Improving the quality of patient handover on a surgical ward

Background: The pre-operative care aims at preparing the patient and family to face the surgery. In providing nursing care to the pediatric patients, it is better and is recommended that the nurse demonstrate a therapeutic communication.Objective: This study aims to identify the implementation of the therapeutic communication by nurses to the parents of the pediatric patients who will undergo surgery in the pediatric surgical ward based on the perspective and expectation of the parents.Methods: The study used a mixed method, with the strategy of sequential explanatory. The quantitative study involved 101 respondents. The implementation of therapeutic communication is measured by using the questionnaire of therapeutic communication implementation. The qualitative study was conducted to six participants as samples, with analysis interactive model technique.Results: The result of quantitative study found that 53.5% identified poor therapeutic communication being implemented by nurses to the parents of the patients. The result of the qualitative study found that parents expect comprehensive therapeutic communication from nurses, both in terms of language or behavior in any delivery of information or actions to be performed.Conclusion: The result of this study is expected to be an input for the health care institutions, especially to make it as a reference for consideration in making the standard operating procedures on the implementation of therapeutic communication to improve the nurses’ quality of care.

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Evidence appraisal of Salzwedel C, Bartz HJ, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial.

AORN Journal ◽

10.1016/j.aorn.2016.06.007 ◽

2016 ◽

Vol 104 (2) ◽

pp. 174-179

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Randomized Controlled ◽

Patient Handover

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Talking about death and dying in a hospital setting - a qualitative study of the wishes for end-of-life conversations from the perspective of patients and spouses

BMC Palliative Care ◽

10.1186/s12904-020-00675-1 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Heidi Bergenholtz ◽

Malene Missel ◽

Helle Timm

Keyword(s):

Qualitative Study ◽

End Of Life ◽

Death And Dying ◽

Hospital Setting ◽

Acute Hospital ◽

Surgical Ward ◽

Life Threatening ◽

Depth Interviews ◽

Acute Hospital Setting

Abstract Background End-of-life (EOL) conversations are highly important for patients living with life-threatening diseases and for their relatives. Talking about the EOL is associated with reduced costs and better quality of care in the final weeks of life. However, there is therefore a need for further clarification of the actual wishes of patients and their relatives concerning EOL conversations in an acute hospital setting. Aim The purpose of this study was to explore the wishes of patients and their relatives with regard to talking about the EOL in an acute hospital setting when living with a life-threatening disease. Methods This study is a qualitative study using semi-structured in-depth interviews. A total of 17 respondents (11 patients and six spouses) participated. The patients were identified by the medical staff in a medical and surgical ward using SPICT™. The interview questions were focused on the respondents’ thoughts on and wishes about their future lives, as well as on their wishes regarding talking about the EOL in a hospital setting. Results This study revealed that the wish to talk about the EOL differed widely between respondents. Impairment to the patients’ everyday lives received the main focus, whereas talking about EOL was secondary. Conversations on EOL were an individual matter and ranged from not wanting to think about the EOL, to being ready to plan the funeral and expecting the healthcare professionals to be very open about the EOL. The conversations thus varied between superficial communication and crossing boundaries. Conclusion The wish to talk about the EOL in an acute hospital setting is an individual matter and great diversity exists. This individualistic stance requires the development of conversational tools that can assist both the patients and the relatives who wish to have an EOL conversation and those who do not. At the same time, staff should be trained in initiating and facilitating EOL discussions.

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Improving the quality of the daily ward round in a Plastic Surgery unit by adapting the SAFE Ward Round Tool of the Royal College of Surgeons of Edinburgh

Journal of Patient Safety and Risk Management ◽

10.1177/2516043520960572 ◽

2020 ◽

Vol 25 (6) ◽

pp. 233-238

Author(s):

Harry D Koumoullis ◽

Martin Shapev ◽

Gabriel Wong ◽

Sophie Gerring ◽

Goerge Patrinios ◽

...

Keyword(s):

Plastic Surgery ◽

Emergency Admission ◽

Daily Practice ◽

Ward Round ◽

Surgical Tool ◽

Surgical Ward ◽

Ward Rounds ◽

Surgery Department ◽

Pro Forma

Aim Our goal was to audit the quality of the ward round documentation in our Plastic Surgery department by using the SAFE Ward Round Tool of the RCS Edinburgh’s as a reference standard, and to create an in-house pro-forma based on results and discussion. Method An initial cycle based on the SAFE Tool was undertaken with prospective audit of individual daily ward round entries. A sticker pro forma was introduced and re-audit was done using the same criteria. Based on results and discussion, the pro-forma was further improved. Re-audit was performed to assess percentage of completion of its contents. Results The first cycle showed 47% (n = 42) completion rate and re-audit after implementation of the sticker found a rise up to 70% (n = 42). The third cycle examining solely sticker completion yielded a compliance of 88% (n = 61). This improvement reflected to the enthusiastic comments received from staff working in allied specialties. Conclusions Significant lapses in daily ward round documentation were revealed by our methodology. A sticker pro-forma, which we have named the Surgical Tool for the Assessment of Rounds (STAR), was introduced and provided measurable and sustainable improvements on our daily ward round practice. That had as a result the safeguarding of patient safety in the frame of Good Medical Practice. We suggest same methodology to be followed based on the SAFE Ward Round Tool for surgical ward rounds improvement in all the surgical and interventional specialties particularly when there is a component of emergency admission in their daily practice

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The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzt009 ◽

2013 ◽

Vol 25 (2) ◽

pp. 176-181 ◽

Cited By ~ 49

Author(s):

Cornelie Salzwedel ◽

Hans-Jürgen Bartz ◽

Ina Kühnelt ◽

Daniel Appel ◽

Oliver Haupt ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Randomized Controlled ◽

Patient Handover

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Supervisi tentang Komunikasi SBAR (Situation, Background, Assesmen and Recommendation) Berpengaruh terhadap Kualitas Handover Pasien di Ruang Rawat Inap Rumah Sakit

Care Jurnal Ilmiah Ilmu Kesehatan ◽

10.33366/jc.v7i1.1111 ◽

2019 ◽

Vol 7 (1) ◽

pp. 19

Author(s):

Wiwin Sulistyawati ◽

Sri Haryuni

Keyword(s):

Patient Safety ◽

Nursing Education ◽

Design Research ◽

Patient Dissatisfaction ◽

Room Design ◽

Post Test ◽

Care Costs ◽

Patient Handover ◽

Patient Handovers

Ineffective handovers are often at high risk for patient safety. Other problems caused by improper handovers include delays in medical diagnosis, and increased health care costs and patient dissatisfaction. Supervision of SBAR communication (Situation, Background, Assessment, Recommendation) is an effective way to maintain patient safety and reduce the occurrence of errors caused by communication. This study aimed to identify the effect of supervision on SBAR communication on the quality of patient handovers in the inpatient room. Design research was a pre-experimental design of one group pre post test design, were 34 nurses in two inpatient rooms taken in total sampling. The SBAR supervision was carried out by the Head of the Room to the nurses during the handover. Before the supervision of nurses' handover quality was observed, then the socialization of SBAR communication and supervision by the head of the room were then given post-supervision observation. The instruments used a patient handover observation sheet and supervision manual. The results showed that most of the female respondents had D3 nursing education and half of the respondents had a working period of

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General surgical foundation doctor: optimisation of daily practice

Postgraduate Medical Journal ◽

10.1136/postgradmedj-2019-137438 ◽

2020 ◽

Vol 96 (1136) ◽

pp. 339-342

Author(s):

Emmanuel Feldano ◽

Michael Clark ◽

Benjamin Ramasubbu

Keyword(s):

Structural Changes ◽

Positive Impact ◽

Daily Practice ◽

Daily Routine ◽

Improvement Project ◽

Surgical Ward ◽

Significant Difference ◽

Working Day ◽

And Performance

IntroductionThe role of a foundation year 1 (FY1) doctor has evolved over the years. Many doctors report significant anxiety and stress during this period. In this Quality Improvement Project, we looked at the difficulties FY1s face in their working day and if these issues could be resolved by implementing some structural changes.MethodsThe project was conducted in three cycles, each lasting 5 days (Monday to Friday), over three consecutive weeks. Week 1 consisted of shadowing of Surgical FY1s on wards observing daily routine (arrival, lunch and departure time), communication and handovers. Following this a number of interventions were made to the structure of their daily practice to improve productivity and performance. These improvements were measured in week 2 (as the new model was scaffolded into place) and week 3 (strictly observed).ResultsThere was no significant difference in number of tasks between week 1, 2 and 3. In week 1, there was no set times for lunch, all of the FY1s lunches were interrupted, there was no structure for handovers and 100% of FY1s stayed at work beyond there contracted hours. In week 2 and 3 there was significant improvement in the number of uninterrupted lunches, amount of time spent beyond contracted hours, number and quality of handovers. The qualitative results collected also suggested positive impact on the working lives of those involved.ConclusionThe implementation of structural changes improved the quality of FY1s working day and increased the efficiency of service delivered on the surgical ward.

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Quality of post-operative patient handover in the post-anaesthesia care unit: a prospective analysis

Acta Anaesthesiologica Scandinavica ◽

10.1111/aas.12249 ◽

2013 ◽

Vol 58 (2) ◽

pp. 192-197 ◽

Cited By ~ 26

Author(s):

A. MILBY ◽

A. BÖHMER ◽

M. U. GERBERSHAGEN ◽

R. JOPPICH ◽

F. WAPPLER

Keyword(s):

Prospective Analysis ◽

Post Anaesthesia Care Unit ◽

Anaesthesia Care ◽

Patient Handover

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PENGETAHUAN PERAWAT TERHADAP PELAKSANAAN TIMBANG TERIMA PASIEN SESUAI SOP

Real in Nursing Journal ◽

10.32883/rnj.v1i2.265 ◽

2018 ◽

Vol 1 (2) ◽

pp. 60

Author(s):

Wiwit Febrina ◽

Yenni Yenni

Keyword(s):

Health Services ◽

Health Workers ◽

Well Testing ◽

Cross Sectional ◽

Quality Health ◽

And Function ◽

Role And Function ◽

Patient Handover ◽

Quality Health Services

Nursing is one of a profession front for health workers in this effort to ensure the quality of health center in the community. Handover is good quality health services to offer a service nursing on a patient care, To optimize the role and function of nurse especially function to independence nurse. This research aims to know the the relations knowledge of a nurse with patient handover implementation as procedure. The kind of research used is descriptive analytic with the approach cross sectional. A population that used is nurse who were 101 people from 101 a person who uses technique total of sampling. The analysis in use is analysis univariat and bivariat. The results of the study was obtained 42,6 % nurse possess wisdom that low and 31.7 % nurse of these stations have the implementation of patient a less well , testing shows statistic been gained there are the kind of relationship is meaningless between knowledge a nurse with the implementation of these stations received patients ( p = 0,094 ). Based on the research done can be concluded that there was a correlation meaningful of the incentives a nurse with the implementation of the weigh received patients appropriate with the sop .Was recommended to researchers , the hospital to continue to motivate nurse in the implementation of the weigh received patients appropriate with the procedure. Keywords: Knowledge, The Implementation of handover

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