Exploring perinatal shift-to-shift handover communication and process: an observational study

Journal of Evaluation in Clinical Practice
Else P PootCordula Wagner

Abstract

Loss of situation awareness (SA) by health professionals during handover is a major threat to patient safety in perinatal care. SA refers to knowing what is going on around. Adequate handover communication and process may support situation assessment, a precursor of SA. This study describes current practices and opinions of perinatal handover to identify potential improvements. Structured direct observations of shift-to-shift patient handovers (n = 70) in an academic perinatal setting were used to measure handover communication (presence and order of levels of SA: current situation, background, assessment and recommendation) and process (duration, interruptions/distractions, eye contact, active inquiry and reading information back). Afterwards, receivers' opinions of handover communication (n = 51) were measured by means of a questionnaire. All levels of SA were present in 7% of handovers, the current situation in 86%, the background in 99%, an assessment in 24% and a recommendation in 46%. In 77% of handovers the background was mentioned first, followed by the current situation. Forty-four per cent of handovers took 2 minutes or more per patient. In 52% distractions occurred, in 43% there was no active inquiry, in 32% no eye c...Continue Reading

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Citations

Jan 27, 2018·The Journal of Perinatal & Neonatal Nursing·Elisabeth D Howard
May 14, 2014·Journal of Evaluation in Clinical Practice·Matilde Fernández Y Fernández-ArroyoJorge Torres
Nov 8, 2017·Journal of Patient Safety·Ineke van der WulpCordula Wagner
Sep 7, 2018·Perspectives on Medical Education·Nico F LeenstraJaap E Tulleken
Jun 16, 2021·Journal of Interprofessional Care·Wynne I LeungRylan Egan

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