NSG2NMR Assessment 3: Literature Review on Bedside Handover Barriers

This report, prepared for an NSG2NMR assessment, investigates the barriers to successful implementation of bedside handover in healthcare settings. The report begins by identifying a clinical issue and formulating a research question: "What are the barriers exist for the successful implementation of bedside handover?" A literature review is then presented, exploring the current knowledge surrounding this question. The review discusses the importance of bedside handover in providing patients with relevant information and improving their care, while also highlighting several key barriers. These barriers include lack of confidentiality, patient involvement, time management issues, and lack of nursing staff engagement. The report provides detailed explanations and examples for each barrier, drawing on existing literature to support the findings and emphasizes the need for addressing these challenges to improve patient outcomes and maintain the goodwill of health and social care organizations. The report concludes by suggesting further considerations for successful implementation, such as staff training and patient participation.

ASSESSMENT 3 2019
NSG2NMR (2019) Assessment 3: 2,000 individual report
TOTAL Word Count: 2,000 +/- 10%
Excludes: reference list, appended search history
Includes: in-text citations
DUE DATE:
Identify a clinical issue and propose a research question about this clinical issue (approx. word count
100)
Beside head over refers to the ethical process under which there is discussion about complete working
style of health care organisation. Under this method, there is discussion about different ways through
which there is interaction among nursing staff and patients. There is requirement of complete specific
information about patient to nurse through which they can treat them with best. It is important and
significant for managers of health care organisation to implement it properly. But there are different
issues which affects implementation of bedside handover such as lack of confidentiality, time
management, preferences of patients, etc. due to which it can not implemented properly. Question for
this clinical issue is as under-
“what are the barriers exist for the successful implementation of bedside
handover?”
Write a Literature Review that describes what is already known about your research question
(approx. word count 1,500)
Bedside handover refers to the process which makes proper and relevant information about patients to
their nursing staff. For instance, at NHS there are many patients suffering from different issues so it is
important for management of NHS to understand about requirement of care through which they can
perform actions in better manner (Anderson and et. al. 2015). With implementing bedside handover,
there is specific and relevant information to people about working style of whole association. There is
requirement of some information with the help of which patients can be treated with best services. In
this process there is direct contact among patients and nursing staff through which there is ease in
providing best services to consumers. There is requirement of complete and specific communication, so
here is no communication gap and it is easy for patient also to share their grievances.
These days there are many legal cases filed in court related to improper treatment with patients.
This is the reason for implementing bedside handover. There is complete and specific information
about changes which are taking place in current market. There is use of different policies which are
specific in context of understanding demand of patients arriving at health and social care organisation.
It is significant and relevant for people to provide complete information about their health issues
through which it is easy for managers of organisation to make clear about issue to nursing staff. Nursing
staff works ion improving condition of health and social care organisation because they are treating
patients with best services. So this can be possible when there is positive relations among consumers
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and it is specific in context of relevant market. There is requirement of good and positive relations
among nursing staff of health and social care organisation and consumers through which they can get
best services to them (Manias and et. al., 2016).
For instance: patient at NHS have complete and specific knowledge about nursing staff to whom
they are accountable and nurse is also clear about health issues which individual is facing. Hence this
makes easy for patient and nursing staff to provide ad getting best health care services. There are some
health issues which has to be considered by nursing staff in order to avoid ill- effects on whole
organisation. Hence bedside handover is best. But there are some issues which arise in implementing it.
Some of the issues are as under-
First challenge arise in implementing bedside handover is lack of confidentiality. There are different
issues which patient face in context of their health. So nursing staff at health are organisation must
have complete and specific information which is specific and relevant in context of their personal
issues. It is important for nursing staff to understand about changes which are taking place in health of
patient which is possible when they have knowledge about current health measures. There is
requirement of complete and specific information which has to be made in better and specific manner
through bedside handover but patient might have issue regarding leakage of their confidential
information (Johnston and et. al., 2016). They can not accept issues in their health issues which might
result in understanding changes. Patients might feel that nursing staff of health and social care might
breach the contract of confidentiality due to which they are not ready to accept terms and conditions
of bed side handover. There are many information which is stored at health care organisation and
management use it for legal and official purpose, hence due to implementing bedside handover, there
are possibilities that nursing staff may misuse personal information . This is the fear due to which
consumers does not want to implement this method.
Second issue arise in successful implementing bedside handover is lack of patients involvement
which is most crucial to provide them best services. There are many health issues patient face. There
are possibilities that some times, it is not easy for nursing staff to get what is in demand by patients, ten
it is important for patients to understand that they must provide assistance to nurse through which
they can perform actions in better manner and this makes easy in improving services in better manner.
This is the major issues which implemented because most of the candidates face this issue due to which
they can not understand about changes which are taking place. For instance: nursing staff is asking
some information related to health of patient and they are not providing right information, then it
hampers in assistance of proper facilities and creates issue in getting positive impact on their health
(Spinks and et. al., 2015). Hence it is clear that participation and positive reaction from patient’s are
crucial for implementing bedside handover. There are some patients which are conscious about health
so they do not want to expose their issues. Due to this there are many issues which arise and faced by
health and social care organisation in implementing bedside handover.
Time management is the third challenges which is faced by health and social care organisation in
implementing bedside handover. There is requirement of proper time through which patient and health
care organisation can maintain good relations with each other. In health and social care organisation,
there is conducting of activities in systematic and synchronise manner. As per change in working style
of consumers, there is requirement of complete and specific information which is important for patient
to be shared with nurse when they are treating them. Hence this requires time. As per this theory,
there is requirement of familiar and positive nature among them which can be created with some time.
So there is less possibilities through which time can be managed. When there is requirement of
complete and specific information which is related to health of patient, then it is easy for managers to
understand about changes which are specific in context of bedside handover. Time is crucial in
providing best services to consumers because there is requirement of proper to overcome with health
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issues. If there is requirement of change in medication of patient, then this can be done with
understanding appropriate time. So it is clear that due to improper time management, there is
challenge for health and social nationalisation in implementing bedside handover (Kear, 2016).
Lack of nursing staff engagement is the last barrier which affects performance of bedside handover
because there is requirement of complete and specific information through which consumers are able
to make changes in appropriate and relevant manner. There is requirement of motivated and dedicated
workforce at health and social care organisation through which it is easy for people to understand
about changes which are taking place. For instance: nursing staff is not dedicated for towards their aims
and objectives, then there is issues in implementing this legal policy. But in current market, workers at
health and social organisation, workers are not satisfied, they d not want to work under risk and
accountable for some specific patient. This is because they have era that if there is negative impact on
health of patient, then they are unaccountable for its reason (Ballantyne, 2017). Due to this reason,
there is no possibilities of positive and appropriate behaviour among patient and nursing staff. Workers
of health and social care organisation some times does not have knowledge about reasons of changes
in working style and its impact on their performance, due to which they are not able to implement
changes in better and effective manner. So this issue also affects implementation of bedside handover
in heath acre organisation.
From the above discussion, it is clear that there are different issues which exists in implementing
bedside handover for betterment of patients. There is complete and specific information to nursing
staff through which good will of health and social organisation is maintained. When there is no support
from nursing staff and patients, then it is not easy for managers to understand it. There is complete and
specific information present in management of health and social care organisation, so training has to be
provided to employee regarding handling of information. There are different types of patients in
organisation such as suffering from different health issues, so there is requirement of different health
consideration with the help of which patient get positive impact over it. Sometimes, there are
possibilities that one nurse is accountable for more patients due to which there is confusion among
them and this gives negative impact on health on patients (Davidson and et. al., 2017). So it is clear that
there is requirement of participation from staff as well as patient’s point of view. Due to improper time
management possibilities of negative outcome is more. As per difference in health issue, there is
requirement of complete and specific knowledge about it, so it is easy to assist patents with best.
How well does the existing literature address your research question?
In answering this question consider if your research question has been a) fully answered, b) partially
answered, or c) not answered at all.
THEN identify a) what further research could be conducted (and its characteristics such as design,
sample, outcome measures) that might provide important information to answer your research
question AND b) what are some ethical considerations that apply to these possible research studies
(approx. word count 400)
While conducting this investigation as literature review, it is identified that knowledge about question is
gained by getting partially answered. As per change in working style of consumers, there is requirement
of complete and specific information which is available through online sources but at the same time
there is an negative aspects as well. Literature review is conducted through collecting information with
the help of online sources (Malfait and et. al., 2018). So this source provided information on the basis of
past experience. If there are any changes in current practices, then it was tough to study. So this
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method answers the question partially.
In future, in order to gain proper knowledge about this topic, information is collected through
primary and secondary sources. Primary information will be collected through personal interview which
is easiest way to know perception of candidates about bedside handover. While secondary information
is also crucial because this is the best way to get overall knowledge about topic. For collecting primary
information, respondents will be 50 including nursing staff and patients. Outcomes from this
investigation is the best way through which information is performed in appropriate manner (Tobiano
and et. al., 2015). In future research experience of nursing staff and patients are selected through which
it is easy for managers to gather information about bedside handover and ways through which it can be
resolved. This is relevant for researcher and reader to understand working style of health and social
care organisation.
There are some ethical consideration as well which has to be considered by researcher while
conducting investigation on bedside handover. Ethical consideration consist of informed consent,
confidentiality. While conducting actions for collecting primary data, respondents have complete and
specific knowledge about the reason of conducting investigation. There is informed consent form which
has to be filled. Confidentiality is maintained by sharing collecting information through primary
information among people who have interest in that investigation. Identity of respondents is also kept
confidential (Givens, Skully and Bromley, 2016). Hence in future, investigation will be conducted in
appropriate and relevant manner by considering all the ethical factors. When all the ethical aspects are
considered., then it is easy to get positive outcome and that research can be used in future for use as
well.
References
Books and Journals
Anderson, J. & et. al. (2015). Nursing bedside clinical handover–an integrated review of issues and
tools. Journal of Clinical Nursing. 24(5-6). 662-671.
Manias, E. & et. al., (2016). Perspectives of clinical handover processes: a multi site survey across‐
different health professionals. Journal of clinical nursing. 25(1-2). pp.80-91.
Spinks, J. & et. al., (2015). Patient and nurse preferences for nurse handover—using preferences to
inform policy: a discrete choice experiment protocol. BMJ open. 5(11). p.e008941.
Kear, T. M., (2016). Patient handoffs: What they are and how they contribute to patient safety.
Nephrology Nursing Journal. 43(4). p.339.
Davidson, G. H. & et. al., (2017). Improving transitions of care across the spectrum of healthcare
delivery: A multidisciplinary approach to understanding variability in outcomes across hospitals and
skilled nursing facilities. The American Journal of Surgery. 213(5). 910-914.
Malfait, S. & et. al., (2018). Is privacy a problem during bedside handovers? A practice-oriented
discussion paper. Nursing ethics, 0969733018791348.
Givens, S. E., Skully, C., & Bromley, G. (2016). Psychiatric inpatient bedside handoff: implementation
of a quality improvement project and nurses' responses. Journal of psychosocial nursing and mental
health services. 54(7). 33-37.
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Tobiano, G. & et. al., (2015). Nurses' views of patient participation in nursing care. Journal of
advanced nursing. 71(12). 2741-2752.
Ballantyne, H. (2017). Undertaking effective handovers in the healthcare setting. Nursing Standard.
31(45).
Johnston, B., & et. al., (2016). Exploring the barriers to and facilitators of implementing research into
practice. British journal of community nursing. 21(8). 392-398.
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