Carroll, J.S., Williams, M. & Gallivan, T.M. (2012). The ins and outs of change of shift handoffs between nurses: A communication challenge. BMJ Qual Saf (2012). doi:10.1136/bmjqs-2011-000614
Shift handoffs can be used as benchmarks to assess quality of communications among healthcare staff. Because communication overall is critical to quality of care, it is important to understand the factors that can improve shift handoff efficiency. Shift handoffs involve both technical communication and relational communication. Technical communication refers to the transfer of specific and relevant patient data. Relational communication refers to softer psychological and affective information including the conveyance of trust and respect. This study encompasses multiple methodologies to assess shift change efficacy in terms of both technical and relational communication. Interviews, surveys, and clinical records were all used as sources of data. The authors found variability in terms of nurse expectations during shift handoffs. Shift handoff behaviors varied according to level of experience and the role of the healthcare provider. Suggestions for improving the efficiency and quality of handoffs include standardizing the procedure and streamlining communications between incoming and outgoing staff.
Research/Study: The researchers use multiple methods, both qualitative and quantitative, to evaluate the research questions. The research design is not experimental, but does use observational and descriptive methods. Two different medical units were observed. Surveys and interviews with staff were collected for background information, and then dependent variables were measured using audio tape, direct observation with detailed field notes, posthandoff questionnaires, and coding of nurse records. Using a multimodal design enhanced the validity and reliability of the research.
Methods: 28 nurses consented to participate in the research. Participants agreed to wear recording devices, and the researchers supplemented the recording devices with visual observations of nonverbal communications between incoming and outgoing nurses. All handoff records were analyzed systematically...
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Foureur, M., Besley, K., Burton, G., et al. (). Enhancing the resilience of nurses and midwives: Pilot of a mindfulness based program for increased health, sense of coherence and decreased depression, anxiety and stress. Contemporary Nurse 45(1): 114-125. DOI: https://doi.org/10.5172/conu.2013.45.1.114Published in a peer-reviewed journal, this is a mixed-methods research report combining qualitative and quantitative methods. The authors point out that stress management among nurses is not taught in nursing school
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