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dc.contributor.authorOxelmark, Lena
dc.contributor.authorWhitty, Jennifer A
dc.contributor.authorUlin, Kerstin
dc.contributor.authorChaboyer, Wendy
dc.contributor.authorGoncalves, Ana Sofia Oliveira
dc.contributor.authorRingdal, Mona
dc.date.accessioned2020-03-26T05:07:29Z
dc.date.available2020-03-26T05:07:29Z
dc.date.issued2020
dc.identifier.issn0020-7489
dc.identifier.doi10.1016/j.ijnurstu.2019.103444
dc.identifier.urihttp://hdl.handle.net/10072/392654
dc.description.abstractBACKGROUND: Shift-to-shift bedside handover is advocated as a patient-centred approach, yet its enactment is challenging. OBJECTIVES: To describe and compare the preferences of both patients and nurses in the implementation of bedside handover in a Swedish University Hospital. DESIGN: A discrete choice experiment (DCE) survey. SETTINGS: University setting, four medical wards in two hospitals. PARTICIPANTS: Adult medical patients (n = 218) and registered nurses (n = 101) METHODS: The survey was administered by an electronic tablet-assisted face-to-face survey. Respondents made repeated choices between two hypothetical bedside handover alternatives and a third alternative of 'handover away from the bedside'. Handover alternatives were described according to six attributes: invitation to participate, number of nurses present at the handover, family member, carer or trusted friend (of the patient) allowed to be present, level of (patient) involvement, what information related to your (patient) care is discussed. Choice data were analyzed using a mixed logit model. RESULTS: A total of 1308 (patients) and 909 (nurses) choice observations were included in the preference models. Patients showed a strong preference for handover at the bedside compared to nurses. Nurses generally preferred handover away from the bedside. Patients perceived their level of involvement in handover as highly important, being able to speak, hear what was said being the most important characteristic, closely followed by being invited to participate and asked questions as well as being heard. Nurses considered patients being invited to participate most important, followed by level of involvement. Different options for handing over sensitive information were not perceived of importance by patients or nurses. There was substantial variation at the individual level across both patients and nurses for where and how handover is delivered. CONCLUSIONS: In this study, patients strongly preferred handover at the bedside, while the nurses considered patients to be invited to participate to be the most important preference but generally preferred handover to take place away from the bedside, all else equal. When implementing bedside handover in a Swedish context this must be considered, although participation is a prerequisite for bedside handover. Differences between patients and nurses' preferences could jeopardize future introduction of bedside handover in Swedish health care, and might explain why bedside handover is still not very common in hospital wards.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom103444:1
dc.relation.ispartofpageto103444:9
dc.relation.ispartofjournalInternational Journal of Nursing Studies
dc.relation.ispartofvolume105
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode1110
dc.subject.keywordsBedside Handover
dc.subject.keywordsDiscrete Choice Experiment
dc.subject.keywordsNurses
dc.subject.keywordsParticipation
dc.subject.keywordsPatients
dc.titlePatients prefer clinical handover at the bedside; nurses do not: Evidence from a discrete choice experiment
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationOxelmark, L; Whitty, JA; Ulin, K; Chaboyer, W; Oliveira Gonçalves, AS; Ringdal, M, Patients prefer clinical handover at the bedside; nurses do not: Evidence from a discrete choice experiment, International Journal of Nursing Studies, 2019, 105, pp. 103444:1-103444:9
dcterms.dateAccepted2019-09-24
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-03-26T00:25:00Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 Published by Elsevier Ltd.This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International (CC BY-NC-ND 4.0) License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorChaboyer, Wendy
gro.griffith.authorWhitty, Jennifer A.


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