A qualitative analysis of adding kindness into the ISBAR handover tool

Senneville, Lizzie Liew de; Brewin, Andrew; Thomas, Alarna; Calvert, Katrina

doi:10.1111/ajo.13607

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…[ 52 ]. Although ISBAR has been endorsed as an escalation tool for deteriorating patients [ 53 ], it is routinely cited as a clinical handover tool [ 54 ]. This finding builds on organisational literature on voice, where speakers (voicer) who suggest solutions rather than problems, were viewed more favourably and received higher performance evaluations [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach

et al. 2023

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Background Within healthcare, the barriers and enablers that influence clinicians’ ability to speak up are well researched. However, despite the receiver of the message being identified as a key barrier to a speaker voicing a concern, there have been very few receiver-focused studies. As a result, little is known about the barriers and enablers that influence message reception. Understanding these can help inform speaking up training and ultimately enhance patient safety through more effective clinical communication. Objectives To identify enabling or inhibiting factors that influence the receiver’s reception and response to a speaking up message, and if the identified barriers and enablers are related to speaker or receiver characteristics. Design and methods Twenty-two interdisciplinary simulations were video recorded and transcribed. Simulation participants formed the patient discharge team and were receivers of a speaking up message, delivered by a nurse at the patient’s bedside. How the message was delivered (verbose or abrupt wording), was manipulated and counterbalanced across the simulations. Within the post simulation debriefs, barriers and enablers of being a receiver of a message were explored using content analysis. Setting/participants This study took place in a large Australian tertiary healthcare setting. Participants were qualified clinicians of varying disciplines and specialties. Results A total of 261 barriers and 285 enablers were coded. Results showed that how the message was delivered (differing tone, phases, and manner) influenced what receivers identified as barriers and enablers. Additionally, the receiver’s own cognitive processes, such as making positive attributions of the speaker and attempting to build rapport and collegiality, better enabled message reception and response. Receiver behaviour was negatively impacted by listening to fix, rather than understand, and not knowing in the moment how to manage their own reactions and appropriately frame a response. Conclusion The debriefings identified key barriers and enablers to receiving a speaking up message that differ from those previously identified for senders of the speaking up message. Current speaking up programs are predominately speaker centric. This study identified that both speaker and receiver behaviour influenced message reception. Therefore, training must place equal attention on both the speaker and receiver and be inclusive of experiential conversational rehearsal of both positive and challenging encounters.

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Section: Discussionmentioning

confidence: 99%

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach

et al. 2023

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What is the State of Organisational Compassion‐Based Interventions Targeting to Improve Health Professionals' Well‐Being? Results of a Systematic Review

Nielsen,

Lindhardt,

Näslund‐Koch

et al. 2024

Journal of Advanced Nursing

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AimTo identify and assess the state of knowledge regarding compassion‐based interventions and outcomes, targeted to the organisational level, that aim to improve health professionals' well‐being.DesignSystematic review.Data SourcesUsing the PICO model, the clinical question and search strategy were structured. The searches were performed on 20 September 2022 and 26 December 2023 in the Scopus, CINAHL, EMBASE, PsycINFO and ProQuest Dissertations & Theses Global databases. Content analysis was applied to analyse data, and the PRISMA and SWiM guidelines were followed for reporting.ResultsThirty‐eight studies, mostly from the United Kingdom and the United States, met the inclusion criteria and were quality assessed and analysed. Compassion‐based interventions that target the organisational level are quite new, thus representing a burgeoning initiative. In this review, many included quantitative studies revealed significant methodological challenges in effectively measuring organisational compassion (interpersonal relationships, organisational culture and retention/turnover). However, the review findings overall indicate that interpersonal connections between colleagues that foster a sense of community, through shared experiences, mindfulness and (self‐)compassion practices and social activities, may be a protective factor for well‐being. Further, the review emphasises the crucial role of management support in catalysing organisational changes to improve health professionals' well‐being.ConclusionEvidence strongly suggests that fostering human interconnectedness among health professionals is associated with enhanced well‐being. Further rigorous studies are needed to validate these findings, clarify the organisational cultural aspects of compassion and develop an effective outcome measurement tool for organisational compassion.Practice ImplicationsOrganisational compassion‐based interventions may help foster a culture of compassion within organisations, enhance health professionals' capacity for compassion and benefit both their well‐being and the quality of care provided to patients and relatives.Patient ContributionsThis review is part of a larger project about compassion and includes two patient representatives (mothers of children with cancer) in the research team.

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A qualitative analysis of adding kindness into the ISBAR handover tool

Cited by 2 publications

References 18 publications

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach

What is the State of Organisational Compassion‐Based Interventions Targeting to Improve Health Professionals' Well‐Being? Results of a Systematic Review

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