Developing a guideline for structured content and process in mental health nursing handover

Cowan, Darrin; Brunero, Scott; Luo, Xiaoou; Bilton, D.; Lamont, Scott

doi:10.1111/inm.12337

Cited by 19 publications

(19 citation statements)

References 44 publications

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“…However, despite such political aims, great awareness, and many initiatives, there are still challenges within and criticisms of the mental healthcare system in Scandinavia [ 5 ] and other Western countries. This can, for instance, be explained as a lack of coherence in the users’ experience of the cross-sectoral process [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Professionals’ and Users’ Experiences of Intersectoral Care between Hospital and Community Mental Healthcare

Jørgensen

Dahl

Frederiksen

2020

IJERPH

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This paper explores healthcare professionals’ and users’ experience of coherent intersectoral care between hospital mental healthcare and community mental healthcare. A total of 20 healthcare professionals, primarily nurses, and 14 users with a range of mental illnesses participated in nine focus group interviews (FGIs). Participants were encouraged in the FGIs to reflect upon their experience of coherency in intersectoral care. The analysis of FGIs was informed by a phenomenological-hermeneutic approach in a research group from 2016–2019. The Consolidated Criteria for Reporting Qualitative Research checklist was used as a guideline to ensure complete and accurate reporting of the study. The analysis led to the generation of several themes from a professional perspective and from a user perspective, addressed barriers to coherent intersectoral care. The healthcare professionals experienced barriers such as a lack of common language and knowledge of partners. The users did not feel involved and lacked coherence in their recovery processes and, as such, intersectoral care was often experienced as being lost in a maze.

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Section: Introductionmentioning

confidence: 99%

Healthcare Professionals’ and Users’ Experiences of Intersectoral Care between Hospital and Community Mental Healthcare

Jørgensen

Dahl

Frederiksen

2020

IJERPH

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“…Eighteen studies concerned safety-related organisational processes. Eleven of these investigated processes of treatment or care that healthcare staff undertake; processes included limit-setting and clothing restrictions,234–240 risk assessment241–243 and nursing handover 244. Two investigated errors and reporting245 246 and a further two studies explored staff and patient perceptions of safety when involved in treatment processes 247 248.…”

Section: Resultsmentioning

confidence: 99%

Patient safety in inpatient mental health settings: a systematic review

et al. 2019

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ObjectivesPatients in inpatient mental health settings face similar risks (eg, medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (eg, self-harm), and the measures taken to address these (eg, restraint), may result in further risks to patient safety. The objective of this review is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology.DesignSystematic review and meta-synthesis. Embase, Cumulative Index to Nursing and Allied Health Literature, Health Management Information Consortium, MEDLINE, PsycINFO and Web of Science were systematically searched from 1999 to 2019. Search terms were related to ‘mental health’, ‘patient safety’, ‘inpatient setting’ and ‘research’. Study quality was assessed using the Hawker checklist. Data were extracted and grouped based on study focus and outcome. Safety incidents were meta-analysed where possible using a random-effects model.ResultsOf the 57 637 article titles and abstracts, 364 met inclusion criteria. Included publications came from 31 countries and included data from over 150 000 participants. Study quality varied and statistical heterogeneity was high. Ten research categories were identified: interpersonal violence, coercive interventions, safety culture, harm to self, safety of the physical environment, medication safety, unauthorised leave, clinical decision making, falls and infection prevention and control.ConclusionsPatient safety in inpatient mental health settings is under-researched in comparison to other non-mental health inpatient settings. Findings demonstrate that inpatient mental health settings pose unique challenges for patient safety, which require investment in research, policy development, and translation into clinical practice.PROSPERO registration numberCRD42016034057.

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“…Therefore the need for concise, accurate clinical handover is imperative [6]. High quality transfer of patient information from team to team is an essential component of good patient care, alongside the expertise of clinicians, teamwork and effective management [27]. However, good practices in clinical handover do not happen by chance.…”

Section: Importance Of Ongoing Training In Clinical Handovermentioning

confidence: 99%

Teaching clinical handover with ISBAR

et al. 2020

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Clinical handover is one of the most critical steps in a patient’s journey and is a core skill that needs to be taught to health professional students and junior clinicians. Performed well, clinical handover should ensure that lapses in continuity of patient care, errors and harm are reduced in the hospital or community setting. Handover, however, is often poorly performed, with critical detail being omitted and irrelevant detail included. Evidence suggests that the use of a structured, standardised framework for handover, such as ISBAR, improves patient outcomes. The ISBAR (Introduction, Situation, Background, Assessment, Recommendation) framework, endorsed by the World Health Organisation, provides a standardised approach to communication which can be used in any situation. In the complex clinical environment of healthcare today, ISBAR is suited to a wide range of clinical contexts, and works best when all parties are trained in using the same framework. It is essential that healthcare leaders and professionals from across the health disciplines work together to ensure good clinical handover practices are developed and maintained. Organisations, including universities and hospitals, need to invest in the education and training of health professional students and health professionals to ensure good quality handover practice. Using ISBAR as a framework, the purpose of this paper is to highlight key elements of effective clinical handover, and to explore teaching techniques that aim to ensure the framework is embedded in practice effectively.

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Developing a guideline for structured content and process in mental health nursing handover

Cited by 19 publications

References 44 publications

Healthcare Professionals’ and Users’ Experiences of Intersectoral Care between Hospital and Community Mental Healthcare

Healthcare Professionals’ and Users’ Experiences of Intersectoral Care between Hospital and Community Mental Healthcare

Patient safety in inpatient mental health settings: a systematic review

Teaching clinical handover with ISBAR

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