dc.contributor.author | Spooner, AJ | |
dc.contributor.author | Aitken, LM | |
dc.contributor.author | Corley, A | |
dc.contributor.author | Fraser, JF | |
dc.contributor.author | Chaboyer, W | |
dc.date.accessioned | 2018-06-15T08:05:21Z | |
dc.date.available | 2018-06-15T08:05:21Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 0020-7489 | |
dc.identifier.doi | 10.1016/j.ijnurstu.2016.05.006 | |
dc.identifier.uri | http://hdl.handle.net/10072/100060 | |
dc.description.abstract | Background: Despite a proliferation of evidence and the development of standardised tools
to improve communication at handover, evidence to guide the handover of critical patient
information between nursing team leaders in the intensive care unit is limited.
Objective: The study aim was to determine the content of information handed over during
intensive care nursing team leader shift-to-shift handover.
Design: A prospective observational study.
Setting: A 21-bed medical/surgical adult intensive care unit specialising in cardiothoracic
surgery at a tertiary referral hospital in Queensland, Australia.
Participants: Senior nurses (Grade 5 and 6 Registered nurses) working in team leader roles,
employed in the intensive care unit were sampled.
Method: After obtaining consent from nursing staff, team leader handovers were
audiotaped over 20 days. Audio recordings were transcribed and analysed using deductive
and inductive content analysis. The frequency of content discussed at handover that fell
within the a priori categories of the ISBAR schema (Identify-Situation-BackgroundAssessment-Recommendation)
was calculated.
Results: Forty nursing team leader handovers were recorded resulting in 277 patient
handovers and a median of 7 (IQR 2) patients discussed at each handover. The majority of
nurses discussed the Identity (99%), Situation (96%) and Background (88%) of the patient,
however Assessment (69%) content was varied and patient Recommendations (60%) were
discussed less frequently. A diverse range of additional information was discussed that did
not fit into the ISBAR schema.
Conclusions: Despite universal acknowledgement of the importance of nursing team
leader handover, there are no previous studies assessing its content. Study findings
indicate that nursing team leader handovers contain diverse and inconsistent content,
which could lead to inadequate handovers that compromise patient safety. Further work is
required to develop structured handover processes for nursing team leader handovers. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 165 | |
dc.relation.ispartofpageto | 172 | |
dc.relation.ispartofjournal | International Journal of Nursing Studies | |
dc.relation.ispartofvolume | 61 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Nursing not elsewhere classified | |
dc.subject.fieldofresearch | Midwifery | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420599 | |
dc.subject.fieldofresearchcode | 4204 | |
dc.title | Nursing team leader handover in the intensive care unit contains diverse and inconsistent content: An observational study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.description.version | Accepted Manuscript (AM) | |
gro.faculty | Griffith Health, School of Nursing and Midwifery | |
gro.rights.copyright | © 2016 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Chaboyer, Wendy | |
gro.griffith.author | Corley, Amanda | |