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

Jennifer Milesky, Diana Baptiste, Brenda K. Shelton

Research output: Contribution to journalArticle

Abstract

Background: Breakdown in communication is a 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% (N = 38) in 2015 and 88.68% (N = 35) in 2016. Interruptions during handover were positively correlated with length of handover (r = 0.587, n = 18, p = .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)1-11
Number of pages11
JournalContemporary Nurse
DOIs
StateAccepted/In press - Dec 29 2017

Fingerprint

Patient Handoff
Critical Care
Observational Studies
Nurses
Communication
Education
Nursing

Keywords

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

ASJC Scopus subject areas

  • Nursing(all)

Cite this

An observational study of patient handover communications among nurses on an oncology critical care unit. / Milesky, Jennifer; Baptiste, Diana; Shelton, Brenda K.

In: Contemporary Nurse, 29.12.2017, p. 1-11.

Research output: Contribution to journalArticle

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