Shift To Shift Handoff Report Essay

1340 Words3 Pages
bulb-icon

Recommended: The Importance Of Communication Skills In Hospitals

Shift-to-Shift Handoff Report Caring for a large number of patients in hospitals daily can result in up to four shift changes in 24 hours and potential opportunities for miscommunication resulting in errors and adverse events. These preventable errors can lead to deaths, chronic illnesses, injuries, disabilities and a huge financial burden on individuals and healthcare systems. Literature from several countries indicates that almost 60- 70% of adverse events in hospitals are caused by breakdown of communication including those happening during shift-to-shift handoff reports. Over the past fifteen years, there has been an abundance of research related to handoffs so is there a best practice for shift-to-shift handoff report? Perspectives …show more content…

Identifying the handoff practices currently in use will demonstrate the endeavor to examine options and recommend approaches for the future. Diverse forms of handoffs at different occasions for a large group of physicians, medical residents, nurses, allied health professionals and student clinicians from different disciplines have created inconsistencies. Besides, the bedside shift report has impacted patient and family satisfaction with the continuum of care. Examining a number of models, protocols, tools, standards and trends concerning patient-centered handoffs will highlight implications for the best practice. Recommendation for safer and more effective handoffs to improve practice and reach sustainable outcomes will be discussed to promote multidisciplinary approaches for patient-centered care. The transfer of critical information and accountability for patient care from one clinician to another is an essential component of communication in …show more content…

The purposes of a handoff report are mainly to convey essential patient care information, plan and organize treatment, debrief, enhance teamwork and provide education. Handoff is a complex issue as it happens at a variety of instances and stages of patient care in different settings. Moreover, it involves several clinicians with diverse skill-sets, education, experience, expertise and priorities (Berger, Sten & Stockwell,

Show More
Related

  • Atrial Fibrillation

    1143 Words  | 3 Pages

    Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier Saunders, p. 93.

    Read More

  • Clinical Handover Literature Review

    598 Words  | 2 Pages

    Staff perceptions of issues with the handover process, as well as a review of the literature and evidence of best handover practices. An understanding of the process from both the perspective of the in-patient units was achieved. The findings of this review suggest that bedside handover improves patient satisfaction and outcomes. A fusion between handover at bedside and a small handover in the nurse station would facilitate the exchange of sensitive information, better ensuring confidentiality while the use of a change of practice model involving patients and nurses would facilitate the improvement of communication skills and better nurse practice.

    Read More

  • Clinical Handover

    852 Words  | 2 Pages

    Nursing staff from an array of specialized backgrounds have identified underperformances and barriers within the handover process which resulted in staff reporting problems and decreased confidence from poor handover practices. The PACT Project, a study conducted in a large-sized Victorian private hospital evaluating handover, identified a clear scope for improvement in the way handovers occurred within the nursing cohort. Key results from the study entailed that only 32% stated that they always received information needed at handover, 94% identified that different nurses give handover in different ways, 85% felt a clear room for improvement in the way nurses communicate, and 60% stated that they would like to deliver handover more effectively. The core underperformances and barriers identified specific to Mater consisted of poor patient identification and lack of discussion within handover, time constraints which placed significant stress, and a more formal and assertive approach in handover training. While, the Mater’s handover process ‘SHARED Framework for Clinical Handover’ is a comprehensive, appropriate and safe clinical communication tool irrespective of clinical setting, several concepts can be integrated to expand on the tool to meet NSQHS Standards and improve patient

    Read More

  • Interpersonal Dynamics in a Critical Care Unit

    1039 Words  | 3 Pages

    The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her

    Read More

  • The Importance Of Bedside Handoff Reporting And Communication?

    1176 Words  | 3 Pages

    As a result, patient safety is improved and poor outcomes are decreased. Communication of vital information was reported as being more complete among these research. Sand-Jecklin and Sherman (2014) identified an increase in report accuracy and the increase in nurse perceived accountability. This study reported that patient falls during bedside handoff reporting decreased from twenty pre-implementation to thirteen post implementation at 3 months to four at 13 months (Sand-Jecklin and Sherman, 2014). The practice of bedside handoff reporting offers the opportunity to address toileting and other needs thus decreasing the incidents of falls. Kerr et al. (2014) reported that participants in their studies believed that early encounters with their patients during bedside handoff reporting afforded them early assessment of their patients’ condition. This particular finding is relevant to our area, since the deterioration of most of patients condition could be identified during handoff bed reporting. Ultimately, this would improve patient safety and clinical outcome. Jeff et al. (2013) study reported that since bedside handoff reporting provided patients the opportunity to ask questions or clarify concerns. It also serves as trigger for the patient to update caregivers on new developments or concerns. During bedside handoff report nurses are able to assess the clinical environment such as intravenous lines, drainage tubes and infusion flow rates. “Patient reported that they felt safe when experiencing shift report at the bedside” Gregory et al., 2014,

    Read More

  • Shared Care Model In Nursing Care

    1195 Words  | 3 Pages

    Ritin Fernandez, Duong Tran, Maree Johnson, and Sonya Jones, in their 2010 article “Interdisciplinary communication in general medical and surgical wards using two different models of nursing care delivery” published in the Journal Of Nursing Management conducted a study to compare the effect of the Shared care in nursing (SCN) model with the existing model of patient allocation (PA) on nurses’ perception of interdisciplinary communication in general medical and surgery wards in Australia. Ineffective communication is a leading cause of patient injuries and death. From the Joint Commission, “communication breakdown was identified as the root cause of more than 60% of 2034 medical errors, of which 75% resulted in a patient’s death (Fernandez, et.al, 2010). Many of the reasons why ineffective communication even occurs could due to stressful environment in health care, a hierarchy

    Read More

  • Standardized Triage Pathway

    255 Words  | 1 Pages

    Facility standardized triage and clinical pathways must be developed in order to provide consistent patient care. There should be educational modules employed to train call center staff, providers and support staff. All call center staff should receive consistent training regarding appropriate triaging and follow-up for all patients, especially those with urgent/emergent concerns. Additionally, there should be clear pathways established to direct patients with urgent/emergent needs to the Emergency Department or appropriate specialist for same day care. These pathways should be warm hand-offs between departments ensuring issues are addressed promptly and that care coordination is seamless. When defining standardized triage pathways, facilities

    Read More

  • Patient Centered Care Essay

    721 Words  | 2 Pages

    Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2

    Read More

  • Evaluating a Health Promotion Website

    899 Words  | 2 Pages

    The Health & Safety Executive (1996) stated that handover has several requisites, in particularly that communication between shifts should be accurate and without misunderstandings. The need to improve handovers is international recognized along with the obstacles that need to be overcome. Solutions need to address the healthcare professionals resistance to change, while understanding their time pressures. Additionally, issues relating to staffing levels, language differences and lack of research (WHO, 2007)need to be taken into account.

    Read More

  • PFCC Collaboration

    646 Words  | 2 Pages

    PFCC plan incorporates patients’ value and beliefs and is individualized to fit the needs. Patients receive necessary information to make their own decision and take control their health care. Studies showed that patient/ family involvement associates with the positive clinical outcomes and shorten of the length of hospital stay (Carol, Andrews, Northam, & Gosselin, 2015). On the regular basis, I perform patient’s hand off report at the bedside. I believe that bedside hand off report is one way to include patients in the plan of care. Patients have opportunity to listen to the report, understand what is going on, and ask questions or rise any concern they may have. The distinctive of PFCC plan is that the plan encouraged patients and families to be actively involved in decision making process of in PFCC plan. Research also showed that when patients and families are include in the health care decision making, it not only increase positive outcomes but also patient satisfaction rate (Liem et al,

    Read More

  • Bedside Report Negatives

    243 Words  | 1 Pages

    There can be many positive and negative aspects to shift report. One positive aspect of bedside report is that the patient and family is able to directly communicate with the health care providers. They are able to ask questions, clarify their needs, and add to the discussion. According to the article Nurse Shift Report, “There are many benefits of bedside report, including relationship building between staff members and increased patient satisfaction, to both the patient and to the healthcare team” (Anderson & Mangino, 2017). Another positive aspect of bedside report is that in can decrease errors. For example, if the health care providers are discussing incorrect information regarding the patient’s medications, the patient can interrupt and

    Read More

  • Clinical Handover Essay

    730 Words  | 2 Pages

    The National Safety and quality Health Services (NSQHS) Standards (2012) has 10 standards to improve the health services in Australia in improving the quality of health services and delivering a safe care to the consumers and what is expected from the health system one of these is the National Clinical Handover Initiative was established under NSQHS Standards 6: Clinical Handover – the purpose of this is to improve communication between health practitioners through hand over in health care settings (ACSQHC,2010) .Clinical handover practice is recognised as an important factor in the effective transfer of patient clinical care between health clinicians ( Anderson et al,2015).

    Read More

  • Transition And Handoff Reporting

    528 Words  | 2 Pages

    Transition and handoff reporting are vital tools that are used by nurses in healthcare agencies where there is a continued need for improvement. After reviewing Handoff in Inpatient Surgical Teams, that was developed by the Agency for Healthcare Research Quality [AHRQ] as an educational tool to demonstrate the way a transition and handoff report should be given. The handoff that was exhibited was a great example of why a thorough and complete handoff is necessary. AHRQ Patient Safety (2016) displayed a rapport between the recovery nurse and the unit nurse, which was both professional and detail oriented; the receiving nurse made sure all aspects of the transition and handoff were covered before ending the conversation.

    Read More

  • Relationship In Nursing

    2053 Words  | 5 Pages

    Smith,L.L.,Tayor ,B.B., Keys ,A.T .,& Gorto,S.B.[1997].Nurse-patientboundaries: Crossing the line. American Journal of Nursing, 97[12], pp 26-32.

    Read More

  • Importance Of Verbal Communication In Nursing

    1190 Words  | 3 Pages

    Handovers are one of the most important aspects of nursing, and the perfect opportunity to discuss Sam’s treatment, communicate the problems and concerns that have arisen and ensure that everyone on the team understands what is transpiring in regards to the patient (Entwistle, 2011). This detailed handover was achieved with both a verbal and written account of the encounter, resulting in a thorough understanding of the encounter for staff who were not present at the time. It is due to clear documentation that the likelihood of Sam receiving the best care is increased, and as the old adage goes “If it isn’t documented it wasn’t done” (Balzer-Riley, 2012: 139-140). Record keeping is not just completed to ensure the best possible care for the patient; by producing a written account of the event the student nurse is also protecting herself by providing evidence of what took

    Read More

More about Shift To Shift Handoff Report Essay

Open Document