Need for a hands-on approach to hand-offs: A study of nursing handovers in an Indian Neurosciences Center

Asian Journal of Neurosurgery
Parmeshwar KumarShakti Kumar Gupta

Abstract

Standardized nursing handovers have been known to improve outcome, reduce error, and enhance communication. Few, if any, studies on nursing handovers have been conducted in the India. The aim was to study nursing handover practices in a Neurosciences Center in India. This study was conducted in a 200 bedded public sector Neurosciences Center in New Delhi, to assess nursing handover practices across five wards, all shifts, weekdays, and weekends using a pretested checklist. Ten elements were observed under the categories of time, duration, process, nurse interaction, and patient communication. Analysis of variance, Z-test, and Spearman's correlation coefficient. Totally, 525 nursing handovers revealed varying compliance levels among (63%) time, place (76%), process (82%), staff interaction (53%), and patient communication (44%) related elements. Poorer compliance was seen in morning shifts and weekends; the difference being statistically significant. Bedside handovers were more frequent during weekends and night shifts and were positively correlated with increased staff interaction and patient communication and negatively related to handover duration. Though nurses showed better adherence to process related elements, background ...Continue Reading

Citations

Dec 6, 2020·Nurse Education Today·Jessie Yuk Seng ChungJoyce Oi Kwan Chung
Jun 29, 2021·Journal of Patient Experience·Sayani GhoshBiju Pottakat

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