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Using a knowledge translation framework to identify barriers and supports to effective nursing handover: A focus
Adriana Hada1, Leanne Jack2, Fiona Coyer3
1Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Heliyon
|July 12, 2019
Summary
Barriers to effective nursing handover include inconsistent processes and time constraints, while integrated electronic records and leadership support facilitate improvements. These findings aid in implementing standardized clinical handover practices.
Area of Science:
- Nursing Practice
- Knowledge Translation
- Healthcare Management
Background:
- Effective nursing handover is crucial for patient safety and continuity of care.
- Implementing evidence-based practices in clinical settings faces numerous challenges.
- Standardized nursing handover protocols are essential for reducing medical errors.
Purpose of the Study:
- To systematically identify barriers and facilitators to evidence-based nursing handover in a clinical setting.
- To determine attributes of evidence-based nursing handover for successful practice translation.
- To inform strategies for implementing best practice, standardized clinical handover.
Main Methods:
- Qualitative focus group design involving registered and enrolled nurses.
- Semi-structured focus groups conducted in medical wards of a tertiary referral hospital.
- Thematic analysis of verbatim transcribed discussions to identify key themes.
Main Results:
- Three major themes emerged: Content, Process, and Environment impacting handover.
- Identified barriers include variable content/process, sensitive information sharing concerns, lack of questioning, superficial patient involvement, time limits, and environmental factors.
- Facilitators include integrated electronic medical records, nursing leadership support, and targeted education.
Conclusions:
- Findings highlight significant barriers and facilitators influencing nursing handover effectiveness.
- Results provide a foundation for developing targeted research translation strategies.
- The study will guide the implementation of standardized, evidence-based nursing handover in practice.
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