Attitudes of emergency department patients about handover at the bedside

Kerr, Debra, McKay, Kate, Klim, Sharon, Kelly, Anne-Maree and McCann, Terence 2014, Attitudes of emergency department patients about handover at the bedside, Journal of clinical nursing, vol. 23, no. 11-12, pp. 1685-1693, doi: 10.1111/jocn.12308.

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Title Attitudes of emergency department patients about handover at the bedside
Author(s) Kerr, DebraORCID iD for Kerr, Debra
McKay, Kate
Klim, Sharon
Kelly, Anne-Maree
McCann, Terence
Journal name Journal of clinical nursing
Volume number 23
Issue number 11-12
Start page 1685
End page 1693
Total pages 9
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2014-06
ISSN 1365-2702
Keyword(s) bedside handover
emergency department
nursing care
qualitative study
quality assurance
emergency service, hospital
interviews as topic
nurse's role
patient handoff
patient satisfaction
surveys and questionnaires
Summary AIMS AND OBJECTIVES: To explore patients' perspectives of bedside handover by nurses in the emergency department (ED). BACKGROUND: International guidelines promote standardisation in clinical handover. Poor handover can lead to adverse incidents and expose patients to harm. Studies have shown that nurses and patients have favourable opinions about handover that is conducted at the bedside in hospital wards; however, there is a lack of evidence for patients' perspective of nursing handover in the ED environment. DESIGN: Qualitative descriptive study. METHODS: Semi-structured interviews with 30 ED patients occurred within one hour of bedside handover. Data were analysed using thematic content analysis. RESULTS: Two main themes were identified in the data. First, patients perceive that participating in bedside handover enhances individual care. It provides the opportunity for patients to clarify discrepancies and to contribute further information during the handover process, and is valued by patients. Patients are reassured about the competence of nurses and continuum of care after hearing handover conversations. Second, maintaining privacy and confidentiality during bedside handover is important for patients. Preference was expressed for handover to be conducted in the ED cubicle area to protect privacy of patient information and for discretion to be used with sensitive or new information. CONCLUSIONS: Bedside handover is an acceptable method of performing handover for patients in the ED who value the opportunity to contribute and clarify information, and are reassured that their information is communicated in a private location. RELEVANCE TO CLINICAL PRACTICE: From the patients' perspective, nursing handover that is performed at the bedside enhances the quality and continuum of care and maintains privacy and confidentiality of information. Nurses should use discretion when dealing with sensitive or new patient information.
Language eng
DOI 10.1111/jocn.12308
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
1701 Psychology
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, John Wiley & Sons
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