Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover

International Journal of Nursing Practice - Tập 17 Số 2 - Trang 133-140 - 2011
Maryann Street1, Paula Eustace2, Patricia M. Livingston3, Melinda Craike4, Bridie Kent5, Denise Patterson6
1Research Fellow, Eastern Health, Box Hill, Victoria, Australia, Research Fellow, Deakin University, School of Nursing and Midwifery, Burwood, Victoria, Australia
2Clinical Nurse Educator, Intensive Care, Eastern Health, Box Hill, Victoria, Australia
3Associate Professor, Deakin University, School of Nursing and Midwifery, Burwood, Victoria, Australia
4Research Fellow, Deakin University, School of Nursing and Midwifery, Burwood, Victoria, Australia
5Professor, Chair of Nursing, Eastern Health, Box Hill, Victoria, Australia, Chair of Nursing, Deakin University, School of Nursing and Midwifery, Burwood, Victoria, Australia
6Chief of Clinical and Site Operations Box Hill Hospital/Program Director Women's and Children's Health, Eastern Health, Box Hill, Victoria, Australia

Tóm tắt

Street M, Eustace P, Livingston PM, Craike MJ, Kent B, Patterson D. International Journal of Nursing Practice 2011; 17: 133–140 Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover Strategies to support continuity of care and improve patient safety during clinical handover have been developed. The aims of this study were to identify the strengths and limitations in current practice of nursing clinical handover and implement a new bedside handover process. A total of 259 nurses completed a cross‐sectional survey at change of shift on 1 day, which was followed by an audit of the pilot implementation of bedside handover. The survey results showed great variation in the duration, location and method of handover with significant differences in the experience of nurses employed part‐time compared with full‐time. Following implementation of standardized bedside handover on two wards, the audit revealed significant improvement in the involvement of patients, use of Situation‐Background‐Assessment‐Recommendation, active patient checks and checking of documentation. These findings suggest the use of standardized protocols and communication tools for bedside handover improve continuity of patient care.

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