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Front‐line nurses' perceptions of intra‐hospital handover

Author

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  • Georgia Tobiano
  • Christine Ting
  • Christine Ryan
  • Kim Jenkinson
  • Lucie Scott
  • Andrea P. Marshall

Abstract

Aim and objective To explore nurses' perceptions of factors that help or hinder intra‐hospital handover. Background Miscommunication during clinical handover is a leading cause of clinical incidents in hospitals. Intra‐hospital nursing handover between the emergency department and inpatient unit is particularly complex. Design A descriptive, qualitative study. This research adheres to the consolidated criteria for reporting qualitative research. Methods Forty‐nine nurses participated in group interviews, which were analysed using inductive content analysis. Results Three categories emerged: (a) “lacking clear responsibilities for who provides handover”; (b) “strategies to ensure continuity of information”; and (c) “strained relationships during handover.” Conclusions Intra‐hospital handover requires clear processes, to promote high‐quality information sharing. Ensuring these processes are broad and acceptable across units may ensure nurses' needs are met. Relational continuity between nurses is an important consideration when improving intra‐hospital handover. Relevance to clinical practice Nursing managers are optimally positioned to enhance intra‐hospital handover, by liaising and enforcing standardisation of processes across units. Nurse managers could promote intra‐unit activities that foster front‐line nurses' communication with each other, to encourage problem‐solving and partnerships.

Suggested Citation

  • Georgia Tobiano & Christine Ting & Christine Ryan & Kim Jenkinson & Lucie Scott & Andrea P. Marshall, 2020. "Front‐line nurses' perceptions of intra‐hospital handover," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(13-14), pages 2231-2238, July.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:13-14:p:2231-2238
    DOI: 10.1111/jocn.15214
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    References listed on IDEAS

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    1. Sujan, Mark & Spurgeon, Peter & Cooke, Matthew, 2015. "The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care," Reliability Engineering and System Safety, Elsevier, vol. 141(C), pages 54-62.
    2. Anette Johnsson & Petra Wagman & Åse Boman & Sandra Pennbrant, 2018. "What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people—An ethnographic study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1651-1659, April.
    3. Jian‐Guo Yang & Jun Zhang, 2016. "Improving the postoperative handover process in the intensive care unit of a tertiary teaching hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(7-8), pages 1062-1072, April.
    4. Pauline Calleja & Leanne Aitken & Marie Cooke, 2016. "Staff perceptions of best practice for information transfer about multitrauma patients on discharge from the emergency department: a focus group study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(19-20), pages 2863-2873, October.
    5. Elizabeth Manias & Marie Gerdtz & Allison Williams & Michael Dooley, 2015. "Complexities of medicines safety: communicating about managing medicines at transition points of care across emergency departments and medical wards," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 69-80, January.
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    Cited by:

    1. Elizabeth Manias & Tracey Bucknall & Robyn Woodward-Kron & Carmel Hughes & Christine Jorm & Guncag Ozavci & Kathryn Joseph, 2021. "Interprofessional and Intraprofessional Communication about Older People’s Medications across Transitions of Care," IJERPH, MDPI, vol. 18(8), pages 1-16, April.

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