Evidence based practice, task 1

Topics: Nursing, Qualitative research, Nurse education Pages: 26 (9251 words) Published: March 30, 2014
EBT 1 -Task 1
Selected Article from a Nursing Journal:
APA Citation:
Bradley, S., & Mott, S. (2010). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32 A2. Graphic:
Background InformationTraditionally nurses delivered clinical information about the patient, the clinical events on their shift and the plan of care to the oncoming shift to ensure continuity of care and to make sure that their colleagues were informed about tasks or instructions that needed to be completed by the next shift. This process had a variety of names; report, handover or handoff. The format was often different from unit to unit. It usually took place in an off stage room or office or at a charting station from away from the patients. This project aimed to assess if moving nurse to nurse handover to the patient’s bedside could promote safety and decease the length of time that it took to complete the process. The study was designed to evaluate if moving shift handover to the patient’s bedside could lead to more cost effective care and if by reducing the amount of time that nurse were away from the bedside during handover could result in improved patient safety. Review of LiteratureWhen reviewing the literature, the researchers found that while bedside handover was credited to improve communication and patient and staff satisfaction that very little empirical data was available about the economic, cost effective benefits of the process. They discussed the findings of 7 articles that were reviewed and they cited 17 sources that were dated from 1947 to 2009. The oldest citations were related to the change management process and not directly related to bedside handover. Literature review found that the delay in nurses connecting with patients during traditional handover could result in reduced patient safety and in increase in adverse events (Caruso, 2007). Trossman, in an article in The American Nurse in 2009, reported anecdotally that bedside handover was more economical than traditional process but data was not provided. The author did not find empirical data that measured adverse safety events specifically during handover but retrospective case studies and anecdotal accounts had inferred that reduction in events was an outcome of moving away from traditional methods of shift handover. “Nursing Handover at the bedside allows the nurse to visualize the patients at the start of shift and perform safety checks. (Caruso, 2007) Discussion of MethodologyThis study used a mixed‑method, evaluative approach involving quantitative (quasi‑experimental) and qualitative (ethnographic) designs. Researchers The study was conducted in three small rural Australian hospitals, on acute care units. The three sites while similar in fundamentals had some variances in size, patient populations and types of staffing matrixes. The study sampling size was 48 nurses who agreed to transition to the new process. Implementation of the process was replicated in the three sites to more accurately assess and measure results. The only criterion for staff was that they had to be currently working in the unit in a patient care role. Data was collected in 3 stages using quantitative and qualitative components. Quantitative elements comprised of digital time recordings of the duration or length of handover and collecting data related to adverse patient events during handover, pre and post the process change. Researchers also used the ethnographic approach by observing nurse handovers to note the types of information discussed and the terminology used. In addition, nurses were interviewed about their perceptions and satisfaction with handover and asked to estimate how long the process takes to complete. This was also done before and after implementation of the change. Researchers used Lewin’s model of change management to put the process change in place. Specific Data AnalysisResearchers collected demographic data only related to the age and...

Bibliography: Bradley, S., & Mott, S. (September 2012). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32.
Hagman, J., Oman, K., Kleiner, C., Johnson, E., & Nordhagen, J. (2013). Lessons Learned From the Implementation of a Bedside Handoff Model. The Journal of Nursing Administration, 43(6), 315-317.
Jeffs, L., Simpson, E., Campbell, H., Irwin, T., Lo, J., Beswick, S., & Cardoso, R. (, January 2, 2013). The Value of Bedside Shift Reporting. Journal of Nursing Care Quality, 28(3), 226=232.
Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (May-June 2012). Bedside Nurse-to-Nurse Handoff Promotes Patient Safety. MedSurg Nursing, Vol. 21/No. 3, 140-145.
Source: International Journal of Nursing Practice, 18(), 462-470
Date (year) (2012)
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