Olga Bljash kina North -Estonia Medical Center (PERH). NURSING COMMUNICATION DURING A PATIENT HANDOVER. Mentors : Milvi Moks PhD , Ene Kotkas 17.05.2010. The aim of the research is to describe nurses' communication during a patient handover from one department to another.
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North-Estonia Medical Center
Mentors: Milvi MoksPhD, Ene Kotkas
The aim of the research is to describe nurses' communication during a patient handover from one department to another.
This research is a qualitative one, which is based on the literature review.
68 literature sources were used in this research.
Information retrieval was accomplished
in EBSCOhost and OVID databases and sources of literature in Tallinn Health Care College and Satakunta Central Hospital libraries were used.
Australian Medical Association in their ‘SafeHandover: Safe Patients’ guideline (AMA, 2006)and United Kingdom National Patient SafetyAgency (2004)
Has many functions:
-nurses use the handover to demonstrate their knowledge, expertise and protect their role in patient care,
-may facilitate nurses in performing certain nursing procedures.
The aim of communication during the handover is to give high-quality and appropriate clinical information from one healthcare professional to another.
Information exchange between nurses is essential to achieve the continuity of effective, individualized and safe patient care.
It helps to avoid errors and gives an opportunity to ask questions and ensure that after handover all members of the team will have the same understanding and set of priorities.
Poor communication might lead to inaccurate sharing information about patient details and some important aspects may be missed.
Staff communication should be more developed and facilitated in healthcare organizations.
Improving communication between nurses can be an important factor in creating patient safety.Nurses`s communication during a patient handover II
Combination of them
the oldest handover format;
is usually given in a setting away from patients and is supported by nursing documentation;
provides more opportunity to clarify information.Verbal communication methods I
individualized and patient- centered care;
based on a patient involvement and participation in handover process;
promotes a mutual respect between patients and caregivers.Verbal communication methods II
written account of a person`s condition and response to the treatment and care;
permanent and legal document.Written documents
S – situation (discussion of the current patient condition).
B – background ( discussion of the background and patient history).
A – assessment .
R – recommendations (and orders that need to be completed).
This method allows to report information in a systematic way and decrease confusionSBAR method
quick, easy access to the patient record by multiple caregivers in multiple places;
takes time for nurses to become enough experienced;
gives opportunity for automating and structuring.Electronic information handover
For a report to be meaningful the information to the receiver has to be given in an effective way.
Nursing handover using accurate and documented information promotes effective time management.Nursing report and information sharing
The information needs to be provided in a prioritized, clear, concise and chronological manner.
Information should contain patient care plan, treatment, current condition and any recent or anticipated changes.Information handover
Nurses` communication optimization