Hand Off Communication In Nursing

Chaboyer, W., McMurray, A., Wallis, M. (2010). Bedside nursing handover: A case study. International Journal of Nursing Practice, 16, 27-34. doi: 10.1111/j.1440-172X.2009.01809.x

It is important, for everyone in interprofessional relationships, to be active listeners as it fosters understanding and meaningful communication by preventing assumptions and therefore poor patient care (Bramhall, 2014). The two professionals can also use open-ended and probing questions to ensure that they fully understand the knowledge, regarding improved care, or feedback, regarding patient progress (Probasco et. al., 2017, and textbook). Non-verbal communication is just as important as verbal communication, the two types must match for the other health professional to acknowledge, understand, and accept the information or point of view (Bramhall, 2014). In the Probasco study, neurological nursing staff were educated to better assess the mobility of patients and determine if there was an impairment needing to be addressed and the specialty care of an OT required which resulted in a misuse of rehabilitation resources (Probasco et. al., 2017). In this study an important communication skill was clarity, the occupational therapist particularly had to ensure that the education information conveyed was clear, so it was not misinterpreted (Probasco et. al.,

Communication in nursing is known for its life saving success as well as its greatest flaw in poor patient outcomes. There is always room for improvement and when communication is carried out efficiently, healthcare professionals have reaped the benefits. However, there have been many instances in which nurses have had to learn the hard way of how detrimental communication can be to patient safety. Through research and reviews of literature, the topic of patient safety related to handoff communication among units is analyzed.

Communication as defined by Loubrini Kourkouta is the exchange of information, thoughts and feelings among people using speech or signs. For effective communication, nurses are on one side and patients on the other side making it a two-way thing. The patient conveys his/her fears and concerns to their nurse who helps them make a correct nursing diagnosis. Communication is a transaction and message transaction,

Nursing takes on a nurturing role.3Nurses use this form of communication as a technique to provide support and information to patients. It is often the nurse 's job to make sure the patient feels comforted and cared for. Apart of showing a patient that you care involves sharing humor, which promotes active communication. 4 Contributes to feelings of togetherness, closeness, and friendliness. Feeling close to someone is an incredible sensation since nurses visit several patients a day so, that promotes patient value. Along with sharing humor, Nurses can help patient’s express feelings by observing. Touching is a good way to show comfort. It could be a touch on the shoulder, the back, or even hand holding. Mirroring is a perfect skill nurses can use to uplift a patient and change their mood. Mirroring is mimicking the motions of another, but it’s done without the other person knowing that they are following your lead. In this case, the goal is to get the patient to follow the lead of the nurse as he or she changes their body position to a more upright position that shows positivity. Verbal and nonverbal communication play a role in therapeutic communication, often as techniques. The relationship is based on mutual trust and respect being sensitive to self

Bedside shift reporting is used in many health care facilities to promote a beneficial handoff for both patients and nurses. This type of reporting is an important process in clinical nursing practice because it allows staff to exchange necessary patient information to guarantee continuity of care and patient safety. “Moving the change-of-shift handoff to the patient’s bedside allows the oncoming nurse to visualize the patient as well as ask questions of the previous nurse and the patient” (Maxon, Derby, Wrobleski, & Foss, 2012).

It is interesting to read how SBAR is utilized in other areas. AT YRMC in Yuma we use SBAR, but is relayed face to face or via phone. I agree with you that although it is a convenience to have the patient’s information faxed from the ED to the floor the patient is going to, I can see where this can pose a problem. There are many obstacles that the nurse may face in receiving or relaying a patient hand-off, these being “communication challenges [which] can be a result of human factors, such as poor communication skills; lack of resources to support communication training; lack of support for active communication in the clinical setting; or an inappropriate environment for handoff due to interruptions” (Cudjoe, 2016, p.1) all factors

These types include taped, verbal, bedside, and nonverbal handover. It is noticed that verbal handover is considered as most lengthy form of handover because it includes irrelevant and non-essential information instead of accurate and reliable information based on patient documentation. While on the other hand, audiotaped handovers focuses on retrospective, ritualistic, and treatment oriented information instead of elaborating direction and focus towards forward planning. Moreover, bedside handover is the transfer of written document and patient related information from one nurse to another at the time of changing shifts. McMurray et al (2011) stated that handover serves as an opportunity for mentoring members of junior staff in order to socialise newcomers into the culture of nursing. It also assists them in learning professional values and goals along with the providence of development of group cohesion. In bedside handovers, the main opportunity is related to student teaching because it aids in analysing the nursing as something that is done with

“Tell me what I need to do and I’ll do it” (Benner, 1984). This a common sentence frequently uses by new graduate nurses in critical situation.

This essay shall highlight the role of nurses and paramedics; touching on how change-over nurses communicate information regarding patients’ health and behaviours over the duration of the time spent in one nurse’s care to the next at the end of one’s shift. Paramedics on the other hand, do not have all the time and resources that nurses do and so must carry out their communication with more precision.

Professionalism in the workplace has many different aspects to be deciphered. There more than likely will come a time in your career that you witness or experience unprofessional behavior, if you haven’t already. Some of the aspects can be looked at as pieces of a puzzle. They all fit together, and need one another to complete the puzzle, or professional workplace. Every employee should be free from discrimination, judgment, negative attitudes, have superior communication, and have

Proper communication and interaction are some of the most fundamental elements of successful nursing. It is very easy to occur a miscommunication when not all the healthcare providers are in same pace. Miscommunication can occur during end off shift report among the nurses. Some of the factors of miscommunication includes; it is a busy time when nurses are giving report, they are tired, wants to make shortcut, and language barrier. Furthermore, nurses that are trained in foreign country have difference in nursing practice. Many Asian trained nurses also find it challenging to ask questions when they don’t understand something, for fear of seeming incompetent. It is important to ask question during the report if nurse did not understand the

The importance for the nursing community to be involved in patients safety encompasses the method from health policy legislation to local system policy. We discussed in earlier chapter nurses must become familiar with the legislative process that dictates nurses work environment, safety, and ultimately affects patient care and outcomes (Wallace, & Ivanov, 2014). Therefore nurses must commit to patient safety by creating a healthy work environment in which teamwork and communication are utilized as an essential daily task as outlined in the American Association of Critical Care Nurses Healthy Work Environment Standards of Care (Wallace, & Ivanov,

Matic et al. (2010) conducted an integrative literature review on bringing patient safety to the forefront through structured computerization during clinical handover. CINAHL, Medline, Embase, PubMed and World Wide Web were used to search articles from 1997 to 2008. Three hundred and four sources were retrieved including the published and grey literature. The key terms nursing handover, handoff, shift-to-shift reporting and change of shift report were used for searching along with manual searching, and 126 published articles were identified. This study had few strengths. Both experimental and non- experimental as well as commentaries and reviews, were included. This approach allows a less restrictive focus using the systematic review method

For my first assigned patient, I was unable to watch the birth. However; the nursing staff at SRMC worked very hard to find another individual that wouldn’t mind having a student nurse in the labor and delivery. I was glad, I finally was able to watch a delivery and have a better understanding of the ways the operating room (OR) and OB work together to delivery a baby.