Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: a best practice implementation project

Wainwright, Craig; Wright, Kylie M.

doi:10.11124/jbisrir-2016-003170

Cited by 14 publications

(34 citation statements)

References 10 publications

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“…Other studies found that following various handover interventions, including the implementation of standardized handover tools (Jukkala et al, 2012) and moving the handover location to patient bedside (Mcallen et al, 2018), nurses reported increased accuracy of information exchanged and more effective handover communication (Jukkala et al, 2012; Mcallen et al, 2018). Furthermore, Wainwright and Wright (2016) conducted a project with the aim to increase nurses' compliance with handover best practice across 11 units in a large tertiary hospital. An education bundle consisting of video and written materials, as well as face‐to‐face educations sessions, was implemented.…”

Section: Discussionmentioning

confidence: 99%

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Translating evidence‐based nursing clinical handover practice in an acute care setting: A quasi‐experimental study

Hada

Jones

Jack

et al. 2021

Nursing & Health Sciences

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Effective transfer of information during the nursing handover contributes to patient safety. This study aimed to translate the best practice nursing shift handover recommendations in an acute care setting using the Ottawa Model for Research Use and to explore its effect on patient adverse outcomes (falls, pressure injuries, and medication errors). Using a quasi‐experimental design, the study was conducted in four internal medicine wards in a major tertiary hospital. A total of 88 nurses and 110 patients participated in 152 handover observations. The findings showed clinically important increases in percentages and odds of nurses' compliance with shift handover recommendations after the intervention. The patient adverse outcomes after the intervention were compared to the corresponding period of previous year. A reduction was observed for all adverse patient outcomes with incident rate ratios of 0.762 (p = 0.027) for falls, 0.624 for pressure injuries (p = 0.010), and 0.782 for medication errors (p = 0.023). Replicating this study's methodology across multiple clinical settings will increase the generalizability of findings and provide further evidence to inform nursing practice and policy.

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Section: Discussionmentioning

confidence: 99%

“…The evaluation of this project comprised baseline and follow‐up postimplementation nursing clinical handover observational audits measured against seven best practice recommendations. The results of this project demonstrated significant improvements in the nurses’ compliance with best practice criteria (Wainwright & Wright, 2016).…”

Section: Discussionmentioning

confidence: 99%

Translating evidence‐based nursing clinical handover practice in an acute care setting: A quasi‐experimental study

Hada

Jones

Jack

et al. 2021

Nursing & Health Sciences

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“…It is considered essential for continuity of patient care. [5] Even though there was a form of verbal handover occurring, shift leaders reported that many times information was missing from the previous shift. Much of their time was spent trying to retrieve that information.…”

Section: Context and Settingmentioning

confidence: 99%

“…If, however, they do not have a system of letting the oncoming shift know this information, vital patient data is missed and errors occur. [1,5] With the goal to reach the needs of the patients by 2020, the Ministry of Health in Rwanda launched a program called Human Resources for Health (HRH) to train nurses, doctors, and dentists in the latest standards of care. [6] Part of achieving these goals included training the nurses in A/E to focus on proper communication during handover report so that patients could receive optimal streamlined care.…”

Section: Introductionmentioning

confidence: 99%

Improving Communication and Organization through Shift Leader Handover Report

Tsuchiya¹,

Nsengiyumva²,

Mumporeze³

2019

Rwanda Journal of Medicine and Health Sciences

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Effective communication remains one of the most important factors to patient safety and organization in any hospital department. Accident and Emergency with its high levels of acuity remains an area at great risk for communication breakdowns. Breakdowns in communication increase errors and can interrupt the general flow of the ward causing disorganization and adverse patient outcomes. Handover from one shift to the next is a time where communication errors are at their highest. This paper takes a look at some of the barriers that can impede communication during handover in a busy Accident and Emergency department in Rwanda and how it identified the problem and came up with a solution to improve communication between shift leaders. It discusses in depth the steps that were taken to create a handover tool that was adopted in the department.

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“…Effective communication during the shift‐to‐shift nursing handover has been the focus of international research for many years, as the accuracy of information transferred can directly impact patient safety (Halm, 2013; Wainwright & Wright, 2016).…”

Section: Introductionmentioning

confidence: 99%

Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—Falls, pressure injuries and medication administration errors: An integrative review

Hada

Coyer

2021

Nursing & Health Sciences

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The aim of this integrative review was to identify which nursing handover interventions were associated with improved patient outcomes, specifically patients’ falls, pressure injuries and medication administration errors, in the hospital setting. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement was used to guide the review. A systematic search of seven electronic databases was conducted, and retrieved articles were assessed by two independent reviewers. The quality of included studies was assessed using the Mixed Methods Appraisal Tool. Eight studies met the inclusion criteria. The findings of this review indicate that improvements in handover communication had a clinically important positive effect on patient outcomes. Across the studies, reductions in falls varied from 9.3 to 80%, pressure injuries from 45 to 75%, and medication errors from 11.1 to greater than 50%. This review highlights that the implementation of bedside nursing handover and the adoption of standardized handover tools to improve nursing handover communication reduce patient adverse events, specifically falls, pressure injuries, and medication errors. These findings should be considered by clinicians to inform their clinical handover practice.

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Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: a best practice implementation project

Cited by 14 publications

References 10 publications

Translating evidence‐based nursing clinical handover practice in an acute care setting: A quasi‐experimental study

Translating evidence‐based nursing clinical handover practice in an acute care setting: A quasi‐experimental study

Improving Communication and Organization through Shift Leader Handover Report

Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—Falls, pressure injuries and medication administration errors: An integrative review

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