NRS328 - Bedside Handover: A Literature Review of Nursing Practice

This literature review explores the impact of bedside handover on nursing practice, focusing on its benefits and challenges. It examines the conceptual understanding of bedside handover, the challenges faced by nurses and patients, and strategies for improvement. The review synthesizes findings from various studies, highlighting the importance of bedside handover in improving patient care, enhancing communication, and ensuring continuity of care. It also addresses potential issues such as patient confidentiality and the risk of miscommunication. Ultimately, the review concludes that bedside handover is a valuable approach to patient-centered care, promoting better information exchange and improved patient outcomes. Desklib provides access to this and similar solved assignments for students.

Literature Review: Bedside handover on
nursing practices

Literature Review 1
Abstract
This report covers literature review on some peer nursing articles that helped in
understanding the benefits and consequences of bedside handover. Bedside handovers is a
treatment plan that is developed by checking all the past treatment plans. The aims and
objectives of bedside handover are discussed along with the methods that are used for finding
the result.
Keywords: Clinical bedside handover, transitions, centred care, confidentiality, diagnoses.

Literature Review 2
Table of Contents
Background............................................................................................................................................3
Aim and objective..............................................................................................................................3
Literature Review..................................................................................................................................3
Methods and results..........................................................................................................................4
Findings from the results...................................................................................................................6
Conclusion.............................................................................................................................................7
References.............................................................................................................................................8

Literature Review 3
Background
Clinical bedside is an advanced technique for improving the patients’ health care and
also to enhance the satisfaction in patients care. The aim for this report is to improve the
structure and outcome of health. It covers the research about the methodologies used and eth
positive outcomes.
Aim
The aim behind this is to improve the structure and process so that outcome of patient
is improved and it develops all the adverse condition like falls, medication error and pressure
injuries. The following objectives will be accomplished to meet the specified aim of this
research.
Objective
 To discover the conceptual understanding about Clinical bedside handover
 To explore the challenges faced by nurses and patients in Clinical bedside handover
 To recommend the strategies for improving the shortcoming in Clinical bedside
handover
Literature Review
According to (Lu, Kerr & McKinlay, 2014), clinical bedside handover is necessary
for continuity of healthy lifestyle. It is found to be a best medium to have a one to one
communication with the patient aimed to improve the clinical handover. The main function of
clinical handover is to transfer all the information regarding patient’s care, treatment service
ad their current condition so that anticipation and medication could be changed accordingly.
They identify all the obligations in their health profession by considering all the situations. It
somewhere improves eh patient’s satisfaction by keeping the patient informed and involved
in their care process. Bedside handover improves patient’s involvement by reflecting all the
positive changes that took place. The intervention process comprises all the evidence based
research as it helps in focusing on the attributes.
This routines the nursing activity to remove the poor transitions by performing the
care service up to three times a day (Redley & Waugh, 2018). Bedside handover helps nurses
to know about the skills and characteristics of patient so that effective relations could be built.

Literature Review 4
It is a part of national safety and quality health service that measure the overall performance
of the patient. Bedside handover improves the communication between nurses and patient
that allow patient to take part in all the discussions (Khuan & Juni, 2017). During the
discussion patients mostly share information regarding the medical history and the current
condition. The tests and procedures that have taken by the patient are assisted so that
everyday tasks could be planned for improvement.
According to (Anderson, Malone, Shanahan & Manning, 2015), some of the barriers
that are found in effective handover are acknowledging the informal structures. Many efforts
have been taken at national and international level to improve the health care of a person. The
effectiveness of bedside handover enhances the focus on the patient’s safety (Bertoldi & Celi,
2017). They address all the problems that may impact the health care of a person. This
approach is based on patent centred care as they communicate regarding all the relevant
information that would help the nurses to enhance their care plan timely (Hada, 2016). This
approach is taken to reduce the miscommunication and enhance satisfaction and continuity in
care. Nurses also involve family and patients so that proper care is undertaken (Yu, Zhang,
Gu & McArthur, 2017). According to a World Health Organization, the involvement of
family members and nurses can be done by bedside handover as they directly support the
patient’s perspective. Clinical nursing handover is a process were all the treatment plan and
past recorder are transferred to the nurse who is presently taking care of the patient now.
Methods and results
The method that is used for searching about bedside handover is from the database
like CINAHL and many past medical records of hospital. The keywords that were used for
making this assignment were bedside handover, nursing theories, mitigating risk and
measures for better treatment. (Spooner, 2017) Apart from some the peer nursing articles are
searched to have a better understanding of clinical handovers.

Literature Review 5
Author/ Date Journal Title Methodology
Hada Study Area
Coordinator
Intensive Care
Nursing and Acute
Care Nursing
Nursing bedside
clinical handover: a
pilot study testing a
ward-based
education
intervention to
improve patient
outcomes
Mixed research
methodology
Kerr and mckinlay International
Journal of Nursing
Practice
Perspectives of
nurses and midwives
regarding shift-to-
shift bedside
handover
Mixed research
methodology
Anne,Wendy,
Marianne and Cathy
Journal of Clinical
Nursing
Implementing
bedside handover:
strategies for change
management
Qualitative methodology
In the views of (Wong MC, Turner, 2018) , bedside clinical handover improve the
standards of health care by reducing all the adverse events in the health care. Clinical

Literature Review 6
handovers are also found as time effective and also reduces the risk of errors as nurses spend
the entire time with the patients. A typical bedside handover includes exchange of all the
information like management plan, discharge plan and the medication process. Bedside
handover also involves family members of the patient so that even they get engaged in the
betterment process of the patient (Kerr & mckinlay, 2014). It offers a platform to nurses to
transfer all the health issues. It is a piece of national security and quality wellbeing
administration that measure the general execution of the patient. Bedside handover enhances
the correspondence amongst medical caretakers and patient that enable patient to participate
in every one of the exchanges. Amid the discourse patients for the most part share data in
regards to the therapeutic history and the present condition (Sage journals, 2017). The tests
and methods that have taken by the patient are helped with the goal that regular undertakings
could be made arrangements for development.
Findings from the results
These methodologies helped in understanding the benefit behind bedside handovers.
The clinical treatments are often fixed and get closed after a specific time. But, in case of
bedside handover nurses are available for the care all the time. Some of the difficult that were
faced in this case is patient confidentiality was breached and that can lead to misinterpretation
of information (Anne, Wendy, Marianne and Cathy, 2017). It can be stated that nursing
handovers is a time efficient method that promotes the involvement of patient. It is a strategy
used to improve the patient care.
In the views of (Thomson, Tourangeau, Jeffs & Puts, 2018), The method that is used
in case of handover scenario is inter-hospital handover and hospital to community handover.
The patient’s characteristics often change after the handover as they get better diagnoses.
Bedside handover knows the weakness of patient from closer point of way, daily activities
along with all the problems faced are analysed. This helps patient to fell 24*7 supports and
can feel secure and safe (Bradley & Mott, 2014). The major themes that are found in the
research of bedside handover is that patients can highlight the role during all the complex
situations. Handover sometimes as increases the chances of risk as nurses can start over the
entire different medication process which can have an adverse effect in the life of people.
In the views of (Tobiano, Whitty, Bucknall & Chaboyer, 2017), clinical bedside
handover are related with the belief to offer positive benefit and also support nurses to get

Literature Review 7
better opportunity to communicate with the patient and have a continuity care plan. If patients
information is unclear that nurses will be not able to take proper actions. Bedside handovers
are strictly recommended as it allows patient to conduct clinical handover in the presence of
patient and their relatives. It offer nurses to visually observer all the symptoms faced by the
patient.

Literature Review 8
Conclusion
It can be concluded that bedside handover is a best approach as it is a patient cantered
care approach. It is a platform to know about all the issues faced by the patent so that factor
recovery could take place. Bedside handovers allow nurses to clarify all the concerns and
receive up-to-date information about the patient so that care is taken in a better way. Bedside
handover encourages medical attendants to think about the abilities and qualities of patient
with the goal that powerful relations could be assembled.

Literature Review 9
References
Anderson, J., Malone, L., Shanahan, K., & Manning, J. (2015). Nursing bedside clinical
handover–an integrated review of issues and tools. Journal of Clinical Nursing, 24(5-
6), 662-671.
Anne M, Wendy C, Marianne W and Cathy F. (2017). Implementing bedside handover:
strategies for change management. Journal of Clinical Nursing, 23, 2581-2589.
Bertoldi, F., & Celi, A. (2017). The bedside handover: the experience of the heart and
vascular surgery of Trento hospital. Assistenza infermieristica e ricerca: AIR, 36(4),
189-196.
Bradley, S., & Mott, S. (2014). Adopting a patient‐centred approach: an investigation into the
introduction of bedside handover to three rural hospitals. Journal of Clinical
Nursing, 23(13-14), 1927-1936.
Hada. A, (2016). Nursing bedside clinical handover: a pilot study testing a ward-based
education intervention to improve patient outcomes. Study Area Coordinator
Intensive Care Nursing and Acute Care Nursin. 5(3). pp. 11-15.
Kerr d, lu s, mckinlay. (2014) International Journal of Nursing Practice. Towards patient-
centred care: Perspectives of nurses and midwives regarding shift-to-shift bedside
handove. (20:). pp. 251-256.
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.
Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients'
opinions. International journal of nursing practice, 20(5), 451-459.
Redley, B., & Waugh, R. (2018). Mixed methods evaluation of a quality improvement and
audit tool for nurse-to-nurse bedside clinical handover in ward settings. Applied
Nursing Research, 40, 80-89.

Literature Review 10
Sage journals. (2017). Nurses’ perceptions of bedside clinical handover in a medical-surgical
unit: An interpretive descriptive study. Retrieved from
http://journals.sagepub.com/doi/full/10.1177/2010105816678423.
Spooner, A. (2017). Response to Letter to the Editor:“Measurement of the frequency and
source of interruptions occurring during bedside nursing handover in the intensive
care unit: An observational study”. Australian Critical Care, 30(2), 58.
Thomson, H., Tourangeau, A., Jeffs, L., & Puts, M. (2018). Factors affecting quality of nurse
shift handover in the emergency department. Journal of advanced nursing, 74(4),
876-886.
Tobiano, G., Whitty, J. A., Bucknall, T., & Chaboyer, W. (2017). Nurses’ perceived barriers
to bedside handover and their implication for clinical practice. Worldviews on
Evidence
‐Based Nursing, 14(5), 343-349.
Wong MC, Yee KC, Turner P. (2018) Clinical Handover Literature Review. eHealth Services
Research Group, University of Tasmania, Australia, 12-45.
Yu, Z., Zhang, Y., Gu, Y., Xu, X., & McArthur, A. (2017). Pediatric clinical handover: a best
practice implementation project. JBI database of systematic reviews and
implementation reports, 15(10), 2585-2596.