Nurse-to-nurse communication about multidisciplinary care delivered in the emergency department: An observation study of nurse-to-nurse handover to transfer patient care to general medical wards.
In: Australasian Emergency Care, Jg. 23 (2020-03-01), Heft 1, S. 37-46
Online
academicJournal
Zugriff:
Little is known about how Australian national safety standards for communicating multidisciplinary care are operationalised during high-risk care transitions. We examined transfer of care for complex patients from the emergency department (ED) to medical wards to explore nurse-to-nurse communication about multidisciplinary care provided in the ED. Using naturalistic, mixed-methods design, observation, audit and interview data were collected from a convenience sample of 38 nurses during transfer of care for 19 complex patients from the ED to medical wards at a tertiary hospital. A focus group with 19 clinicians from multiple disciplines explored explanations for findings and recommendations. Quantitative data were analysed using frequencies and descriptive statistics; the Connect, Observe, Listen, Delegate (COLD) framework informed qualitative content analysis. Nurses seldom communicated multidisciplinary care at patient transfer. Most handovers included Connect and Observe (63–95%) and Listen (90%); Delegate (42%) behaviours were infrequent. Behaviours consistent with good practice recommendations (90%) and known to increase communication risk (53%) were observed. Tensions between policies and clinical processes, and information quality negatively impacted transfers. This study revealed gaps in nurse-to-nurse communication about patients' multidisciplinary care. Complex factors negatively impact nurses' handover communication necessitating workarounds, and highlighting nurses' role as patient safety advocates. [ABSTRACT FROM AUTHOR]
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Titel: |
Nurse-to-nurse communication about multidisciplinary care delivered in the emergency department: An observation study of nurse-to-nurse handover to transfer patient care to general medical wards.
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Autor/in / Beteiligte Person: | O'Connor, Darcy T. ; Rawson, Helen ; Redley, Bernice |
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Zeitschrift: | Australasian Emergency Care, Jg. 23 (2020-03-01), Heft 1, S. 37-46 |
Veröffentlichung: | 2020 |
Medientyp: | academicJournal |
ISSN: | 2589-1375 (print) |
DOI: | 10.1016/j.auec.2019.12.004 |
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