Mixed methods evaluation of a quality improvement and audit tool for nurse-to-nurse bedside clinical handover in ward settings

Australian Commission on Safety and Quality in Health Care, 2009 Australian Commission on Safety and Quality in Health Care, 2010 Australian Commission on Safety and Quality in Health Care, 2011 Australian Commission on Safety and Quality in Health Care, 2011 Australian Commission on Safety and Quality in Health Care, 2012 Australian Medical Association, 2006 Bates, 2014, A tool to measure shared clinical understanding following handoffs to help evaluate handoff quality, Journal of Hospital Medicine, 9, 142, 10.1002/jhm.2147 Botti, 2009, Examining communication and team performance during clinical handover in a complex environment: the private sector post-anaesthetic care unit, Medical Journal of Australia, 190, S157 Braun, 2006, Using thematic analysis in psychology, Qualitative Research in Psychology, 3, 77, 10.1191/1478088706qp063oa Burton, 2010, Gaining efficiency and satisfaction in the handoff process, Journal of Hospital Medicine, 5, 547, 10.1002/jhm.808 Catchpole, 2010, Patient handovers within the hospital: Translating knowledge from motor racing to healthcare, Quality & Safety in Health Care, 19, 318, 10.1136/qshc.2009.026542 Catchpole, 2007, Patient handover from surgery to intensive care: Using Formula 1 pit-stop and aviation models to improve safety and quality, Paediatric Anaesthesia, 17, 470, 10.1111/j.1460-9592.2006.02239.x Chaboyer, 2009, Bedside handover: Quality improvement strategy to “transform care at the bedside”, Journal of Nursing Care Quality, 24, 136, 10.1097/01.NCQ.0000347450.90676.d9 Chaboyer, 2010, Bedside nursing handover: A case study, International Journal of Nursing Practice, 16, 27, 10.1111/j.1440-172X.2009.01809.x Chaboyer, 2008 Chin, 2011, Patients' perceptions of safety and quality of maternity clinical handover, BMC Pregnancy and Childbirth, 11, 58, 10.1186/1471-2393-11-58 Clarke, 2011, Leading clinical handover improvement: A change strategy to implement best practices in the acute care setting, Journal of Patient Safety, 7, 11, 10.1097/PTS.0b013e31820c98a8 Clarke, 2012, Achieving the 'perfect handoff' in patient transfers: Building teamwork and trust, Journal of Nursing Management, 20, 592, 10.1111/j.1365-2834.2012.01400.x Cohen, 2012, A handoff is not a telegram: An understanding of the patient is co-constructed, Critical Care, 16, 303, 10.1186/cc10536 Drach-Zahavy, 2015, Between standardisation and resilience: nurses' emergent risk management strategies during handovers, Journal of Clinical Nursing, 24, 592, 10.1111/jocn.12725 Evans, 2012, Bedside shift-to-shift nursing report: Implementation and outcomes, Medsurg Nursing, 21, 281 Farhan, 2012, The ABC of handover: A qualitative study to develop a new tool for handover in the emergency department, Emergency Medicine Journal, 29, 941, 10.1136/emermed-2011-200199 Fenton, 2006, Developing a guide to improve the quality of nurses' handover, Nursing Older People, 18, 32, 10.7748/nop.18.11.32.s24 Fleiss, 1981 Flink, 2012, The key actor: A qualitative study of patient participation in the handover process in Europe, BMJ Quality and Safety, 21, i89, 10.1136/bmjqs-2012-001171 Flink, 2012, Beliefs and experiences can influence patient participation in handover between primary and secondary care–a qualitative study of patient perspectives, BMJ Quality and Safety, 21, i76, 10.1136/bmjqs-2012-001179 Freitag, 2011, Handoff communication: Using failure modes and effects analysis to improve the transition in care process, Quality Management in Health Care, 20, 103, 10.1097/QMH.0b013e3182136f58 Ganz, 2015, The quality of intensive care unit nurse handover related to end of life: A descriptive comparative international study, International Journal of Nursing Studies, 52, 49, 10.1016/j.ijnurstu.2014.07.009 Glymph, 2015, Healthcare utilizing deliberate discussion linking events (HUDDLE): A systematic review, AANA Journal, 83, 183 Graan, 2015, Nursing handover from ICU to cardiac ward: Standardised tools to reduce safety risks, Australian Critical Care, 29, 165, 10.1016/j.aucc.2015.09.002 Hardey, 2000, ‘Scraps’: Hidden nursing information and its influence on the delivery of care, Journal of Advanced Nursing, 32, 208, 10.1046/j.1365-2648.2000.01443.x Hill, 2010, Human factors in clinical shift handover communication: Review of reliability and resilience principles applied to Change of Shift Report, Canadian Journal of Respiratory Therapy, 46, 44 Holden, 2001, Hawthorne effects and research into professional practice, Journal of Evaluation in Clinical Practice, 7, 65, 10.1046/j.1365-2753.2001.00280.x Holly, 2014, A systematic review on the transfer of information during nurse transitions in care, Journal of Clinical Nursing, 23, 2387, 10.1111/jocn.12365 Horwitz, 2012, Validation of a handoff assessment tool: The Handoff CEX, Journal of Clinical Nursing, 22, 1477, 10.1111/j.1365-2702.2012.04131.x Horwitz, 2013, Development of a handoff evaluation tool for shift-to-shift physician handoffs: The Handoff CEX, Journal of Hospital Medicine, 8, 191, 10.1002/jhm.2023 Houghton, 2013, Rigour in qualitative case-study research, Nurse Researcher, 20, 12, 10.7748/nr2013.03.20.4.12.e326 Jewell, 2016, Standardization of inpatient handoff communication, Pediatrics, 138, 10.1542/peds.2016-2681 Johnson, 2013, SWITCH for safety: Perioperative hand-off tools, AORN Journal, 98, 494, 10.1016/j.aorn.2013.08.016 Johnson, 2013, Nurses discuss bedside handover and using written handover sheets, Journal of Nursing Management, 21, 121, 10.1111/j.1365-2834.2012.01438.x Johnson, 2012, Developing a minimum data set for electronic nursing handover, Journal of Clinical Nursing, 21, 331, 10.1111/j.1365-2702.2011.03891.x Johnson, 2014, Comparing nursing handover and documentation: Forming one set of patient information, International Nursing Review, 61, 73, 10.1111/inr.12072 Kerr, 2013, Bedside handover enhances completion of nursing care and documentation, Journal of Nursing Care Quality, 28, 217, 10.1097/NCQ.0b013e31828aa6e0 Kitson, 2014, What's my line? A narrative review and synthesis of the literature on registered nurses' communication behaviours between shifts, Journal of Advanced Nursing, 70, 1228, 10.1111/jan.12321 Kowitlawakul, 2015, Observation of handover process in an intensive care unit (ICU): Barriers and quality improvement strategy, International Journal for Quality in Health Care, 27, 99 Lamond, 2000, The information content of the nurse change of shift report: A comparative study, Journal of Advanced Nursing, 31, 794, 10.1046/j.1365-2648.2000.01349.x Landis, 1977, The measurement of observer agreement for categorical data, Biometrics, 33, 159, 10.2307/2529310 Lawton, 2014, Positive deviance: A different approach to achieving patient safety, BMJ Quality and Safety, 23, 880, 10.1136/bmjqs-2014-003115 Maxson, 2012, Bedside nurse-to-nurse handoff promotes patient safety, Medsurg Nursing, 21, 140 Mayor, 2012, Task uncertainty and communication during nursing shift handovers, Journal of Advanced Nursing, 68, 1956, 10.1111/j.1365-2648.2011.05880.x Mays, 1995, Qualitative research: Rigour and qualitative research, BMJ, 311, 109, 10.1136/bmj.311.6997.109 McMurray, 2010, Implementing bedside handover: strategies for change management, Journal of Clinical Nursing, 19, 2580, 10.1111/j.1365-2702.2009.03033.x Meissner, 2007, Nurses' perception of shift handovers in Europe: Results from the European Nurses' Early Exit Study, Journal of Advanced Nursing, 57, 535, 10.1111/j.1365-2648.2006.04144.x Miller, 2009, Uni- and interdisciplinary effects on round and handover content in intensive care units, Human Factors, 51, 339, 10.1177/0018720809338188 O'Connell, 2008, Nursing handover: it's time for a change, Contemporary Nurse: A Journal for the Australian Nursing Profession, 30, 2, 10.5172/conu.673.30.1.2 Pope, 2008, Raising the SBAR: How better communication improves patient outcomes, Nursing, 38, 41, 10.1097/01.NURSE.0000312625.74434.e8 Porteous, 2009, iSoBAR–a concept and handover checklist: The National Clinical Handover Initiative, The Medical Journal of Australia, 190, S152 Redley, 2016, Inter-professionalclinical handover in post-anaesthetic care units: tools to improve quality andsafety, International Journal for Quality in Health Care, 28, 573, 10.1093/intqhc/mzw073 Sharit, 2008, Examining links between sign-out reporting during shift changeovers and patient management risks, Risk Analysis, 28, 969, 10.1111/j.1539-6924.2008.01087.x Smeulers, 2016, Safe and effective nursing shift handover with NURSEPASS: An interrupted time series, Applied Nursing Research, 32, 199, 10.1016/j.apnr.2016.07.010 Smeulers, 2014, Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients, Cochrane Database of Systematic Reviews, 6 Smith, 2011, Qualitative data analysis: The framework approach, Nurse Researcher, 18, 52, 10.7748/nr2011.01.18.2.52.c8284 Street, 2011, Communication at the bedside to enhance patient care: A survey of nurses' experience and perspective of handover, International Journal of Nursing Practice, 17, 133, 10.1111/j.1440-172X.2011.01918.x Thomas, 2009, The SBAR communication technique: Teaching nursing students professional communication skills, Nurse Educator, 34, 176, 10.1097/NNE.0b013e3181aaba54 Tobiano, 2012 Wainwright, 2016, Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: A best practice implementation project, JBI Database of Systematic Reviews and Implementation Reports, 14, 263, 10.11124/JBISRIR-2016-003170 Woodhall, 2008, Implementation of the SBAR communication technique in a tertiary center, Journal of Emergency Nursing, 34, 314, 10.1016/j.jen.2007.07.007 World Health Organization, The Joint Commission & Joint Commission International, 2007, Vol. 1