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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/25429

Title: A tailored intervention to improving the quality of intrahospital nursing handover
Authors: Bergs, Jochen
Lambrechts, Frank
Mulleneers, Ines
Lenaerts, Kim
Hauquier, Caroline
Proesmans, Geert
Creemers, Sarah
Vandijck, Dominique
Issue Date: 2018
Citation: International Emergency Nursing, 36, p. 7-15.
Abstract: Introduction: Nursing handover is a process central to the delivery of high-quality and safe care. We aimed to improve the quality of nursing handover from the emergency department to ward and intensive care unit (ICU). Methods: A quasi-experimental non-equivalent control group pre-test — post-test design was applied. Handover quality was measured using the Handover Evaluation Scale (HES). A tailored intervention, inspired by appreciative inquiry, was designed to improve the implementation of an existing handover form and procedure. Results: In total 130 nurses participated, 66 before and 64 after the intervention. Initial structure of the HES showed no good fit to our data; the questions were reshaped into 3 dimensions: Quality of information, Interaction and support, and Relevance of information. Following the intervention, mean changes in HES factor scores ranged from 3.99 to +15.9. No significant difference in factor scoring by ward and ICU nurses was found. Emergency department nurses, however, perceived Interaction and support to be improved following the intervention. Conclusion: The intervention did not result in an improved perception of handover quality by ward and ICU nurses. There was improvement in the perception of Interaction and support among emergency department nurses. The intervention positively effected teamwork and mutual understanding concerning nursing handover practice amongst emergency nurses. In order to improve intrahospital nursing handover, hospital-wide interventions are suggested. These interventions should be aimed at creating a generative story, improving mutual understanding, and establishing a supportive attitude regarding standardised procedures to reduce human error.
Notes: Bergs, J (reprint author), Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium. jochen.bergs@uhasselt.be
URI: http://hdl.handle.net/1942/25429
DOI: 10.1016/j.ienj.2017.07.005
ISI #: 000426153100002
ISSN: 1755-599X
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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