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Interprofessional interactions influence nurses' adoption of handover improvement

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Version 2 2024-06-06, 02:54
Version 1 2015-06-11, 06:41
journal contribution
posted on 2024-06-06, 02:54 authored by K Coleman, B Redley, B Wood, Tracey BucknallTracey Bucknall, Mari BottiMari Botti
Aim: The purpose of this study was to explore clinician experiences of adopting quality improvement tools to standardise interprofessional (anaesthetist-to-nurse) handover communication when patients arrive in the post-anaesthetic care unit (PACU). Method: In this study, factors that impacted PACU nurses' adoption of the quality improvement tools were explored using pre- and postimplementation, semi-structured focus group interviews. Interview data was analysed using the PARiHS1 (context, evidence and facilitation) framework as a deductive analysis tool. Results: PACU nurses recognised that PACU handover from anaesthetists to PACU nurses was suboptimal and described the tools as useful for their practice. However, PACU nurses frequently cited fear of anaesthetists' reactions as reasons not to insist on the use of the handover improvement tools. PACU nurses at Hospital 2 identified lacking "authority" (Hospital 2 FG 2) in the OR as hindering their willingness to use the tools against these behaviours. In comparison, visible support from leadership at Hospital 1 was described as encouraging nurses to be "assertive" (Hospital 1 FG 2) and take charge of their patients' care. Conclusion: PACU nurses perceived the handover tools were useful and helped them identify gaps in handover practice; however, PACU nurses described difficult relationships as hindering communication effectiveness and discouraging their adoption of the tools. However, strong leadership and organisational support of change emerged as essential to mitigate the effects of these difficult relationships.

History

Journal

ACORN journal : official journal of the Australian Confederation of Operating Room Nurses

Volume

28

Season

Autumn

Pagination

10-14

Location

O'Halloran Hill, S.Aust.

Open access

  • Yes

ISSN

1448-7535

Language

eng

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2015, Australian College of Operating Room Nurses, ACORN

Issue

1

Publisher

Australian College of Operating Room Nurses, ACORN