Perspectives of clinical handover processes: a multi-site survey across different health professionals

Manias, Elizabeth, Geddes, Fiona, Watson, Bernadette, Jones, Dorothy and Della, Phillip (2016) Perspectives of clinical handover processes: a multi-site survey across different health professionals. Journal of Clinical Nursing, 25 1-2: 80-91. doi:10.1111/jocn.12986


Author Manias, Elizabeth
Geddes, Fiona
Watson, Bernadette
Jones, Dorothy
Della, Phillip
Title Perspectives of clinical handover processes: a multi-site survey across different health professionals
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 1365-2702
0962-1067
Publication date 2016-01
Year available 2015
Sub-type Article (original research)
DOI 10.1111/jocn.12986
Open Access Status DOI
Volume 25
Issue 1-2
Start page 80
End page 91
Total pages 11
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted abstract
Aims and objectives
To examine the perspectives of health professionals of different disciplines about clinical handover.

Background
Ineffective handovers can cause major problems relating to the lack of delivery of appropriate care.

Design
A prospective, cross-sectional design was conducted using a survey about clinical handover practices.

Methods
Health professionals employed in public metropolitan hospitals, public rural hospitals and community health centres were involved. The sample comprised doctors, nurses and allied health professionals, including physiotherapists, social workers, pharmacists, dieticians and midwives employed in Western Australia, New South Wales, South Australia and the Australian Capital Territory. The survey sought information about health professionals' experiences about clinical handover; their perceived effectiveness of clinical handover; involvement of patients and family members; health professionals' ability to confirm understanding and to clarify clinical information; role modelling behaviour of health professionals; training needs; adverse events encountered and possibilities for improvements.

Results
In all, 707 health professionals participated (response rate = 14%). Represented professions were nursing (60%), medicine (22%) and allied health (18%). Many health professionals reported being aware of adverse events where they noticed poor handover was a significant cause. Differences existed between health professions in terms of how effectively they gave handover, perceived effectiveness of bedside handover vs. nonbedside handover, patient and family involvement in handover, respondents' confirmation of understanding handover from their perspective, their observation of senior health professionals giving feedback to junior health professionals, awareness of adverse events and severity of adverse events relating to poor handovers.

Conclusions
Complex barriers impeded the conduct of effective handovers, including insufficient opportunities for training, lack of role modelling, and lack of confidence and understanding about handover processes.

Relevance to clinical practice
Greater focus should be placed on creating opportunities for senior health professionals to act as role models. Sophisticated approaches should be implemented in training and education.
Keyword Adverse events
Clinical handover
Clinical improvement
Communication
Health professional disciplines
Survey
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Psychology Publications
 
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