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Related Experiment Videos

Interactions between nurses during handovers in elderly care.

S Payne1, M Hardey, P Coleman

  • 1Health Research Unit, University of Southampton, School of Health Professions and Rehabilitation Sciences, Highfield, England. sap@soton.ac.uk

Journal of Advanced Nursing
|August 30, 2000
PubMed
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Nursing handovers in elderly care are fast, jargon-filled, and prioritize biomedical information, impacting patient care delivery. Communication relies more on personal notes than formal records.

Area of Science:

  • Nursing
  • Geriatric Care
  • Clinical Communication

Background:

  • Effective nursing handovers are crucial for patient safety and continuity of care.
  • Understanding clinical discourses in nursing interactions is vital for improving care delivery.
  • Elderly care settings present unique communication challenges during patient handovers.

Purpose of the Study:

  • To explore nursing interactions during handovers in acute elderly care.
  • To identify clinical discourses used by nurses and care assistants.
  • To determine the influence of these discourses on patient care.

Main Methods:

  • Ethnographic approach including observations of handovers and informal interactions.
  • Semi-structured interviews with registered nurses, student nurses, and care assistants.

Related Experiment Videos

  • Grounded theory analysis of collected data from five acute elderly care wards.

    • Main Results:

    • Handovers were observed to be formulaic, rapid, and utilized jargon, requiring specialized knowledge for interpretation.
    • Communication prioritized biomedical aspects and physical care over other patient needs.
    • Patient resuscitation status was a key focus for all nursing staff.
    • Nurses perceived administrative tasks ('paperwork') as time-consuming, with formal records showing repetition.
    • Clinical nursing practice appeared to be more influenced by personal records than official documentation.

    Conclusions:

    • Current nursing handover practices in elderly care are characterized by efficiency challenges and a focus on biomedical data.
    • The reliance on implicit knowledge and personal records suggests a gap in formal communication protocols.
    • Interventions aimed at standardizing handover communication and integrating comprehensive patient information are needed.