2.50
Hdl Handle:
http://hdl.handle.net/10755/163443
Category:
Abstract
Type:
Presentation
Title:
A Metasynthesis of Nursing Handoffs
Author(s):
Holly, Cheryl
Author Details:
Cheryl Holly, RN, EdD, Director of Nursing Research, NYU Langone Medical Center Nursing, New York, New York, USA, email: cheryl.holly@nyumc.org
Abstract:
Purpose: A metasynthesis of nursing handoff studies was conducted to determine what generalizations could be made from identified qualitative research studies to improve patient safety. Background: Continuity of patient care is a key area in patient safety. The "handofff" or transfer of patient care responsibilities from one healthcare practitioner to another is a hospital procedure used to promote this continuity. Handoffs occur multiple times a day on nursing units. Critical thinking, and therefore patient safety, is enhanced when there is valuable communication during the shift report, and where the primary objective is the accurate transfer of information about a patient's state and care plan. Methods (Design, Participants, Setting, Data Collection, Analytic approach): Design: Noblit and Hare's meta-ethnographic, comparative approach was used for this metasynthesis. This method involves comparing study findings and translating each into the other through a series of seven phases. Sample: The final sample consisted of 13 qualitative studies that observed a total of 171 handoffs on 25 acute care nursing units and one intensive care unit. Data Collection: The CINAHL, PUBMED and PROQUEST databases were searched between 1990 and 2005 with such key words and combinations as nursing, handoffs, handovers, signoffs, intershift reports, and intershift communication. In addition, "foot-note chasing" was conducted. Thirty seven studies were found, and 13 met the inclusion criteria of: 1) qualitative study of nursing handoffs; 2) acute care setting. The majority of studies were descriptive and lacking a theoretical framework. Results: The metasynthesis revealed three metaphors that permeated the handoff activities. These themes centered on reciprocal connecting that consisted of legacy, confirmation, and spontaneity. Conclusions and Implications: It was concluded that the handoffs were not used as a means of communicating nursing care, lacked standardization, and provided information that could be obtained elsewhere. Suggestions for further research are provided.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Metasynthesis of Nursing Handoffsen_GB
dc.contributor.authorHolly, Cherylen_US
dc.author.detailsCheryl Holly, RN, EdD, Director of Nursing Research, NYU Langone Medical Center Nursing, New York, New York, USA, email: cheryl.holly@nyumc.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/163443-
dc.description.abstractPurpose: A metasynthesis of nursing handoff studies was conducted to determine what generalizations could be made from identified qualitative research studies to improve patient safety. Background: Continuity of patient care is a key area in patient safety. The "handofff" or transfer of patient care responsibilities from one healthcare practitioner to another is a hospital procedure used to promote this continuity. Handoffs occur multiple times a day on nursing units. Critical thinking, and therefore patient safety, is enhanced when there is valuable communication during the shift report, and where the primary objective is the accurate transfer of information about a patient's state and care plan. Methods (Design, Participants, Setting, Data Collection, Analytic approach): Design: Noblit and Hare's meta-ethnographic, comparative approach was used for this metasynthesis. This method involves comparing study findings and translating each into the other through a series of seven phases. Sample: The final sample consisted of 13 qualitative studies that observed a total of 171 handoffs on 25 acute care nursing units and one intensive care unit. Data Collection: The CINAHL, PUBMED and PROQUEST databases were searched between 1990 and 2005 with such key words and combinations as nursing, handoffs, handovers, signoffs, intershift reports, and intershift communication. In addition, "foot-note chasing" was conducted. Thirty seven studies were found, and 13 met the inclusion criteria of: 1) qualitative study of nursing handoffs; 2) acute care setting. The majority of studies were descriptive and lacking a theoretical framework. Results: The metasynthesis revealed three metaphors that permeated the handoff activities. These themes centered on reciprocal connecting that consisted of legacy, confirmation, and spontaneity. Conclusions and Implications: It was concluded that the handoffs were not used as a means of communicating nursing care, lacked standardization, and provided information that could be obtained elsewhere. Suggestions for further research are provided.en_GB
dc.date.available2011-10-27T11:07:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:40Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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