An observational study of patient handover communications among nurses on an oncology critical care unit

Jennifer L. Milesky, Diana Lyn Baptiste, Brenda K. Shelton

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Breakdown in communication i. common cause of errors in hospitals. Aim/Objectives: To evaluate the feasibility and utilization of evidence-based recommendations for nurse-to-nurse shift handover on an oncology critical care unit. Design: Observational study. Methods: Nurses were provided education that integrated evidence-based recommendations for handover of care. Nursing shift report was observed for one month in 2015 and for one month in 2016. Results were evaluated for inclusion of 24 evidence-based essential elements for handover communication. Results: Total completeness of handover increased with 86.64% (. 38) in 2015 and 88.68% (. 35) in 2016. Interruptions during handover were positively correlated with length of handover (. 0.587. = 18. =.010), thus confirming the need for structured, more effective handover methods. Conclusions: Providing education, mentoring, and real-time feedback to motivated staff may lead to improvements in handover communication methods, yielding positive patient outcomes.

Original languageEnglish (US)
Pages (from-to)77-87
Number of pages11
JournalContemporary Nurse
Volume54
Issue number1
DOIs
StatePublished - Jan 2 2018

Keywords

  • communication
  • critical care
  • electronic health records
  • nurses
  • patient handover

ASJC Scopus subject areas

  • Nursing(all)

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