Do Bedside Handovers Reduce Handover Duration? An Observational Study With Implications for Evidence ‐Based Practice

AbstractIntroductionBedside handover is increasingly used and studied in nursing due to the method's acclaimed positive effects on patient safety, patient participation, communication, and efficiency. Still, reported results about its impact on handover duration are ambiguous. Revealing the root cause of these ambiguous effects is important, as increased duration could lead to overtime, lower job satisfaction, and failure in implementation. In contrast, decreased handover duration could lead to more efficient nursing care and facilitate implementation.AimTo explore the effects of bedside handovers on the handover duration by comparing wards before and after the implementation of bedside handovers.MethodsAs part of a multicentered longitudinal study, observations (N  = 638) with time measurement were performed. Approximately 22% of the observations were performed by two researchers to check reliability. These time measurements were compared to the handover duration before the implementation of bedside handover, determined through interviews (n  = 105), unstructured observations (n  = 40), and a review of time schedules (n  = 12). A descriptive, comparative research design was used.ResultsOn average, a bedside handover takes 146  s for one patient (83 s–204 s). Depending on the previously used handover model, the number of patients allocated to each nurse, and the use of a structured handover content, time gain or loss as a result of introducing the bedside handove...

Source: Worldviews on Evidence-Based Nursing - October 15, 2018 Category: Nursing Authors: Simon Malfait, Ann Van Hecke, Wim Van Biesen, Kristof Eeckloo Tags: Original Article Source Type: research