Evidence based practice, task 1 Essay

There are handovers in hospitals among all professions – physicians, nurses, pharmacists, and other team members – to provide 24-hour care to patients. The rotating schedule and vast array of professionals that provide care leaves room for a large margin of error. This means that teams caring for patients overnight often are not as familiar with individual patients and rely heavily on ''signout,'' a practice where physicians relay information about their patients, including current and anticipated problems, to other physicians providing care overnight or on weekends and holidays. It also means that after a critical event, it may take the team longer to identify the potential causes for a particular

Handoffs during shift change between nurses is one of the most important ways to communicate essential information related to the patients’ care and their safety. This is an evidence-based practice that improves communication among nurses and patients since the handoffs are conducted at the patients’ bedside, face-to-face, with the computer using SBAR. The patients are involved in the update of their care with the incoming nurse, enabling them to share concerns and to add valuable information, which increases patients’ satisfaction. Additionally, during the handoffs, the nurses with the patients are able to review and update the patients’ white board with the goals, activities, procedures, labs, consults, and symptom management for the incoming

This systemic review was completed to evaluate articles that discussed nursing handoff. 95 articles met the inclusion criteria and 20 of those articles involved research on nursing handoffs. A Quality Scoring System went on to assess each article with scores ranging from 1 to 16. “Quality assessment scores for the 20 research studies ranged from 2 to 12” (Riesenberg et al, 2010, p. 28). This goes to show us that there is a lack of high-quality articles on the subject matter of nursing handoff. From this article the reader can also learn about barriers and strategies of effective handoff in more depth.

The objective of this case study, qualitative research article is to examine families’ perception of bedside shift-to-shift handover. Themes that were focused on included the family interaction with staff, finding value in bedside reporting, and family understanding of the condition and treatment of the patient with regards to the information during report. The study took place in Australia with 8 family members on a rehabilitation ward. Researchers used observation, field notes and in-depth interviews to report their findings. Observations were done prior to interviews. Observations of families’ interactions occurred in the context of bedside handover. The interviews were taped and in-depth which participants were encouraged to relay

Assure standards for shift-to-shift handoff’s (RN-to-RN) to include pertinent and necessary patient information, e.g., from

Verbal communication between the nurses during shift change or simply writing a progress report on the status of the patient does not cater to the needs of the patient, it is a mere communication method that is unreliable and nurse perception of the written report are often molded with bias and does not wholly represent the patient’s holistic health care needs. As dictated by Caruso (2007), “Change of shift signifies a time of carful communication in order to promote patient safety and best practices... [the risk exists of] relaying important information becomes muddled by irrelevant information instead...” (p.17). In essence, implementation of bedside nurse shift report/handover deems to provide the most opportune outcomes and focuses on patient-centered

In every profession there are changes that propel how tasks are done; nursing is no stranger to this. One of the biggest changes that have come into nursing’s daily events is how report hand-offs are being done. Gone are the days of taped report that each off going nurse must tape about each patient and the oncoming nurse must listen to. Nurses are now being encouraged to move their report to the bedside, in front of the patient (Trossman, 2007). It is very important to know how this can affect the patient and even the nurse’s schedule. With every change, there are positives and negatives that can finalize the decision to keep or forego

Effective communication during a patient handoff is critical in ensuring patient-care quality and safety and bedside shift reports have been found to increase patient involvement and satisfaction (Wakefield, Ragan, Brandt, and Tregnago, 2012). Bedside shift report is viewed as an opportunity to reduce errors and ensure improved communication between nurses (Gregory, Tan, Tilrico, Edwardson, and Gamm, 2014). Improved communication between nurses can be beneficial for all involved. In response to the Joint Commission’s National Patient Safety Goals, bedside report has been supported as improving patient safety, patient-centered care, and nurse communication as well as reducing medical errors (Gregory, et al., 2014). Ofori-Atta, Biniend, and Chalupka’s (2015) article examines statistics regarding hospital care and shows that according to the Inspector General Office, Health and Human Services

The qualitative methodology helped connect the issue of bedside handover. The method included six focus groups of 30 registered lasting 60 minutes each, and enrolled nurses to focus on bedside handover and interview the nurses to understand if the bedside handover developed their communication skills. The numbers of hospitals and nurses involved were record, and the results for the study determining the bedside handover satisfaction were included, as well. Also, the references included in the article ranged within the five-year limit, and all of which range within the early 2000’s. An Australian study that had been done stated that the weakness of their study included of the following: missing information and lack of patent involvement (Johnson

The nursing handover was defined in 1969 by Clair and Thrussel as the oral communication of pertinent information about patients. This was supported by Thurgood in 1995 who adopted the view that patient centred care is central to any definition of handover and that it is its primary function.

This mixed method of study set out to understand the nurses in a neonatal unit viewpoint of bedside handover. Although 22 nurses were invited only 16 responded to be included in the study. The Handover Evaluation Scale (HES) was used to gather data during this study. They focused on quality of information that was shared, nurse to nurse interaction, staff support during report time, and involvement of parents of the neonate during handoff time. The objectives during this study were to determine current practice in conjunction with current policy to understand how handover fulfills the goals of transfer of patient information, staff communication and support, and nurse education while measuring the differences, strengths and weaknesses,

Quantia, I agree patient handoff and report is imperative to positive patient outcomes. I also understand the reality of the actual experience and the many opportunities for distractions and missed communications during this part of patient care. The transferring of patient care must occur numerous times in a patients stay in the hospital or even just in the initial admission stage in the emergency department. For example, patients are transferred from the nurse’s care to various departments including medical imaging and ultimately from the emergency department to the floor for their stay in the hospital. My current organization recently mandated bedside report, nurse to nurse verbal report for all units and also implemented the use of SBARs

More research needs to be conducted concerning the correlation of patient outcomes and bedside handover report. Most of the research shows that bedside handover reports

Similar to the verbal handoff, changes were made so that the nurses at the ICU were giving the end of shift report to the next oncoming shift nurses at the patient’s bedside. The end of the shift nurses would introduce the oncoming shift nurses to the patient and family members. The verbal head to

The question that has been formulated is why is bedside handover with ISBAR considered to be the safest and most effective form of handover, and what are the common barriers that limit its execution in the clinical arena?