Perspectives of clinical handover processes: a multi-site survey across different health professionals
MetadataShow full item record
Aims and objectives: To examine the perspectives of health professionals of different disciplines about clinical handover. Background: Ineffective handovers can cause major problems relating to the lack of delivery of appropriate care. Design: A prospective, cross-sectional design was conducted using a survey about clinical handover practices. Methods: Health professionals employed in public metropolitan hospitals, public rural hospitals and community health centres were involved. The sample comprised doctors, nurses and allied health professionals, including physiotherapists, social workers, pharmacists, dieticians and midwives employed in Western Australia, New South Wales, South Australia and the Australian Capital Territory. The survey sought information about health professionals' experiences about clinical handover; their perceived effectiveness of clinical handover; involvement of patients and family members; health professionals' ability to confirm understanding and to clarify clinical information; role modelling behaviour of health professionals; training needs; adverse events encountered and possibilities for improvements.Results: In all, 707 health professionals participated (response rate = 14%). Represented professions were nursing (60%), medicine (22%) and allied health (18%). Many health professionals reported being aware of adverse events where they noticed poor handover was a significant cause. Differences existed between health professions in terms of how effectively they gave handover, perceived effectiveness of bedside handover vs. nonbedside handover, patient and family involvement in handover, respondents' confirmation of understanding handover from their perspective, their observation of senior health professionals giving feedback to junior health professionals, awareness of adverse events and severity of adverse events relating to poor handovers. Conclusions: Complex barriers impeded the conduct of effective handovers, including insufficient opportunities for training, lack of role modelling, and lack of confidence and understanding about handover processes.
Showing items related by title, author, creator and subject.
Review: bringing patient safety to the forefront through structured computerisation during clinical handoverMatic, J.; Davidson, Patricia; Salamonson, Y. (2010)Aims and objectives. This review aims to examine critically, the methods and modes of delivery of handover used in contemporary health care settings and explore the feasibility of a computerised handover system for improving ...
Watson, B.; Manias, E.; Geddes, Fiona; Della, Phillip; Jones, Dorothy (2015)Clinical handover is a key communication event in patient care and a major contributing factor in adverse events in hospitals. Current research on handover emphasizes communication skills training. We investigate the ...
The development, implementation and evaluation of a shared care model of nursing in a tertiary hospital using participatory action research and practice developmentKidd, Heather M. (2012)For the last decade there has been a growing body of international evidence demonstrating the adverse effects on patient care caused by the continued international shortage of registered nurses (RN). One solution being ...