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Nurse handover: patient and staff experiences

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Title: Nurse handover: patient and staff experiences
Authors: Bruton, J
Norton, C
Smyth, N
Ward, H
Day, S
Item Type: Journal Article
Abstract: © 2016 MA Healthcare Ltd.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 patients role would be beneficial.
Issue Date: 15-Apr-2016
Date of Acceptance: 1-Mar-2016
URI: http://hdl.handle.net/10044/1/32530
DOI: http://dx.doi.org/10.12968/bjon.2016.25.7.386
ISSN: 0966-0461
Publisher: Mark Allen Healthcare
Start Page: 386
End Page: 393
Journal / Book Title: British Journal of Nursing
Volume: 25
Issue: 7
Copyright Statement: This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Nursing, copyright © MA Healthcare 2016, after peer review and technical editing by the publisher. To access the final edited and published work see http://www.magonlinelibrary.com/doi/10.12968/bjon.2016.25.7.386
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare Charity
Imperial College Healthcare NHS Trust- BRC Funding
Funder's Grant Number: RD710
7006/P31U
RDC02 79560
Keywords: Bedside handover
Communication
Nurse handover
Nurse–patient relationship
Patient experience
Patient involvement
Ward round
1110 Nursing
Publication Status: Published
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care



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