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- Title
Observations of nursing staff compliance to a checklist for person‐centred handovers – a quality improvement project.
- Authors
Sharp, Lena; Dahlén, Carina; Bergenmar, Mia
- Abstract
Nursing shift‐to‐shift handovers are important as they impact the care quality indicators such as safety, patient satisfaction and continuity. However, nurses' handovers have also been criticised and described as unstructured and ineffective. To improve the handovers and involve patients and their loved ones in the process, a person‐centred handover (PCH) model performed at bedside has been developed and tested at Karolinska University Hospital, Sweden. This study reports on the nursing staffs' compliance to a checklist used for the newly introduced PCH model. A total of 43 PCH sessions were observed at two acute care wards, using a structured observation protocol. None of the observed handover sessions included all the 13 PCH checklist subcomponents. The checklist was used in 18 (44%) of the observed handover sessions. A statistically significant higher number of subcomponents were observed when the nurses used the PCH checklist (6.4 vs. 4.5 subcomponents, p < 0.05). The mean time spent on each PCH was 6 minutes. In 56% of the sessions, the patients were observed to actively participate in the handover. Overall, the nursing staffs' compliance to the PCH checklist needs to be improved. The observations suggest that training on communication‐oriented tasks would be beneficial to establish a person‐centred handover process.
- Subjects
ACADEMIC medical centers; COMMUNICATION; LEGAL compliance; CRITICAL care medicine; ELECTRONIC data interchange; HOSPITAL wards; MATHEMATICAL models; MEDICAL protocols; NURSES; PROFESSIONS; QUALITY assurance; RESEARCH funding; RESPONSIBILITY; T-test (Statistics); TIME; PATIENT participation; THEORY; PATIENT-centered care; DESCRIPTIVE statistics; HOSPITAL nursing staff
- Publication
Scandinavian Journal of Caring Sciences, 2019, Vol 33, Issue 4, p892
- ISSN
0283-9318
- Publication type
Article
- DOI
10.1111/scs.12686