Foresight, Ease and Power: Outcomes of Nurse to Nurse Shift Report

2.50
Hdl Handle:
http://hdl.handle.net/10755/290977
Category:
Abstract
Type:
Presentation
Title:
Foresight, Ease and Power: Outcomes of Nurse to Nurse Shift Report
Author(s):
Kasper, Kathryn T.; Frankel, Richard M.; Ebright, Patricia; O'Brian, Colleen M.
Lead Author STTI Affiliation:
Non-member
Author Details:
Kathryn T. Kasper, BA, ktkasper@gmail.com; Colleen M. O'Brien JD, MPH; Patricia Ebright PhD, RN, FAAN; Richard M. Frankel PhD
Abstract:

Poster presented on Friday, April 12, 2013, Saturday, April 13, 2013

JCAHO reported that communication errors were responsible for almost two-thirds of sentinel events in JCAHO accredited facilities. Ineffective transfers of care accounted for nearly half of communication breakdowns. Despite these findings, no consensus on best reporting practices exists. Current research is focused on report standardization, tools and technology to streamline and cue exchange of predetermined clinical data.  Literature suggests nursing shift report may serve other functions such as providing emotional support, psychosocial rituals and formation of novices. The purpose of this study was to determine functions of nursing shift report beyond exchange of standard clinical data. Secondary data analysis was performed on transcripts of handoffs collected as part of a larger study identifying barriers and facilitators to high reliability handoffs. The study was guided by principles of human factors engineering and crew resource management. Mixed methods were used to collect data, including direct observation, audio and video recording. Criterion sampling of all shifts on two different medical-surgical units at a Midwestern medical facility was used. For this study purpose, nurse to nurse handoffs were analyzed using the same framework. Data from twelve handoff report transcripts was coded and analyzed through iterative discussion to reach final consensus on themes. Findings included three handoff mechanisms (Orientation, Interpersonal Interaction and Education) that resulted in three outcomes (Foresight, Ease and Power) gifted by the outgoing nurse to the incoming nurse in addition to the exchange of standard clinical data. An enabling function of nurse handoffs to enhance nursing care delivery was discovered by this study in the form of three mechanisms leading to three outcomes. Future studies are needed to determine: 1) structure of handoffs that support the three study mechanisms, 2) interventions and education to improve current handoff processes, and 3) impact of the handoff outcomes on quality and safety of patient care.
Keywords:
Care delivery; Nurse-to-nurse report; Transfer of care
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the 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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleForesight, Ease and Power: Outcomes of Nurse to Nurse Shift Reporten_GB
dc.contributor.authorKasper, Kathryn T.en_GB
dc.contributor.authorFrankel, Richard M.en_GB
dc.contributor.authorEbright, Patriciaen_GB
dc.contributor.authorO'Brian, Colleen M.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKathryn T. Kasper, BA, ktkasper@gmail.com; Colleen M. O'Brien JD, MPH; Patricia Ebright PhD, RN, FAAN; Richard M. Frankel PhDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/290977-
dc.description.abstract<p>Poster presented on Friday, April 12, 2013, Saturday, April 13, 2013</p>JCAHO reported that communication errors were responsible for almost two-thirds of sentinel events in JCAHO accredited facilities. Ineffective transfers of care accounted for nearly half of communication breakdowns. Despite these findings, no consensus on best reporting practices exists. Current research is focused on report standardization, tools and technology to streamline and cue exchange of predetermined clinical data.&nbsp; Literature suggests nursing shift report may serve other functions such as providing emotional support, psychosocial rituals and formation of novices. The purpose of this study was to determine functions of nursing shift report beyond exchange of standard clinical data. Secondary data analysis was performed on transcripts of handoffs collected as part of a larger study identifying barriers and facilitators to high reliability handoffs. The study was guided by principles of human factors engineering and crew resource management. Mixed methods were used to collect data, including direct observation, audio and video recording. Criterion sampling of all shifts on two different medical-surgical units at a Midwestern medical facility was used. For this study purpose, nurse to nurse handoffs were analyzed using the same framework. Data from twelve handoff report transcripts was coded and analyzed through iterative discussion to reach final consensus on themes. Findings included three handoff mechanisms (Orientation, Interpersonal Interaction and Education) that resulted in three outcomes (Foresight, Ease and Power) gifted by the outgoing nurse to the incoming nurse in addition to the exchange of standard clinical data. An enabling function of nurse handoffs to enhance nursing care delivery was discovered by this study in the form of three mechanisms leading to three outcomes. Future studies are needed to determine: 1) structure of handoffs that support the three study mechanisms, 2) interventions and education to improve current handoff processes, and 3) impact of the handoff outcomes on quality and safety of patient care.en_GB
dc.subjectCare deliveryen_GB
dc.subjectNurse-to-nurse reporten_GB
dc.subjectTransfer of careen_GB
dc.date.available2013-05-13T10:24:01Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:24:01Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the 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.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.