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Nursing handovers: do we really need them?
Author(s) -
Sexton Amanda,
Chan Connie,
Elliott Malcolm,
Stuart John,
Jayasuriya Rohan,
Crookes Patrick
Publication year - 2004
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2004.00415.x
Subject(s) - documentation , handover , nursing documentation , nursing , content analysis , nursing management , quality (philosophy) , nursing care , medical record , medicine , computer science , sociology , telecommunications , social science , philosophy , epistemology , radiology , programming language
Aim This study attempts to address the content of nursing handover when compared with formal documentation sources. Background The nursing handover has attracted criticism in the literature in relation to its continuing role in modern nursing. Criticisms include those related to time expenditure, content, accuracy and the derogatory terms in which patients are sometimes being discussed. Methods Twenty‐three handovers, covering all shifts, from one general medical ward were audio‐taped. Their content was analysed and classified according to where, within a ward's documentation systems, the information conveyed could be located. Findings Results showed that almost 84.6% of information discussed could be located within existing ward documentation structures and 9.5% of information discussed was not relevant to ongoing patient care. Only 5.9% of handover content involved discussions related to ongoing care or ward management issues that could not be recorded in an existing documentation source. Limitations The results of this study are representative of only one ward in one Australian Hospital. Specific documentation sources were also not checked to determine their content. Conclusion Streamlining the nursing handover may improve the quality of the information presented and reduce the amount of time spent in handover.