Training in communication and interaction during shift-to-shift nursing handovers in a bilingual hospital: A case study.

Pun, J; Chan, EA; Eggins, S; Slade, D

Training in communication and interaction during shift-to-shift nursing handovers in a bilingual hospital: A case study.

Pun, J Chan, EA Eggins, S

Slade, D

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Nurse education today, 2020, 84
Issue Date:: 2020-01

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Field	Value	Language
dc.contributor.author	Pun, J
dc.contributor.author	Chan, EA
dc.contributor.author	Eggins, S https://orcid.org/0000-0002-1936-0255
dc.contributor.author	Slade, D https://orcid.org/0000-0001-6143-5989
dc.date.accessioned	2020-10-08T05:48:46Z
dc.date.available	2019-09-14
dc.date.available	2020-10-08T05:48:46Z
dc.date.issued	2020-01
dc.identifier.citation	Nurse education today, 2020, 84
dc.identifier.issn	1532-2793
dc.identifier.issn	1532-2793
dc.identifier.uri	http://hdl.handle.net/10453/143156
dc.description.abstract	AIM:To explore the perceptions and practices of nurses on handovers. 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:An explorative case study, qualitative design that combined ethnography with discourse analysis. 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: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: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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Nurse education today
dc.relation.isbasedon	10.1016/j.nedt.2019.104212
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1110 Nursing, 1302 Curriculum and Pedagogy
dc.subject.classification	Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Case-Control Studies
dc.subject.mesh	Communication
dc.subject.mesh	Communication Barriers
dc.subject.mesh	Interprofessional Relations
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Multilingualism
dc.subject.mesh	Continuity of Patient Care
dc.subject.mesh	Hong Kong
dc.subject.mesh	Patient Handoff
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Case-Control Studies
dc.subject.mesh	Communication
dc.subject.mesh	Communication Barriers
dc.subject.mesh	Interprofessional Relations
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Multilingualism
dc.subject.mesh	Continuity of Patient Care
dc.subject.mesh	Hong Kong
dc.subject.mesh	Patient Handoff
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Case-Control Studies
dc.subject.mesh	Communication
dc.subject.mesh	Communication Barriers
dc.subject.mesh	Continuity of Patient Care
dc.subject.mesh	Hong Kong
dc.subject.mesh	Humans
dc.subject.mesh	Interprofessional Relations
dc.subject.mesh	Multilingualism
dc.subject.mesh	Patient Handoff
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Surveys and Questionnaires
dc.title	Training in communication and interaction during shift-to-shift nursing handovers in a bilingual hospital: A case study.
dc.type	Journal Article
utslib.citation.volume	84
utslib.location.activity	Scotland
utslib.for	1110 Nursing
utslib.for	1302 Curriculum and Pedagogy
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/FASS Faculty Administration
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-10-08T05:48:38Z
pubs.publication-status	Published
pubs.volume	84

Abstract:

AIM:To explore the perceptions and practices of nurses on handovers. 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:An explorative case study, qualitative design that combined ethnography with discourse analysis. 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: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: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.

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http://hdl.handle.net/10453/143156