Front-line nurses' perceptions of intra-hospital handover

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Tobiano, Georgia
Ting, Christine
Ryan, Christine
Jenkinson, Kim
Scott, Lucie
Marshall, Andrea P
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2020
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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.

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Journal of Clinical Nursing

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Subject

Nursing

Health services and systems

Public health

Psychology

communication

inpatients

nursing staff

patient handoff

patient transfer methods

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Tobiano, G; Ting, C; Ryan, C; Jenkinson, K; Scott, L; Marshall, AP, Front-line nurses' perceptions of intra-hospital handover, Journal of Clinical Nursing, 2020

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