dc.contributor.author | Spooner, Amy J | |
dc.contributor.author | Aitken, Leanne M | |
dc.contributor.author | Corley, Amanda | |
dc.contributor.author | Chaboyer, Wendy | |
dc.date.accessioned | 2019-05-29T12:31:04Z | |
dc.date.available | 2019-05-29T12:31:04Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1036-7314 | |
dc.identifier.doi | 10.1016/j.aucc.2017.01.005 | |
dc.identifier.uri | http://hdl.handle.net/10072/340092 | |
dc.description.abstract | Background: Despite increasing demand for structured processes to guide clinical handover, nursing
handover tools are limited in the intensive care unit.
Objectives: The study aim was to identify key items to include in a minimum dataset for intensive care
nursing team leader shift-to-shift handover.
Methods: This focus group study was conducted in a 21-bed medical/surgical intensive care unit in
Australia. Senior registered nurses involved in team leader handovers were recruited. Focus groups
were conducted using a nominal group technique to generate and prioritise minimum dataset items.
Nurses were presented with content from previous team leader handovers and asked to select which
content items to include in a minimum dataset. Participant responses were summarised as frequencies
and percentages.
Results: Seventeen senior nurses participated in three focus groups. Participants agreed that ISBAR
(Identify-Situation-Background-Assessment-Recommendations) was a useful tool to guide clinical handover.
Items recommended to be included in the minimum dataset (≥65% agreement) included Identify
(name, age, days in intensive care), Situation (diagnosis, surgical procedure), Background (significant
event(s), management of significant event(s)) and Recommendations (patient plan for next shift, tasks
to follow up for next shift). Overall, 30 of the 67 (45%) items in the Assessment category were considered
important to include in the minimum dataset and focused on relevant observations and treatment within
each body system. Other non-ISBAR items considered importantto include related to the ICU (admissions
to ICU, staffing/skill mix, theatre cases) and patients (infectious status, site of infection, end of life plan).
Items were further categorised into those to include in all handovers and those to discuss only when
relevant to the patient.
Conclusions: The findings suggest a minimum dataset for intensive care nursing team leader shift-to-shift
handover should contain items within ISBAR along with unit and patient specific information to maintain
continuity of care and patient safety across shift changes. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.publisher.place | United States | |
dc.relation.ispartofpagefrom | 47 | |
dc.relation.ispartofpageto | 52 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | Australian Critical Care | |
dc.relation.ispartofvolume | 31 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Nursing not elsewhere classified | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 420599 | |
dc.title | Developing a minimum dataset for nursing team leader handover in the intensive care unit: A focus group 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 | © 2017 Australian College of Critical Care Nurses Ltd. Published by Elsevier Australia. 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 | |