Nurse handover: patient and staff experiences.

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 i...

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Published in:British Journal of Nursing Vol. 25; no. 7; pp. 386 - 393
Main Authors: Bruton, Jane, Norton, Christine, Smyth, Natasha, Ward, Helen, Day, Sophie
Format: research Journal Article
Published: Mark Allen Holdings Limited 4/14/2016
Online Access:View this record in EBSCOhost
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      dt: 4/14/2016
      vid: 25
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      pub: Mark Allen Holdings Limited
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        10.12968/bjon.2016.25.7.386
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        atl: Nurse handover: patient and staff experiences.
      aug:
        au:
          Bruton, Jane
          Norton, Christine
          Smyth, Natasha
          Ward, Helen
          Day, Sophie
        affil: Clinical Research Manager, Patient Experience Research Centre, Imperial College London
      sug:
        subj:
          Shift Reports
          Patient Bedside
          Human
          Communication
          Nonexperimental Studies
          United Kingdom
          Staff Nurses
          Qualitative Studies
          Semi-Structured Interview
          Convenience Sample
          Thematic Analysis
          Data Analysis Software
          Diaries
          Patient Rounds
          Patient Satisfaction
          Inpatients
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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