How to Support Communication Between Nurses and Residents During Shift Work: A Mixed-Methods Study Into Local...

Area of Science:

• Medical Education
• Healthcare Communication
• Interprofessional Collaboration

Background:

• Effective communication between nurses and residents is crucial for patient safety and quality of care during shift handovers.
• Perceptions and practices regarding communication can vary significantly between these professional groups.

Purpose of the Study:

• To explore local practices and perceptions of effective nurse-resident communication during shifts.
• To implement and evaluate an initiative aimed at improving this communication.

Main Methods:

• A mixed-methods approach combining questionnaires and focus groups was employed.
• Participants included surgical nurses and residents at a tertiary medical center.
• An improvement initiative was developed based on qualitative findings and subsequently implemented and reassessed.

Main Results:

• Key themes for effective communication included clarity, mutual respect, accessibility, and approach, with interdisciplinary differences noted in the interpretation of 'clarity'.
• Implementation of structured interdisciplinary consultation moments during shifts was perceived as useful, particularly by nurses.
• A majority of nurses reported improved communication during shifts following the implementation of fixed communication moments.

Conclusions:

• Differences in perceptions of communication effectiveness may stem from variations in training and professional culture.
• Fostering mutual awareness of tasks, responsibilities, and backgrounds is essential for optimal patient care.
• Tailoring practical solutions, such as structured communication, to local practices can enhance interprofessional partnerships and quality of care.