded.
RESULTS
RESULTS
Three areas likely to enhance the continuity of care emerged: 1) explicit transfer of responsibility by outgoing nurses; 2) responsible engagement of incoming nurses in the handover and 3) adherence to a systematic handover structure.
CONCLUSION
CONCLUSIONS
The change in practice from monologic handovers with passive incoming nurses before training to interactive and collaborative handovers, where all nurses appeared to take an active role in clarifying patients' cases, after training was significant.
Identifiants
pubmed: 31669969
pii: S0260-6917(18)31132-8
doi: 10.1016/j.nedt.2019.104212
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
104212Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.