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the importance of a good nurse handoff
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Professor Cantu and Class, The first article is, Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Chapter 34 “Handoffs: Implications for Nurses”, this article is applicable not only to my unit, but every nurse in the profession. It is imperative that the translation of patient information from one person to the next during shift change, patient transfer, or transfer to another facility is clear, accurate, understandable, and complete conveying all pertinent information about that patient. The article discusses why we have problems with handoffs, and different methods for handoff styles. There is no specific hand-off tool that is universal. With that being said it is important that research continues so that possibly in the The title caught my attention: “Work Environment and Conditions”. The nurse’s role has long been considered as stress-filled based upon the physical labor, human suffering, work hours, staffing, and interpersonal relationships that are central to the work nurses do. The article examined many studies conducted to measure stress and burnout in nurses and found that the environment and conditions in the work place have a great deal to do with the perceived stress levels. In the article, it speaks of the definition of stress as being a negative factor that is perceived to pose a threat to the perceiver. This definition goes on to state that one person may see an event as stressful while another may view the same situation as exhilarating. The important part of this “new definition” is that we can chose, by manipulation of our attitudes, to view our lives as stress filled or an enjoyable ride? One’s perception is a big factor regarding workplace stress. I notice that newer nurses feel a great amount of pressure to do things perfectly, which anyone who has been in nursing a while can tell you that nursing is an imperfect profession. We are humans caring for other humans and we are all just doing the best that we can and what is in the best interest of our patients. Maintaining a positive attitude is important, and challenging at times. Even though the environment that many of us work in is controlled, good or bad many of the things that occur are beyond our control. Learning to go with the flow and ask for help when needed can make nursing a little bit less overwhelming. I think it is important for nurses experiencing burnout to talk to someone about it and maybe think about making a change in their workplace if possible to obtain a new challenge and help keep nursing fresh and exciting for them. I also find it interesting that as nurses, we are so prone to
In recent years, there’s evidence to suggest that mental health nurses experience stress and burned out related to their work, Stress, as an result of stressful workplaces (Bernard et al,2000).
In conclusion, the above research analysis explained many contributing factors to stress and burnout and its effect on performance. As expected from prior studies, job satisfaction has an effect on productivity and/or burnout. Burnout in US nurses has been linked to Philippine nurses, despite a difference in health-care systems. Gender has also proven to be a contributing factor to stress. Women have a significant level of stress compared to men due to additional work of housework and childcare. Women also are linked to low levels of emotional exhaustion with co-worker support. Finally, perception organizational support has been linked to emotional exhaustion, but not solely due to the organization. Hopefully, organizations will continue to adopt stress reducing programs and recognize that it has many contributing factors.
Identifying the handoff practices currently in use will demonstrate the endeavor to examine options and recommend approaches for the future. Diverse forms of handoffs at different occasions for a large group of physicians, medical residents, nurses, allied health professionals and student clinicians from different disciplines have created inconsistencies. Besides, the bedside shift report has impacted patient and family satisfaction with the continuum of care. Examining a number of models, protocols, tools, standards and trends concerning patient-centered handoffs will highlight implications for the best practice. Recommendation for safer and more effective handoffs to improve practice and reach sustainable outcomes will be discussed to promote multidisciplinary approaches for patient-centered care. The transfer of critical information and accountability for patient care from one clinician to another is an essential component of communication in
One of the most serious issues in nursing, that can affect a nurses career is nursing burn- out. According to the article “Where have all the nurses gone”, current nurses that are practicing, report high rates of job dissatisfaction (which is part of burn out) and 1 of 5 nurses may quit nursing in the next 5 years (Dworkin, 2002). Burnout is associated with nurses not coming in to work, not feeling satisfied when doing their job, high turnover rates and a lack of commitment to the work (Katisfaraki, 2013). If a nurse becomes burned- out, they may not take care of their patients as well and could make mistakes with medication administration. A study performed in the United States by Dr. Jeannie Cimiottti, shows that hospitals with high burn-out rates among nurses have higher levels UTI’s, and surgical infections (World, 2012). Nursing burnout not only affects the nurse, but it also affects the patient, the nurses’ colleagues, and the nurses’ family; nursing burn out often leads to emotional exhaustion and depression, that can effect relations and communication between the nurse effected and the person they are communicating with. This paper will cover what burn-out is, who is susceptible to burn out, and treatment and prevent nursing burn out.
Normally, a significant amount of communication takes place during nursing handoff. Sand-Jecklin and Sherman (2014) notes, “The safety of the patient can be compromised at this time” (2014, 2854). Adverse patient outcomes is a very serious matter for healthcare organizations.
Nursing staff from an array of specialized backgrounds have identified underperformances and barriers within the handover process which resulted in staff reporting problems and decreased confidence from poor handover practices. The PACT Project, a study conducted in a large-sized Victorian private hospital evaluating handover, identified a clear scope for improvement in the way handovers occurred within the nursing cohort. Key results from the study entailed that only 32% stated that they always received information needed at handover, 94% identified that different nurses give handover in different ways, 85% felt a clear room for improvement in the way nurses communicate, and 60% stated that they would like to deliver handover more effectively. The core underperformances and barriers identified specific to Mater consisted of poor patient identification and lack of discussion within handover, time constraints which placed significant stress, and a more formal and assertive approach in handover training. While, the Mater’s handover process ‘SHARED Framework for Clinical Handover’ is a comprehensive, appropriate and safe clinical communication tool irrespective of clinical setting, several concepts can be integrated to expand on the tool to meet NSQHS Standards and improve patient
Clinical handover is a form of communication in the clinical setting which allow nurses to plan and prioritize patient care and manage their workload effectively. Clinical handover encompasses the exchange of patient information from one shift to another and it has been known for benefits such as being a platform for exchange of opinions amongst nurses, expression of feelings, teaching and learning. Bedside clinical handover was reported to be a patient-centred initiative that enhanced the standards of healthcare and reduced adverse events in the healthcare setting. The implementation of bedside clinical handover was found to be time-effective, reduced the risks of error and enabled nurses to spend more time with their patients.
Non-comprehensive and non-uniform patient handovers stand as a current concern within the department. Inadequate handovers may lead to delays in care and communication errors. Additionally, poor communication and poor teamwork in relation to handovers pose a threat to patient safety. The proposed intervention is to implement the utilization of a paper, SBAR formatted, standardized template with patient information on it that can be passed on from nurse to nurse at shift change. The template will be updated throughout the patient’s stay at the facility and will help provide a comprehensive view of the patient. This SBAR formatted template will provide the framework for the verbal report given during patient handovers on medical-surgical units of a Midwestern, rural hospital. The review of the literature supports the implementation of this intervention, by noting error reduction with the employment of a template. The results of a study by Triplett and Schuveiller (2011) suggested that over half of the nurses surveyed had discovered errors during the patient handover process with the addition of the template. According to Johnson, Jefferies, and Nicholls, (2012) not only did the employment of a template complement verbal handover, but it also provided a tool to allow for easy access to comprehensive information on any given patient in the units. Overall, the
A literature review was conducted using CINAHL and PubMed to locate relevant articles published from 2010-2017. Keywords were education, bedside, shift report, bedside nursing, and communication were all searched in varied combinations. The search resulted in 20 suitable articles for review. Welsh, Flanagan, & Ebright (2010) examined factors that influenced exchanging shift report in their 2010 study. They analyzed nurses’ evaluations of different report styles. The authors discovered that bedside report improves professional communication. The article suggests that bedside reporting helps assure that nurses are no longer side-tracked by socialization or interjections of personal opinions like they can be during other types of handoffs.
Goal: Improve nursing handoff during change of shift with incoming and outgoing nurses by providing a standard hand of flow sheet, to improve patient safety and quality of care
The nursing profession is one of the most physically, emotionally, and mentally taxing career fields. Working long shifts, placing other’s needs before your own, dealing with sickness and death on a regular basis, and working in a high stress environment are all precursors to developing occupational burnout in the nursing profession. Burnout refers to physical, emotional and mental exhaustion, which can lead to an emotionally detached nurse, who feels hopeless, apathetic, and unmotivated. Burnout extends beyond the affected nurse and begins to affect the care patients receive. Researchers have found that hospitals with high burnout rates have lower patient satisfaction scores (Aiken et al 2013). There are various measures that nurses can take
Shift change is one of the challenging moments for continuity care of patient in the hospital. On shift and off shift nurses exchange vital information and duties during transition of care. In other words shift change report is also know as Nurse Knowledge Exchange (NKE), it is important in order to ensure efficiency, quality and safety of the patient. Nurses are responsible for delivering excellent care no matter what the circumstances. End of the shift nurses are exhausted and shift report usually occurs at nursing station or outside patient’s room. When it occurs away from the patient, it compromises the safety and quality of patient. Allowing patient involved in bedside report gives opportunity to hear what has occurred throughout the shift
Notwithstanding, there is an increasing demand for ways of improving handover practices (AHRQ, 2009) with the aim of reducing the risk of miscommunication, misinterpretation and the omission of critical patient information. However, there is a lack of evidence on the most effective process for conducting a structured handover process (Robertson et al., 2014) and evidence to support decisions on the effectiveness of nursing handover styles in an inter or intra ward/unit transfer of patient information (Smeulers et al., 2014). Furthermore, there is a lack of evidence to support the use of educational interventions to improve handovers such as formal training in handover practices in the training institution (Gordon and Findley, 2011).
With these errors, the student nurses can cause injury to their back and the acting patient will feel uncomfortable. So remembering to go down to the patient’s level and knowing the proper way of manual handling can prevent the student nurses from injuries (Crisp et al.,
Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012). Bedside Nurse-to-Nurse Handoff Promotes Patient Safety. MEDSURG Nursing, 21(3), 140-145