Factors affecting quality of nurse shift handover in the emergency department
Aim The aim of this study was to explore and test factors hypothesized to influence quality of Emergency Department nurse‐to‐nurse shift handover communication. Background Nurse‐to‐nurse shift handover communication includes the transfer of information and responsibility for patients at shift change...
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| Veröffentlicht in: | Journal of advanced nursing 2018-04, Vol.74 (4), p.876-886 |
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| container_title | Journal of advanced nursing |
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| creator | Thomson, Heather Tourangeau, Ann Jeffs, Lianne Puts, Martine |
| description | Aim
The aim of this study was to explore and test factors hypothesized to influence quality of Emergency Department nurse‐to‐nurse shift handover communication.
Background
Nurse‐to‐nurse shift handover communication includes the transfer of information and responsibility for patients at shift change. The unique environment of the Emergency Department, where there is a high degree of patient unpredictability, increased patient volumes and rapid patient turnover, can create challenges for high quality handover communication. There is considerable literature addressing handover communication and factors that influence quality or effectiveness. However, few studies have empirically tested those factors.
Design
A quantitative, cross‐sectional design was used to test a conceptual model of factors hypothesized to influence quality of handover communication.
Methods
In 2014, data were gathered using surveys mailed to Emergency Department nurses across Ontario, Canada.
Results
The final eligible sample was 231 of 576 for an overall response rate of 40.1%. Analysis was performed using backwards elimination stepwise multiple linear regression. Four statistically significant explanatory variables were retained in the final multiple regression model, explaining 34% (p |
| doi_str_mv | 10.1111/jan.13499 |
| format | Article |
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The aim of this study was to explore and test factors hypothesized to influence quality of Emergency Department nurse‐to‐nurse shift handover communication.
Background
Nurse‐to‐nurse shift handover communication includes the transfer of information and responsibility for patients at shift change. The unique environment of the Emergency Department, where there is a high degree of patient unpredictability, increased patient volumes and rapid patient turnover, can create challenges for high quality handover communication. There is considerable literature addressing handover communication and factors that influence quality or effectiveness. However, few studies have empirically tested those factors.
Design
A quantitative, cross‐sectional design was used to test a conceptual model of factors hypothesized to influence quality of handover communication.
Methods
In 2014, data were gathered using surveys mailed to Emergency Department nurses across Ontario, Canada.
Results
The final eligible sample was 231 of 576 for an overall response rate of 40.1%. Analysis was performed using backwards elimination stepwise multiple linear regression. Four statistically significant explanatory variables were retained in the final multiple regression model, explaining 34% (p < .0001) of variance in handover quality. Handover quality was increased when patients flowed smoothly through triage, when nurses experienced positive intrusions, in the presence of a positive safety climate and when there were positive relationships between incoming and outgoing nurses.
Conclusions
By understanding those factors that contribute to handover quality, it is possible to develop targeted interventions aimed at improving the quality of Emergency Department nurse‐to‐nurse shift handover.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/jan.13499</identifier><identifier>PMID: 29117454</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Attitude of Health Personnel ; Communication ; Conceptual models ; Continuity of care ; Continuity of Patient Care - organization & administration ; Cross-Sectional Studies ; Elimination ; emergency department ; Emergency medical care ; Emergency Medical Services - organization & administration ; Emergency services ; Female ; Handover ; Humans ; Male ; Middle Aged ; nurse ; Nurses ; Nursing ; Nursing Staff, Hospital - psychology ; Ontario ; Organizational climate ; Patient Handoff - organization & administration ; quality ; Quality of care ; Quality of Health Care - organization & administration ; Response rates ; shift handover ; Shift work ; Shift Work Schedule - psychology ; Surveys and Questionnaires ; Triage</subject><ispartof>Journal of advanced nursing, 2018-04, Vol.74 (4), p.876-886</ispartof><rights>2017 John Wiley & Sons Ltd</rights><rights>2017 John Wiley & Sons Ltd.</rights><rights>2018 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3539-18bc3c08c2d9449a194b7d00a4ed56345f6bb4f559a1342329162db7c979590d3</citedby><cites>FETCH-LOGICAL-c3539-18bc3c08c2d9449a194b7d00a4ed56345f6bb4f559a1342329162db7c979590d3</cites><orcidid>0000-0002-1403-4629</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjan.13499$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjan.13499$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29117454$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thomson, Heather</creatorcontrib><creatorcontrib>Tourangeau, Ann</creatorcontrib><creatorcontrib>Jeffs, Lianne</creatorcontrib><creatorcontrib>Puts, Martine</creatorcontrib><title>Factors affecting quality of nurse shift handover in the emergency department</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Aim
The aim of this study was to explore and test factors hypothesized to influence quality of Emergency Department nurse‐to‐nurse shift handover communication.
Background
Nurse‐to‐nurse shift handover communication includes the transfer of information and responsibility for patients at shift change. The unique environment of the Emergency Department, where there is a high degree of patient unpredictability, increased patient volumes and rapid patient turnover, can create challenges for high quality handover communication. There is considerable literature addressing handover communication and factors that influence quality or effectiveness. However, few studies have empirically tested those factors.
Design
A quantitative, cross‐sectional design was used to test a conceptual model of factors hypothesized to influence quality of handover communication.
Methods
In 2014, data were gathered using surveys mailed to Emergency Department nurses across Ontario, Canada.
Results
The final eligible sample was 231 of 576 for an overall response rate of 40.1%. Analysis was performed using backwards elimination stepwise multiple linear regression. Four statistically significant explanatory variables were retained in the final multiple regression model, explaining 34% (p < .0001) of variance in handover quality. Handover quality was increased when patients flowed smoothly through triage, when nurses experienced positive intrusions, in the presence of a positive safety climate and when there were positive relationships between incoming and outgoing nurses.
Conclusions
By understanding those factors that contribute to handover quality, it is possible to develop targeted interventions aimed at improving the quality of Emergency Department nurse‐to‐nurse shift handover.</description><subject>Adult</subject><subject>Aged</subject><subject>Attitude of Health Personnel</subject><subject>Communication</subject><subject>Conceptual models</subject><subject>Continuity of care</subject><subject>Continuity of Patient Care - organization & administration</subject><subject>Cross-Sectional Studies</subject><subject>Elimination</subject><subject>emergency department</subject><subject>Emergency medical care</subject><subject>Emergency Medical Services - organization & administration</subject><subject>Emergency services</subject><subject>Female</subject><subject>Handover</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>nurse</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Ontario</subject><subject>Organizational climate</subject><subject>Patient Handoff - organization & administration</subject><subject>quality</subject><subject>Quality of care</subject><subject>Quality of Health Care - organization & administration</subject><subject>Response rates</subject><subject>shift handover</subject><subject>Shift work</subject><subject>Shift Work Schedule - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Triage</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kMtOwzAQRS0EouWx4AeQJTawSOtXknpZVZSHCmxgbTnOpE2VOK2dgPL3GFpYIDGbWczRnauD0AUlIxpmvNZ2RLmQ8gANKU_iiCVicoiGhBMZMUHYAJ14vyaEcsbYMRowSWkqYjFET3Nt2sZ5rIsCTFvaJd52uirbHjcFtp3zgP2qLFq80jZv3sHh0uJ2BRhqcEuwpsc5bLRra7DtGToqdOXhfL9P0dv89nV2Hy1e7h5m00VkeMxlRCeZ4YZMDMulEFJTKbI0J0QLyOOEi7hIskwUcRxOXDAe6iYsz1IjUxlLkvNTdL3L3bhm24FvVV16A1WlLTSdV1QmTDCZJiygV3_QddM5G9opRiiVMnxIAnWzo4xrvHdQqI0ra-16RYn6cqyCY_XtOLCX-8QuqyH_JX-kBmC8Az7KCvr_k9Tj9HkX-Qlng4QQ</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Thomson, Heather</creator><creator>Tourangeau, Ann</creator><creator>Jeffs, Lianne</creator><creator>Puts, Martine</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1403-4629</orcidid></search><sort><creationdate>201804</creationdate><title>Factors affecting quality of nurse shift handover in the emergency department</title><author>Thomson, Heather ; Tourangeau, Ann ; Jeffs, Lianne ; Puts, Martine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3539-18bc3c08c2d9449a194b7d00a4ed56345f6bb4f559a1342329162db7c979590d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Attitude of Health Personnel</topic><topic>Communication</topic><topic>Conceptual models</topic><topic>Continuity of care</topic><topic>Continuity of Patient Care - organization & administration</topic><topic>Cross-Sectional Studies</topic><topic>Elimination</topic><topic>emergency department</topic><topic>Emergency medical care</topic><topic>Emergency Medical Services - organization & administration</topic><topic>Emergency services</topic><topic>Female</topic><topic>Handover</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>nurse</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Ontario</topic><topic>Organizational climate</topic><topic>Patient Handoff - organization & administration</topic><topic>quality</topic><topic>Quality of care</topic><topic>Quality of Health Care - organization & administration</topic><topic>Response rates</topic><topic>shift handover</topic><topic>Shift work</topic><topic>Shift Work Schedule - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Triage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomson, Heather</creatorcontrib><creatorcontrib>Tourangeau, Ann</creatorcontrib><creatorcontrib>Jeffs, Lianne</creatorcontrib><creatorcontrib>Puts, Martine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomson, Heather</au><au>Tourangeau, Ann</au><au>Jeffs, Lianne</au><au>Puts, Martine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors affecting quality of nurse shift handover in the emergency department</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2018-04</date><risdate>2018</risdate><volume>74</volume><issue>4</issue><spage>876</spage><epage>886</epage><pages>876-886</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Aim
The aim of this study was to explore and test factors hypothesized to influence quality of Emergency Department nurse‐to‐nurse shift handover communication.
Background
Nurse‐to‐nurse shift handover communication includes the transfer of information and responsibility for patients at shift change. The unique environment of the Emergency Department, where there is a high degree of patient unpredictability, increased patient volumes and rapid patient turnover, can create challenges for high quality handover communication. There is considerable literature addressing handover communication and factors that influence quality or effectiveness. However, few studies have empirically tested those factors.
Design
A quantitative, cross‐sectional design was used to test a conceptual model of factors hypothesized to influence quality of handover communication.
Methods
In 2014, data were gathered using surveys mailed to Emergency Department nurses across Ontario, Canada.
Results
The final eligible sample was 231 of 576 for an overall response rate of 40.1%. Analysis was performed using backwards elimination stepwise multiple linear regression. Four statistically significant explanatory variables were retained in the final multiple regression model, explaining 34% (p < .0001) of variance in handover quality. Handover quality was increased when patients flowed smoothly through triage, when nurses experienced positive intrusions, in the presence of a positive safety climate and when there were positive relationships between incoming and outgoing nurses.
Conclusions
By understanding those factors that contribute to handover quality, it is possible to develop targeted interventions aimed at improving the quality of Emergency Department nurse‐to‐nurse shift handover.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29117454</pmid><doi>10.1111/jan.13499</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1403-4629</orcidid></addata></record> |
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| subjects | Adult Aged Attitude of Health Personnel Communication Conceptual models Continuity of care Continuity of Patient Care - organization & administration Cross-Sectional Studies Elimination emergency department Emergency medical care Emergency Medical Services - organization & administration Emergency services Female Handover Humans Male Middle Aged nurse Nurses Nursing Nursing Staff, Hospital - psychology Ontario Organizational climate Patient Handoff - organization & administration quality Quality of care Quality of Health Care - organization & administration Response rates shift handover Shift work Shift Work Schedule - psychology Surveys and Questionnaires Triage |
| title | Factors affecting quality of nurse shift handover in the emergency department |
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