Nursing Contributions to Reducing Clinical Information Loss During Shift Transitions
DOI:
https://doi.org/10.22399/ijcesen.4732Keywords:
nursing, clinical information, shift transitionAbstract
The modern healthcare environment is a complex, high-stakes ecosystem where the continuous, accurate, and timely flow of clinical information is the cornerstone of patient safety, care quality, and optimal outcomes. Within this dynamic setting, the points of transition—particularly the handoff of patient care responsibility from one nursing shift to another—represent critical junctures of vulnerability. These transitions are not mere procedural formalities but are, in essence, the transfer of the cognitive model of the patient: their history, current status, anticipated trajectory, and the nuanced plan of care. It is during these handoffs that the risk of clinical information loss, distortion, or omission is significantly heightened, with potentially severe consequences for patient well-being (1, 2).
References
1. Toumi D, Dhouib W, Zouari I, Ghadhab I, Gara M, Zoukar O. The SBAR tool for communication and patient safety in gynaecology and obstetrics: a Tunisian pilot study, (in eng), BMC Med Educ, Mar 5 2024;24(1):239.
2. Helen C, Taloyan M, Ninni Å, Guldbrand S, Lindström V. Facilitating interprofessional learning: experiences of using a digital activity for training handover of critically ill patients between a primary health care centre and ambulance services - a qualitative study, (in eng). BMJ Open. Jun 21 2024;14(6):e083585.
3. Coifman AHM, Pedreira LC. A. P. S. d. Jesus, and R. E. A. Batista, Interprofessional communication in an emergency care unit: a case study, (in English), Revista da Escola de Enfermagem da U S P, 2021;55:e03781.
4. Bøje RB, Ludvigsen MS. Non-formal patient handover education for healthcare professionals: a scoping review, (in eng). JBI Evid Synth. May 2020;18(5):952–85.
5. Li X, Zhao J, Fu S. SBAR Standard and Mind Map Combined Communication Mode Used in Emergency Department to Reduce the Value of Handover Defects and Adverse Events, (in eng), J Healthc Eng, 2022(2022):8475322.
6. Chien LJ, et al. Improving patient-centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. (in English) Journal Adv Nursing. 2022;78(5):1413–30.
7. Burgess A, van Diggele C, Roberts C, Mellis C. Teaching clinical handover with ISBAR. 2023;20(2).
8. Cohen MD, Hilligoss PB. The published literature on handoffs in hospitals: deficiencies identified in an extensive review, (in English), Quality & safety in health care, 2010;19(6):493-97.
9. Kanjee Z et al. Friction by definition: conflict at patient handover between emergency and internal medicine physicians at an academic medical center, (in eng). West J Emerg Med, 22, 6, pp. 1227–39, Nov 5 2021.
10. Bukoh MX, Siah CR. A systematic review on the structured handover interventions between nurses in improving patient safety outcomes, (in eng). J Nurs Manag. Apr 2020;28(3):744–55.
11. Pun J, Chan EA, Eggins S, Slade D. Training in communication and interaction during shift-to-shift nursing handovers in a bilingual hospital: A case study, (in eng). Nurse Educ Today. Jan 2020;84:104212.
12. Ghonem NME, El-Husany WA. SBAR Shift Report Training Program and its Effect on Nurses’ Knowledge and Practice and Their Perception of Shift Handoff Communication, (in eng). SAGE Open Nurs. Jan-Dec 2023;9:23779608231159340.
13. Tsuchiya J, Nsengiyumva K, Mumporeze R. Improving communication and organization through shift leader handover report. Rwanda J Med Health Sci. 2019;2:25.
14. Toren O, Lipschuetz M, Lehmann A, Regev G, Arad D. Improving patient safety in general hospitals using structured handoffs: outcomes from a National project, (in eng). Front Public Health. 2022;10:777678.
15. Pun J. Factors associated with nurses’ perceptions, their communication skills and the quality of clinical handover in the Hong Kong context, (in English), BMC nursing, 2021;20(1):1-95.
16. Alharbi HF, et al. Analysis of Nurses’ Perceptions of Handover Practices: A Comparative Study in Different Medical Settings, (in eng). Crit Care Nurs Q. Oct-Dec 01 2024;47(4):311–21.
17. IBM Corp. IBM SPSS Statistics for Windows, Version 29.0.2.0: Armonk, NY.
18. Al-Qarni SMM, Mohamed Mohamed H, Bayoumy, Alosaimi D. Perceived Quality of Postoperative Handover by Saudi Nurses: A Single-Center Cross-Sectional Study, (in eng), Cureus, Aug 2023;15(8):e43845.
19. Douglas RN et al. Communication failures contributing to patient injury in anaesthesia malpractice Claims☆. Br J Anaesth, 127, 3, pp. 470–8, 2021/09/01/ 2021.
20. Agizew TB, Ashagrie HE, Kassahun HG, Temesgen MM. Evidence-Based Guideline on Critical Patient Transport and Handover to ICU, (in eng), Anesthesiol Res Pract, 2021(2021):6618709.
21. Pun J. Clinical handover in a bilingual setting: interpretative phenomenological analysis to exploring translanguaging practices for effective communication among hospital staff, (in English), BMJ open, 2021;11(9):e046494.
22. Street M, Eustace P, Livingston PM, Craike MJ, Kent B, Patterson D. Communication at the bedside to enhance patient care: A survey of nurses’ experience and perspective of handover, International Journal of Nursing Practice, 2011;2(133-40).
23. Badrujamaludin AS, Budiman D. Factors Influencing the implementation of SISBAR communication for nurse and doctor handovers in a west java hospital. 2022(2022)(no. ISGH4):187-97.
24. Hassankhani H, Haririan H, Porter JE, Alvandi AO. Paramedics are only a driver, The lived experience of Iranian paramedics from patient handover: A qualitative study, vol. 20, no. 1, pp. 40–44.
25. Ghosh S, Ramamoorthy L, Pottakat B. Impact of structured clinical handover protocol on communication and patient satisfaction, (in eng). J Patient Exp. 2021;8:2374373521997733.
26. Sanjuan-Quiles Á, Hernández-Ramón MDP, Juliá-Sanchis R, García-Aracil N, Castejón-de la ME, Encina, Perpiñá-Galvañ J. Handover of patients from prehospital emergency services to emergency departments: A qualitative analysis based on experiences of nurses, (in eng). J Nurs Care Qual. Apr/Jun 2019;34(2):169–74.
27. Cohen J. Statistical Power Analysis, Current Directions in Psychological Science, vol. 1, no. 3, pp. 98–101, 1992/06/01 1992.
28. Peer M, O’Regan NB, Evans B, Fowler A, Dubrowski A. Patient Handover in Emergency Trauma Situations, (in eng), Cureus, Aug 4 2020;12(8):e9544.
29. Methangkool E, Tollinche L, Sparling J, Agarwala AV. Communication: is there a standard handover technique to transfer patient care?? (in eng). Int Anesthesiol Clin. Summer 2019;57(3):35–47.
30. Chien LJ, et al. Implementing a ward-level intervention to improve nursing handover communication with a focus on bedside handover-A qualitative study, (in eng). J Clin Nurs. Jul 2024;33(7):2688–706.
31. Raeisi A, Rarani MA, Soltani F. Challenges of patient handover process in healthcare services: A systematic review, (in eng). J Educ Health Promot. 2019;8:173.
32. Mamalelala TT, Schmollgruber S, Botes M, Holzemer W. Effectiveness of handover practices between emergency department and intensive care unit nurses, (in eng). Afr J Emerg Med. Jun 2023;13(2):72–7.
33. Hunter M, Peters S, Khumalo N, Davies MA. Analysis of patient flow and barriers to timely discharge from general medical wards at a tertiary academic hospital in cape town, South Africa, (in eng). BMC Health Serv Res. Mar 6 2024;24(1):287.
34. Pimentel J. A note on the usage of likert scaling. USM R D J. 2010;18(2):109–12.
35. Abdollahi L, Sheini-Jaber P, Rokhafrooz D. The effect of using SBAR model in shift handover on patient and nurse satisfaction in the emergency department., vol. 25, no. 1, pp. 24-34.
36. Javidan AP, Nathens AB, Tien H, Luz LT. Clinical handover from emergency medical services to the trauma team: A gap analysis, (in English), Canadian journal of emergency medicine, 2020;22(S2):S21-S29.
37. Nasiri E, Lotfi M, Mahdavinoor SMM, Rafiei MH. The impact of a structured handover checklist for intraoperative staff shift changes on effective communication, OR team satisfaction, and patient safety: a pilot study, (in eng). Patient Saf Surg. Jul 18 2021;15(1):25.
38. Dúason S, Gunnarsson B, Svavarsdóttir MH. Patient handover between ambulance crew and healthcare professionals in Icelandic emergency departments: a qualitative study, (in English), Scandinavian journal of trauma, resuscitation and emergency medicine, 2021;29(1):21.
39. Makkink SC, Bruijns AW Sr. The identification of factors contributing to negative handover experiences of Pre-Hospital emergency care personnel in Johannesburg, South Africa. 2023;18:1–8.
40. Klim S, Kelly AM, Kerr D, Wood S, McCann T. Developing a framework for nursing handover in the emergency department: an individualised and systematic approach, (in eng), J Clin Nurs, 2013 Aug;22(15-16):2233-43.
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