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The impact of an integrated nursing handover system on nurses' satisfaction and work practices

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  • Maree Johnson
  • Paula Sanchez
  • Catherine Zheng

Abstract

Aims and objectives This study examined the impact of an Integrated Nursing Handover System – structured content, a minimum data set and an electronic module within the patient clinical information system – on nurses' satisfaction with handover and changes to practice. Background Poor transfer of patient information between clinicians at handover has been associated with adverse patient outcomes. Design A mixed methods pre‐post evaluative approach was used. Methods The Integrated Nursing Handover System was introduced and evaluated within an Australian hospital. Changes to nurses' satisfaction were measured using the modified Bradley Clinical Handover Survey (n = 40 pre, n = 80 post). Three focus groups with clinicians (2) and mangers and educators (1) examined changes to clinical practice. The location of handover was observed. Results Nurses' satisfaction with handover was improved. A two stage approach to handover emerged: nurses received handover of all patients within meeting rooms followed by handover delivered at the bedside. Major categories identified through content analysis included: implementation and the transition, work practice changes and bedside handover, accessible and standardised patient information, accountability for information transfer and a central repository of patient information. Conclusion An integrated system has been implemented with positive outcomes of: improved nurse satisfaction with handover, nurses being informed about all patients, enhanced patient transfers and improved patient information for all health professionals. Further research into the potential use of stored patient handover data for research is recommended. Relevance to clinical practice This comprehensive system of nursing handover represents the first integrated system of this nature ever reported in the nursing and health literature. This integrated nursing handover system has been successfully implemented resulting in delivery of more comprehensive, logical and standardised patient information at handover.

Suggested Citation

  • Maree Johnson & Paula Sanchez & Catherine Zheng, 2016. "The impact of an integrated nursing handover system on nurses' satisfaction and work practices," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 257-268, January.
    • Handle: RePEc:wly:jocnur:v:25:y:2016:i:1-2:p:257-268
    DOI: 10.1111/jocn.13080
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    References listed on IDEAS

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    1. Jenelle Matic & Patricia M Davidson & Yenna Salamonson, 2011. "Review: bringing patient safety to the forefront through structured computerisation during clinical handover," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(1‐2), pages 184-189, January.
    2. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    3. Anne McMurray & Wendy Chaboyer & Marianne Wallis & Cathy Fetherston, 2010. "Implementing bedside handover: strategies for change management," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(17‐18), pages 2580-2589, September.
    4. Judith Anderson & Linda Malone & Kerry Shanahan & Jennifer Manning, 2015. "Nursing bedside clinical handover – an integrated review of issues and tools," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(5-6), pages 662-671, March.
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    1. Anna Kullberg & Lena Sharp & Hemming Johansson & Yvonne Brandberg & Mia Bergenmar, 2019. "Improved patient satisfaction 2 years after introducing person‐centred handover in an oncological inpatient care setting," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3262-3270, September.
    2. Niels Buus & Bente Hoeck & Bridget Elizabeth Hamilton, 2017. "Nurses’ shift reports: a systematic literature search and critical review of qualitative field studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(19-20), pages 2891-2906, October.

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