Nursing Assignment on Benefits of Bedside Handover in Hospital

Question

Task: Nursing Assignment Instructions:
Clinical handover is a very important activity that takes place within nursing. Handover takes many different forms but the National Safety and Quality Health Service (NSQHS) in line with evidence based practice recommends beside handover to ensure patients and their families are involved in the process.

In this assignment, you are required to conduct a literature review on the subject of beside handover within clinical settings. Because a rather board area you will be required to limit your scope to a specific area.

You are required to search for existing literature on the topic “The benefits of bedside handover” and critically examined the studies that have been conducted. You are to draw out at least 3 themes from these studies. This should not just be a collection/listing of studies but rather a thorough analysis of what the studies found, comparisons between studies and identification of gaps in the studies including limitations. You are to provide details about the studies you have chosen including the setting, sample, design and analysis. You will need to use the PICO format.
Limit your search to the following databases: CINAHL (EBSCO), Embase, and MEDLINE. You can also use Google Scholar.

Answer

PICO question for nursing assignment:

Pico question:
1. Does bedside handover in health care and clinical setting have a better role in enhancing the treatment and recovery options of the patient?

2. What are the beneficial factors related to the process of bedside handover in the case of patient care?

Critical Examination:
According to Forde, Coffey andHegarty(2020), Bedside handover during the shift change of nursing staffs relies entirely on three chief participants which include, the current nursing facility, the new nursing facility who needs to be provided with the charge along with the patient. The study findings demonstrated the fact that intricated communication plays a major role in providing fair and complexinformation to each other in the presence of the patient. It ensures better safety of the patient and the treatment provided during the shift changing process (Forde, Coffey& Hegarty, 2020). The study provided detailed information about the need and benefits of bedside handover in conveying detailed information to the nursing facilities as well as the patient maintain informed consent of the patient. Though there is a gap within the study, where it did not entirely use the participant for the assessment of the findings, focused on recorded videos to evaluate the outcomes of the bedside handover process which served as a limitation for the study (Forde, Coffey& Hegarty, 2020).

Whereas in the study conducted by Ballantyne, (2017), it was stated that bedside handover procedure not only ensures patient safety but also has a major role in job satisfaction for the nursingfacilities. The study has a limitation as it was conducted based on pieces of evidence worldwide without involving any actual data and was focusing on identifying the factors associated with bedside handover and nursing facilities' job satisfaction (Ballantyne, 2017).

According toBressan et al. (2019), bedside handover provides the patient with an opportunity to be the center of the whole handover procedure. It entirely focuses on a patient-centered acre as the handover process relied on focusing on the expectations and preferences of the patient along with ensuring informed consent related to the bedside handover process and information. The study though has a limitation where it did not focus on any primary data in order to evaluate the outcome of the bedside handover process (Bressan et al., 2019).

Where, in a study conducted by Khuan and Juni (2017), the perspective of nursing faculties regarding the bedside handover and betterment of patient health was evaluated. The study focused on understating the viewpoints of nursing facilities regarding the involvement of patients as active participants in the bedside handover process. The finding showed positive viewpoints of the nursing facilities regarding bedside handover and stated that it serves as a major aspect of the involvement of patient-centered care in the whole treatment process. The study was conducted within nursing facilities of Malaysia, though had a limited sample size which served as a limitation for the study (Khuan & Juni, 2017).

In a study conducted by Bruton et al. (2016), the perspective of both nurses and the patient was evaluated to understand the benefits of bedside handover in the health care setting. The findings suggested that it ensures sharing of information maintaining the confidentiality of the patient along with the enhancement of better communication. It was found that patent has a better viewpoint on the procedure as it helped them evaluate the entire treatment and care process that has been designated along with provides an opportunity to maintain their privacy (Bruton et al., 2016).

Another study conducted by Malfait et al. (2020)envaulted the benefits of bedside handover by comparing it with the traditional handover process. The study findings stated that fact that traditional handovers focused on not involving the patient in the handover process which often lead to deprived outcomes from the care and treatment provided whereas bedside handover ensured better outcomes. The study though possesses limitations as it was unable to clearly evaluate the positive outcomes which developed a gap between clear differentiation of traditional handover and bedside handover process (Malfait et al., 2020).

According to Malfait et al. (2019), the nursing facilities have been reporting the fear of violation of ethics related to the privacy of patients. Though patients have been reporting to have better experiences with bedside handover, nurses believe that it may hamper the confidentiality protocol of treatment and care. The study thus developed a gap between the perspective of patents and the nurses as it concludes with a statement that, a threat to confidentiality cannot define the process of not providing bedside handover process (Malfait et al., 2019).

Whereas the study conducted by Lupieri, Creatti, and Palese, (2016) explains the fact by its findings that, patient in acute care units have been sustaining better outcomes from the bedside handover process. They ensure that it provides them with a better opportunity to maintain their confidentiality, get involved in their treatment process, knowing the new nursing staff as well as have major control over their treatment and care process. Though there was animproper assessment of finding as every nurse provide a different report on bedside handover as they did not follow any standardized format for bedside handover of the patients (Lupieri, Creatti & Palese, 2016).

Tobiano et al. (2019) conducted a study that provided fair information about the benefits of maintaining bedside handover where patient involvement, confidentiality, and informed consent have been clearly identified. Apart from which the study also highlights certain barriers that nurses witness while maintaining the confidentiality, patient involvement, and sharing of sensitive information related to the health condition of the patient (Tobiano et al., 2019).

Whereas, Oxelmark et al. (2020) in their study elaborated the fact that patients have been attaining benefits of bedside handover and are found to prefer the process within their treatment and care. They ensure that they have been witnessing better involvement in their own treatment and care process along with management of their confidentiality. Though, nursing facilities have a different viewpoint about the bedside handover process, as they believe it is better to maintain handover away from bed (Oxelmark et al., 2020).

Three chief themes related to the benefits of bedside handover:
From the above critical examination of the 10 selected research articles, three chief themes were identified which have their major involvement in the benefits of bedside handover procedures in clinical settings and healthcare facilities. The three themes involve:

1. Patient-centered care
2. Informed consent
3. Patient confidentiality

Reference:
Ballantyne, H. (2017). Undertaking effective handovers in the healthcare setting. Nursing Standard, 31(45). doi: 10.7748/ns.2017.e10598

Bressan, V., Cadorin, L., Stevanin, S., & Palese, A. (2019).
Patients experiences of bedside handover: findings from a meta?synthesis. Scandinavian journal of caring sciences, 33(3), 556-568. https://doi.org/10.1111/scs.12673

Bruton, J., Norton, C., Smyth, N., Ward, H., & Day, S. (2016). Nurse handover: patient and staff experiences. British journal of nursing, 25(7), 386-393. https://doi.org/10.12968/bjon.2016.25.7.386

Forde, M. F., Coffey, A., & Hegarty, J. (2020). Bedside handover at the change of nursing shift: A mixed?methods study. Journal of Clinical Nursing, 29(19-20), 3731-3742. https://doi.org/10.1111/jocn.15403

Khuan, L., & Juni, M. H. (2017). Nurses' Opinions of Patient Involvement in Relation to Patient-centered Care During Bedside Handovers. Asian nursing research, 11(3), 216-222. https://doi.org/10.1016/j.anr.2017.08.001

Lupieri, G., Creatti, C., & Palese, A. (2016). Cardio-thoracic surgical patients’ experience on bedside nursing handovers: Findings from a qualitative study. Intensive and Critical Care Nursing, 35, 28-37. https://doi.org/10.1016/j.iccn.2015.12.001

Malfait, S., Eeckloo, K., Van Opdorp, L., Van Biesen, W., & Van Hecke, A. (2020). The impact of bedside handovers on relevant clinical indicators: A matched?controlled multicentre longitudinal study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.14406

Malfait, S., Van Hecke, A., Van Biesen, W., & Eeckloo, K. (2019). Is privacy a problem during bedside handovers? A practice-oriented discussion paper. Nursing ethics, 26(7-8), 2288-2297. https://doi.org/10.1177/0969733018791348

Oxelmark, L., Whitty, J. A., Ulin, K., Chaboyer, W., Gonçalves, A. S. O., & Ringdal, M. (2020). Patients prefer clinical handover at the bedside; nurses do not: evidence from a discrete choice experiment. International journal of nursing studies, 105, 103444.https://doi.org/10.1016/j.ijnurstu.2019.103444

Tobiano, G., Bucknall, T., Sladdin, I., Whitty, J. A., & Chaboyer, W. (2019). Reprint of: Patient participation in nursing bedside handover: A systematic mixed-methods review. International journal of nursing studies, 97, 63-77. https://doi.org/10.1016/j.ijnurstu.2019.05.011