Exploring postoperative handover quality in relation to patient condition: A mixed methods study.
Aims and Objectives: To describe postoperative handover reporting and tasks in relation to patient condition and situational circumstances, in order to identify facilitators for best practices. Background: High‐quality handovers in postoperative settings are important for patient safety and continui...
| Publicado en: | Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 30; no. 7-8; pp. 1046 - 1060 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149731542&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149731542 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09621067 LVDZ jtl: Journal of Clinical Nursing (John Wiley & Sons, Inc.) issn: 09621067 maglogo: N pubinfo: dt: Apr2021 vid: 30 iid: 7-8 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 149731542 149731542 149731542 10.1111/jocn.15650 149731542 ppf: 1046 ppct: 14 formats: tig: atl: Exploring postoperative handover quality in relation to patient condition: A mixed methods study. aug: au: Reine, Elizabeth Aase, Karina Ræder, Johan Thorud, Anne Aarsnes, Reidunn M. Rustøen, Tone affil: Department of Nurse Anaesthesia, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway sug: subj: Postoperative Care Hand Off (Patient Safety) Psychosocial Factors Medical Practice Task Performance and Analysis Human Multimethod Studies Nonexperimental Studies Field Notes Health Information Adaptation, Psychological Communication Patient Assessment Clinical Assessment Tools Post Anesthesia Care Units SBAR Technique Academic Medical Centers Norway Data Analysis Software Health Personnel Descriptive Statistics Bivariate Statistics Spearman's Rank Correlation Coefficient Mann-Whitney U Test Kruskal-Wallis Test Chi Square Test Sensitivity and Specificity Thematic Analysis Monitoring, Physiologic Documentation Organizational Culture ab: Aims and Objectives: To describe postoperative handover reporting and tasks in relation to patient condition and situational circumstances, in order to identify facilitators for best practices. Background: High‐quality handovers in postoperative settings are important for patient safety and continuity of care. There is a need to explore handover quality in relation to patient condition and other affecting factors. Design: Observational mixed methods convergent design. Methods: Postoperative patient handovers were observed collecting quantitative (n = 109) and qualitative data (n = 48). Quantitative data were collected using the postoperative handover assessment tool (PoHAT), and a scoring system assessing patient condition. Qualitative data were collected using free‐text field notes and an observational guide. The study adheres to the GRAMMS guideline for reporting mixed methods research. Results: Information omissions in the handovers observed ranged from 1–13 (median 7). Handovers of vitally stable and comfortable patients were associated with more information omissions in the report. A total of 50 handovers (46%) were subjected to interruptions, and checklist compliance was low (13%, n = 14). Thematic analysis of the qualitative data identified three themes: "adaptation of handover," "strategies for information transfer" and "contextual and individual factors." Factors facilitating best practices were related to adaptation of the handover to patient condition and situational circumstances, structured verbal reporting, providing patient assessments and dialogue within the handover team. Conclusions: The variations in items reported and tasks performed during the handovers observed were related to patient conditions, situational circumstances and low checklist compliance. Adaptation of the handover to patient condition and situation, structured reporting, dialogue within the team and patient assessments contributed to quality. Relevance to clinical practice: It is important to acknowledge that handover quality is related to more than transfer of information. The present study has described how factors related to the patient and situation affect handover quality. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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