Patients prefer clinical handover at the bedside; nurses do not: Evidence from a discrete choice experiment

Oxelmark, Lena; Whitty, Jennifer A.; Ulin, Kerstin; Chaboyer, Wendy; Gonçalves, Ana Sofia Oliveira; Ringdal, Mona

doi:10.1016/j.ijnurstu.2019.103444

Cited by 14 publications

(13 citation statements)

References 35 publications

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“…Retained items for ‘level of patient participation in bedside handover’ related to patient information‐exchanging behaviours. This is consistent with evidence from other Australian and Swedish patients who rank being able to speak as one of the most important features of bedside handover 18,40 . But ‘level of patient participation in bedside handover’ may be a less complex construct than initially conceptualized.…”

Section: Discussionsupporting

confidence: 83%

“…9,10 Notably, fewer items about patient conditions loaded on all factors. Researchers have demonstrated that patients have a strong preference for handover to occur at the bedside, 40 and view being involved in bedside handover as their right. 41 Thus, we suspect there was a low variation on items, such as 'I want handover to take place at my bedside, with me present' and 'I think bedside handover is important', resulting in their removal.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with evidence from other Australian and Swedish patients who rank being able to speak as one of the most important features of bedside handover. 18 , 40 But ‘level of patient participation in bedside handover’ may be a less complex construct than initially conceptualized. Items related to patient behaviours varied more and therefore exhibited better loadings than items related to patient preferences, which did not meet stringent item retention criteria.…”

Section: Discussionmentioning

confidence: 99%

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Development and psychometric testing of the patient participation in bedside handover survey

Tobiano

Marshall

Gardiner

et al. 2022

Health Expectations

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Introduction: When handover is conducted at the patient's bedside, active patient participation can be encouraged, which may improve the safety and quality of care.There is a need for valid and reliable tools to measure patient perceptions of participation in bedside handover, to ensure the rising number of implementation and improvement efforts are consistently and effectively evaluated. The aim of this study is to systematically develop and evaluate the psychometric properties of a self-report survey to measure patients' perceptions of participation in bedside handover. Methods:In Phase 1, our team developed a conceptual framework and item pool (n = 130). In Phase 2, content validity was assessed with four health consumers, four nurses and four researchers. Next, 10 current hospital inpatients tested the survey for end-user satisfaction. In Phase 3, 326 inpatients completed the survey, allowing exploratory factor analysis, reliability analyses and convergent/divergent validity analyses to occur.Results: Phase 1 and 2 resulted in a 42-item survey. In Phase 3, 321 surveys were available for analysis. Exploratory factor analysis revealed a three-factor solution, with 24 items, which matched our conceptual framework. The three factors were:'Conditions for patient participation in bedside handover', 'Level of patient participation in bedside handover' and 'Evaluation of patient participation in bedside handover'. There was strong evidence for factor reliability and validity. Additionally, the correlation between factors was strong. Conclusion:This study furthers our conceptual understanding by showing that nurse facilitating behaviours are a strong precursor for patient participation and perceived handover outcomes, justifying the need for nursing training. A robust survey has been developed to measure patient perceptions of participation in bedside

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Development and psychometric testing of the patient participation in bedside handover survey

Tobiano

Marshall

Gardiner

et al. 2022

Health Expectations

View full text Add to dashboard Cite

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“…Differences in attitudes towards the involvement of consumers in care between nursing staff and consumers have been identified elsewhere (Olasoji & Reed 2016; Oxelmark et al . 2019), but are still largely unaddressed in policy directives and frameworks. The view that consumer involvement would antagonize and cause distress to consumers was expressed by many nurse participants in this study.…”

Section: Discussionmentioning

confidence: 99%

Involving mental health consumers in nursing handover: A qualitative study of nursing views of the practice and its implementation

Mullen¹,

Harman²,

Flanagan

et al. 2020

Int J Mental Health Nurs

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Nursing handover occurs between shifts and is an important means of communication and information exchange around consumer care. The involvement of consumers in nursing handover, known as ‘bedside handover’, is well established within general health settings and promotes a patient‐centred approach to care. Bedside handover represents an opportunity for mental health settings to consolidate recovery‐oriented principles, albeit with some unique challenges in the way that involving consumers in nursing handover is implemented. This qualitative descriptive study explores the views of nursing staff and nursing managers about involving consumers in nursing handover and the process of implementation across five mental health inpatient units in Australia. The study took place in a local health district covering regional and rural areas of New South Wales that had issued a directive to implement bedside handover. The consolidated criteria for reporting qualitative research (COREQ) checklist was applied to this study. Six focus groups were held with nursing staff (n = 22), and eleven individual interviews were undertaken with nursing managers to explore their perceptions of bedside handover and its implications for nursing practice. The data were analysed using thematic analysis. Data from focus groups and interviews were analysed separately and then combined to generate three themes: (i) the mental health context is different; (ii) protecting consumer privacy and confidentiality; and (iii) it might make things worse. The findings provide insights into both the challenges, and the process of involving consumers in nursing handover within mental health settings and provides guidance for future implementation.

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“…Nurses’ and patients’ perceptions and preferences are among the most important influencing factors. This study by Oxelmark and colleagues3 described and compared the preference of nurses and patients regarding bedside handover and other handover attributes.…”

Section: Contextmentioning

confidence: 99%

Patients prefer bedside handover and wish to be active partners in it

2019

Evid Based Nurs

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Patients prefer clinical handover at the bedside; nurses do not: Evidence from a discrete choice experiment

Cited by 14 publications

References 35 publications

Development and psychometric testing of the patient participation in bedside handover survey

Development and psychometric testing of the patient participation in bedside handover survey

Involving mental health consumers in nursing handover: A qualitative study of nursing views of the practice and its implementation

Patients prefer bedside handover and wish to be active partners in it

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