Postoperative Information Transfers: An Integrative Review

Rose, Monica; Newman, Susan D.; Brown, Courtney

doi:10.1016/j.jopan.2018.06.096

Cited by 9 publications

(8 citation statements)

References 34 publications

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“…This finding is consistent with previous studies that showed improved information transfer when using a structured tool (Moon et al, 2016;Randmaa et al, 2016). In this study, both a verbal tool (iSoBAR) and information transfer checklist promoted comprehensive handoff content, consistent with previous studies that found critical information was regularly missing in postoperative handoffs before multifaceted interventions (Milby, Bohmer, Gerbershagen, Joppich, & Wappler, 2014;Rose et al, 2019). It is possible that the PACU handoff tool facilitated nurses to identify gaps and empowered them to enquire about these items;…”

Section: Discussionsupporting

confidence: 91%

“…Limitations of previous research on interprofessional perioperative handoff include a focus limited to information content (Jelacic et al, 2020; Salzwedel, Mai, Punke, Kluge, & Reuter, 2016) or clinician perceptions (Reine, Raeder, Manser, Smastuen, & Rust En, 2019; Tobiano et al, 2020) with few addressing process or activity aspects (Rose et al, 2019). Recent research indicates nurse perceptions of poor clarity in nurse handoff processes, in particular about their responsibilities, and strategies for continuity of information, hinders the effectiveness of nurse communication (OʼConnor, Rawson, & Redley, 2020; Reine et al, 2019; Tobiano et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Checklists and tools to standardize processes and practices are widely recommended to improve handoff communication and patient outcomes (Pucher et al, 2015; Reeves, Clark, Lawton, Ream, & Ross, 2017). For example, standard steps or process tools (Botti et al, 2009; Redley, Bucknall, Evans, & Botti, 2016), verbal communication tools such as SBAR (Situation, Background, Assessment, Recommendation) and the iSoBAR (Introductions, Situation, Observations, Background, Assessment, Recommendation) variant (Porteous, Stewart‐Wynne, Connolly, & Crommelin, 2009; Randmaa, Swenne, Martensson, Hogberg, & Engstrom, 2016), and a range of checklists have been reported in the literature (Botti et al, 2009; Rose, Newman, & Brown, 2019). There is evidence suggesting tools for standardization can provide structural supports, and these can empower nurses during interprofessional interactions like handoff by reducing perceptions of hierarchies or power imbalance, guiding communication, and promoting a shared understanding of team roles and expectations (Pucher et al, 2015; Randmaa, Martensson, Leo Swenne, & Engstrom, 2014; Reeves et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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A brief intervention to standardize postanesthetic clinical handoff

Njambi

Rawson

Redley

2021

Nursing & Health Sciences

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This naturalistic, pre-and post-design study explored the feasibility and acceptability of a brief patient safety intervention to introduce a tool to standardize interdisciplinary communication processes at patient handoff between anesthetists and postanesthesia nurses in the postanesthetic care unit. Observation and interview data were collected pre-and post-intervention from a convenience sample of 27 nurses and 23 anesthetists in a large tertiary hospital in Melbourne, Australia. Following the intervention, significant improvement was observed in nurses' performance of several patient safety behaviors, but trends in nurses' interdisciplinary communication behaviors such as asking questions and escalation of care were nonsignificant. This research provides evidence that tools to standardize clinical handoff communication may empower nurses to perform desired patient safety behaviors during interprofessional handoff. It underpins future research to explore strategies to empower nurses to advocate for patient safety during interdisciplinary communication, and provides a foundation for patient handoff improvement, education, and further research.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A brief intervention to standardize postanesthetic clinical handoff

Njambi

Rawson

Redley

2021

Nursing & Health Sciences

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“…Thus, the authors’ conclusion was that documents such as preoperative checklists could play an important role for effective preoperative handover through improving team communication and reducing adverse events 6 . Also, the postoperative handover is characterized by the exchange of critical information about patients’ history or conditions between HCPs 7 . A systematic review examined the use of SSCs designed to improve safety in handover procedures in acute care settings and found there were significant reductions in postoperative complications when checklists at handover are used 8 .…”

Section: Introductionmentioning

confidence: 99%

Effective communication and patient safety among nurses in perioperative settings: a best practice implementation project

Nedelcu¹,

Niculiă

Nedelcu³

et al. 2022

International Journal of Evidence-Based Healthcare

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The aim of this implementation project was to promote evidence-based best practice regarding effective communication and patient safety amongst nurses in perioperative settings.Introduction: One of the main causes of surgical errors is inadequate communication. To address this issue, published research has shown that effective communication among healthcare professionals (HCPs) within and between all phases of perioperative care, as well as the proper transfer of all patient information at all transition points, are essential for ensuring patient safety and quality of care.Methods: This best practice implementation project was conducted based on the JBI implementation model and included three phases of activity: a baseline audit, a strategies implementation stage and a follow-up audit. The audit criteria used were based on a JBI evidence summary and referred to: education, interdisciplinary team, conflict resolution, team communication, transfer of patient information and safety intraoperative processes. The project was carried out in the perioperative environment of a university hospital, and the sample included 52 nurses.Results: Eleven audit criteria were used in the baseline audit. For four of these criteria (on education and information transfer) the compliance was zero, for five criteria (on intraoperative processes) the compliance had values between 31 and 66% and for two criteria (on interdisciplinary team/conflict resolution documentation and team communication monitoring), the identified compliance was maximum (100%). Following the identification of four barriers to compliance and the implementation of targeted strategies, the follow-up audit showed complete compliance (100%) for all criteria except three, for which the identified compliance values were 96, 95 and 25%. Conclusion:The implementation of appropriate strategies in this project has led to a significant improvement in nurses' compliance with all audit criteria except one, regarding the verbal transfer of patient information. However, future audits and strategies are needed not only to support the improvements obtained but also to significantly increase the compliance rate for the audit criterion for which only a slight increase in compliance was recorded.

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“…I nadequate team communication may contribute to as many as 52% of patient safety incidents. 1 Ineffective clinical hand-over communication during perioperative care can result in suboptimal outcomes, contribute to preventable patient harm, [2][3][4] and negatively affect the quality of subsequent patient care. 5 The involvement of different professional groups in the transfer of responsibility for patient care during clinical hand overs can test team dynamics, and traditional professional hierarchies can hinder effective teamwork and empowerment of nurses to advocate for their patients.…”

mentioning

confidence: 99%

An Examination of Nurses’ Empowerment and Speaking Up During Postanesthesia Clinical Hand Overs

Redley¹,

Njambi²,

Rawson³

2021

AORN Journal

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Hierarchical relationships can negatively affect nurses’ psychological empowerment and interprofessional hand overs. We explored nurses’ perceptions of their psychological empowerment, teamwork, and work engagement; relationships between these concepts during interprofessional clinical hand overs; and observed interactive communication behaviors during hand overs. We used surveys and observations of interprofessional clinical hand overs to collect data from 39 nurses in a postanesthesia care unit in Australia. Nurses reported high scores for psychological empowerment and work engagement. Relationships between empowerment and teamwork (r = 0.41, P = .01) and empowerment and work engagement (r = 0.65, P < .001) were positive and significant. Relationships between nurses’ observed communication behaviors and perceptions of empowerment, teamwork, and work engagement were nonsignificant. Additional research is needed to better understand how empowerment, teamwork, and work engagement affect nurses’ interactive communication behaviors during interprofessional clinical hand overs in the postanesthesia care unit.

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Postoperative Information Transfers: An Integrative Review

Cited by 9 publications

References 34 publications

A brief intervention to standardize postanesthetic clinical handoff

A brief intervention to standardize postanesthetic clinical handoff

Effective communication and patient safety among nurses in perioperative settings: a best practice implementation project

An Examination of Nurses’ Empowerment and Speaking Up During Postanesthesia Clinical Hand Overs

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