Nursing Report: Improving Handover Confidence in Inpatient Unit

This report critically examines the importance of effective handover practices in inpatient units, focusing on improving communication and patient safety. It begins by highlighting the significance of efficient information transfer during shift changes, emphasizing the role of communication in protecting patient safety. The report discusses the application of research findings and evidence-based practices, particularly the use of the SBAR (Situation, Background, Assessment, Recommendation) tool to enhance communication among healthcare professionals. It explores the impact of communication errors on patient safety, including medication errors and delays in treatment, and advocates for standardized communication methods to mitigate these risks. The report also includes a critical evaluation of the SBAR tool, the implementation of communication process improvements, and the benefits of improved patient and nurse satisfaction. The findings suggest that interventions such as SBAR can lead to improved patient outcomes, including fall prevention and increased satisfaction, and promote better communication between nursing staff. The report provides a comprehensive overview of the topic, making it a valuable resource for healthcare professionals seeking to enhance handover practices and patient safety.

To improve ability to build confidence
in giving handover in an inpatient unit
for people with learn

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Step one..................................................................................................................................1
Step two Applying findings of research and evidence into nursing practices........................1
CRITICALLY REFLECT...............................................................................................................6
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................8

INTRODUCTION
The fundamental aim of any handover is to accomplish efficient transfer of high quality
clinical information at the time of transition of responsibility for patient. Shift work also relies on
effective information that transfers to protect patient safety (De Brún, Heavey and Scott, 2017).
Present report provides critical discussion to maintain ongoing confidentiality regarding patient’s
records. Nursing change of shift report with communication that occur between different shifts of
nurses for accomplish specific purpose. In order to communicate information regarding patients
care has been taken for nurses effectively. There are two articles has been taken in which
importance of SBAR tool consider evidence into nursing practices.
MAIN BODY
Step one
Communication is very essential part of healthcare that regarded to transfer of
information related to patients which will be done between 2 or more people. But there could
also be many chance where poor or lack of communication is bee found that would be leading
out to cause of sentinel events. The study which was based on how to improve communication
process that is among bedside nursing staff and skilled nursing rehabilitation unit as well. So
under this evidence based communication through use of SBAR at time of bed handoff as it is
having positive impact on reduction of falling rates (Acharya, Thomas and Hellaby, 2017). For
this random controlled trails RCT that evaluated the handover style between the nurses within
hospital setting.
Step two Applying findings of research and evidence into nursing practices
As per the article of SBAR, communication and patient safety, it has been find that
Institute of Medicine in which authors brought attention to the epidemic of medical errors that
are occurs in the US healthcare system. Therefore, it can be concluded that it is more often than
not the root cause of these errors in communication prevalent source of miscalculation and
misdirection in the healthcare field. Communication errors also come between healthcare
providers which include serious repercussions which is often leading to adverse patient safety
events (Fernando, Attoe and Wessely, 2017). This is because, medication errors, hospital
acquired infections, delays in treatment, transfusion incidents, etc. With respect to reduce
communication errors, it can be stated that members of the clinical staff adapted particular

situation, background, assessment, etc. SBAR initially created in Navy US to serve method for
conveying appropriate and critical information in effective manner.
Employed primarily in high-risk situations of nuclear industry also enabled to all users
regardless of level of command to communicate common structure. Clinical staff of Kaiser
Permanente also adapted this communication tool to produce SBAR template which designed for
use by nurses to contact physician with questions for patient care. Initial use between nurses and
physicians also consider template since been used to guide handoffs in several parties where
participants in nurse to nurse shift change report and interdisciplinary patient reviews
(Mikkonen, Pitkäjärvi and Kääriäinen, 2017). As per S situation, speaker gives their own name,
role, room number, communication reason, etc. Furthermore, B contains background section
which include relevant past medical history of the patient. Therefore, it contains measurement of
treatment which takes place to address current issue and admitting proper diagnosis which create
significant assessment of data related to patient. Assessment A portion determines description
what is currently happening with recent changes in patient status and new assessment data. At
last R element consider recommendation section in which speaker lists with their questions and
specific requests for tests, changes in treatments, transfers, etc. Along with this, basic template
also forms utilised with specific scenario that created more effective consideration. SBAR
template used to format a call physician which is designed to communicate information
regarding specific issue and problem (De Brún, Heavey and Scott, 2017). In contrast, this form
used to guide appropriate program and shift nurse to nurse report that is designed to give on-
coming nurse to complete clinical picture of patient health status. Consequently, assessment also
exchange includes all findings with recent comprehensive body system (Wagner, 2018).
As critical evaluation, it can be stated that communication process improvement among
nursing staff on skilled nursing unit. Communication in healthcare is pivotal for transferring
patient clinical information. Therefore, it can be stated that it is most important aspect within
discipline with continuum care. Due to poor communication, it can be stated that third leading
root cause in particular event has been found which can cause of death, permanent harm or
severe temporary harm. Standardisation of nursing staff determined as SBAR in which Situation,
Background, Assessment and Recommendation model implemented. Improvement in nursing
and patient satisfaction also increases to reduce time efficiency for nurses (Acharya, Thomas and
Hellaby, 2017). It will be implemented with evidence which based on communication process

and improvement in project. It also decreases fall incidence for improvement safety vigilance,
patient satisfaction with nurse communication (Gamble, 2017). Project outcomes also
successfully develop which consider in fall incidence, time efficiency of handoffs, nurse
satisfaction, communication between nurses and patient satisfaction, etc. Interventions also
resulting in fall prevention for long term care setting that are successful key of cost savings and
safety promotion. In order to consider findings, it can be stated that in organisational assessment
phenomenon of communication gaps between nursing staff also identified for process
improvement. Among staff member communication is an area that identified by licensed nurses
for completing organisational meeting (Fernando, Attoe and Wessely, 2017). Problem statements
also identifying in form of PICO statements. It assists to researchers in respect to determine
significance of problem and it allowed for methodology which designed and answer question
that bring significance outcomes.