Federation University: NURBN3022 Handover Comparison Report

This report, submitted for NURBN3022 at Federation University, examines the comparative importance of bedside and non-bedside handovers in nursing, with a focus on patient safety. The project details, including the project title, research aims, questions, and significance, are outlined. The report includes a lay description of the project, describing the roles of nurses and patients in the handover process. The research methodology, data collection techniques (semi-structured observation and interviews), and data analysis methods are presented. The recruitment strategy for participants, including nurses and patients, is also described. The report also includes a literature review that supports the research aims, questions and the significance of the project. Overall, the report aims to compare the effectiveness of bedside and non-bedside handover practices in promoting patient safety and improving the quality of care in the hospital setting.

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The total word limit for this assessment item is 2000 words
1. PROJECT DETAILS
Project title:
How important is bedside handover compare to non-bedside handover in the nursing profession for patient's
safety?
What type of project is this? (Tick a
Masters project
s many as apply) Clinical
Trial Postgraduate Diploma
Undergraduate Student Research Project Honors
PhD Staff Research Project Other
Through which the School/Section is the research to be conducted?
2. RESEARCHERS
Principal Researcher (STAFF MEMBER ONLY)
Title & Name: Dr Joanne Porter
Position: Senior Lecturer
School/Section: School of Nursing, Midwifery and Healthcare
Phone number: 51 236996
Email address: [e-mail]
Please list academic qualifications: PhD, MN, GradDipCC, GradDipHSM, GradCertHeD, BN,
RN
Describe what this researcher will do in the
context of this project:
The lead researcher will be an expert guide through all
aspects of the project.
Include a brief summary of relevant
experience for this project:
Supervision of higher degree students, multiple
publications to peer-reviewed journals and successful
competitive grants applications.
Student/Other Researcher/s
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Title & Name:
Position:
School/Section:
Phone number:
Email address:
Student ID number:
Please list academic qualifications:
Describe what this researcher will do in the
context of this project:
Include a brief summary of relevant
experience for this project:
3. LAY DESCRIPTION
Provide a brief outline of the project describing in everyday, the jargon-free language the key
aspects of the research (e.g., who will be participating, what information will be collected and by
what means, what participants will be required to do, etc.) and the key research aims. (300 words
max.)
A clinical handover is a form of communication in the clinical setting which allows nurses to
plan and prioritize patient care and manage their workload effectively, (Anderson, Malone,
Shanaham & Mannig, 2015). Clinical handover encompasses the exchange of patient information
from one shift to another and it has been known for benefits such as being a platform for the
exchange of opinions amongst nurses, expression of feelings, teaching and learning. Bedside
clinical handover was reported to be a patient-centered initiative that enhanced the standards of
healthcare and reduced adverse events in the healthcare setting. The implementation of bedside
clinical handover was found to be time-effective, reduced the risks of error and enabled nurses to
spend more time with their patients, (Addae, 2016).
The participants will be the nurses from the acute hospital and their relevant patients who
will be dealing with in the hospital.
Information to be collected.
This is the preferences about the patients and the nurses in the accounting factors such as the
time constraints. The most important factor also to put into consideration is the family member’s
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response to the care of the patients while at the hospital.
What participants are required to do
The nurses are required to have a clear communication with the patients and the family
members. On the other hand, the patients are required to be willing to disclose all their concerns to
the oncoming medical professionals. In some cases, a patient may be in fear that the new stranger
nurse may not be able to understand his or her own feeling and this calls for openness in the
conversations. Nurses also are required to adopt the ways of dealing with every situation while
encountering the patients. They should be able to understand the patients especially in times when
the patients are not willing to share with them their feelings. A nurse should be able to control her
anger, how to disclose any bad news and dealing with every situation accordingly.
4. RESEARCH AIMS & SIGNIFICANCE
State the aims, key research questions, and significance of the project. Also provide a brief
description of the relevance of your proposed project to current research, supported by the literature.
(500 words max.)
Aim of the Study
The main aim of this research paper to compare the importance of the bedside handover
and the non-bedside handover with respect to the patient’s safety while at the hospital. Given the
complexities affecting nursing care services, there is need for adoption of effective strategies
which enhance positive patient outcomes at the hospital. Hence, this study assesses these two
approaches to care services.
Research questions
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The research is concerned with the study of how best the patients can interact well with the
nurses.
Is the bedside handover the best option to consider than the non-bedside?
The significance of the project
The project is of significance in that it allows the more specialized nurses to provide
mentoring activities to the younger staff members within the hospital. This will ensure that the
majority of the patients are given the best practices in terms of care.
Literature review
Essentially, in another investigation undertaken with specialists and medical attendants
from a Neonatal Critical Care Unit in Australia, (Brown & Sims, 2014), clinical handover was
seen to be a decent type of correspondence which was open, convenient and empowered
cooperation between the medicinal services workers. Be that as it may, this examination was
directed in a basic consideration zone setting where the nurse– understanding proportion,
condition, and practices may not be the same when contrasted with the general ward settings. In
another ongoing investigation, (Raduma-Tomàs, Flin, Yule & Williams, 2011), they found that
doctors could organize their undertakings better with a decent, enlightening also, powerful
handover. In any case, disturbances from the condition, for example, high encompassing clamors
while giving over at the inhabitant room or the attendants' station were too reported. Likewise,
another cross-sectional examination directed in over 8 European nations demonstrated that there
were as well numerous diversions and aggravations amid clinical handover, which brought about
an absence of time to direct an appropriate clinical handover and a deficient trade of patients'
information, (Turner, Wong & Yee, 2009).
Moreover, 61% of the respondents shared that disappointment with move handovers was
one of the fundamental reasons for medical caretakers needing to leave the organization. By and
large, clinical handovers were related with positive benefits and gave attendants the chance to
impart among themselves and guarantee progression of consideration for the patients. At the point
when patients' data were hazy, medical attendants could make inquiries and elucidate.
Notwithstanding, diversions from the ecological variables could cause interruption, driving to
inadequate patient data trade and absence of time to lead a legitimate handover to the approaching
movement attendants. Bedside clinical handover was accounted for to be the most favored strategy
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for clinical handover. An incorporated audit reasoned that bedside clinical handover was very
prescribed as it enabled medical attendants to direct clinical handover in the nearness of the
patient, and a few, with the family members, (Roderick, 2014). Bedside clinical handover has a
few favorable circumstances, counting the advancement of a two-way correspondence between the
active and approaching movement medical attendants, and between medical attendants and
patients.
Bedside clinical handover additionally empowered medical attendants to have a visual
reference of the patient amid handover at the patients' bedside, enabling medical attendants to be
more concentrated on the crucial patient data to hand over to the next move nurses. A multi-site
think about that watched a sum of 15 restorative clinical handovers and 33 nursing clinical
handovers, demonstrated that bedside clinical handover permitted therapeutic experts to be more
engaged with the nearness of the understanding amid the handover; the therapeutic experts were
likewise ready to handover methodically and did not pass up a major opportunity essential patient
data, (Nelson et al 2017).
5. RESEARCH METHODOLOGY
Provide an outline of the proposed method, including details of data collection techniques, tasks
participants will be asked to do, the estimated time commitment involved, and how data will be
analyzed. (500 words max).
It is a methodological approach that often uses mixed methods to conduct an instrumental
investigation bounded by place and time, (Creswell & Creswell 2017). The settings of this study
is a medical, surgical and rehabilitation wards having both single and double rooms having 6
beds per room.lot 1 hospital, team nursing was applied and bedside nursing had been in used for a
long time. In the second treatment lot, several nursing models were used and bedside handover
was introduced as a new concept replacing verbal handover. Bedside nursing staff, team leaders
(i.e. those responsible for a subgroup of patients and nursing staff), shift coordinators (who took
overall responsibility forward functioning, often concurrently with team leadership duties),
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nursing managers and educators, were the focus of this study. All participants consented to
participate in the study
Data Collection
Two forms of data collection were used, semi-structured observation and interviews,
(Morgan, Pullon, Macdonald, McKinlay & Gray 2017). These were confined to nursing staff
because of the non-attendance at the handover of medical and allied health staff; although
optimally, all disciplines would have been included for a multi-disciplinary approach. Including
patient perspectives were also beyond the scope of the study but are the subject of another current
investigation. Afternoon shift handover was used in the study due to the reduced number of staff
normally, while interviews included all the participants. Clinical research assistants conducted the
bedside observations guided by a data collection form recording the numbers and classifications
of oncoming and outgoing staff, the content of the information handed over including the use of
situation, background, assessment and recommendations the time spent at the bedside and the
patients’ input. Active participation in handover among patients was rated with patients ability to
make statements and answer questions asked. Short responses such as hello were cauterized as
passive participants while no participation at all was considered no participation in the handover
process, (Kaur & Kochar, 2017).
What to do
Participants will be asked to explain the various ways in which each is required to prepare
for the handover session. This involves whether one is the personnel required to hand over to the
other or when you are the one to receive the handover.
Data Analysis
Observational information was broken down through interactive survey by all individuals
from the exploration group, Kerstenetzky et al (2018). Meetings were analyzed utilizing content
investigation where information was gathered around focal, intermittent thoughts. This
examination was likewise iterative, with all individuals from the exploration group inspecting the
meeting information in a recursive way, looking for likenesses in the perspectives of respondents
and over the six cases utilizing consistent correlation. Comparative thoughts were then composed
into classes of structures, forms and saw results.
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6. RECRUITMENT OF PARTICIPANTS Participant Details
Describe your proposed recruitment strategy to source target participants. Provide the
number and age range, giving a justification of your proposed sample size. (100 words)
The potential participants for this research were the nurses in the hospital and the selected
patient between the age of 21 and 45, (Tobiano, Whitty, Bucknall & Chaboyer 2017). The
patients were selected since they were able to provide genuine information and could not be
charged otherwise. The recruitment process involved the discussion to a deep agreement by the
patients to ensure that they agree to the terms and condition of the overall process to guarantee
the information confidentiality, (Elger, Handtke & Wangmo 2015). Another factor that was to be
considered is the ability of the patient to answer all the asked questions as there was a prior
information that could ensure all the participant were very much aware of the topic under
discussion.
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Target participants
Who are the target participants? (Tick as many as applicable)
Students or staff of this University
Adults (over the age of 18 years and competent to give consent)
Children/legal minors (under the age of 18 years, with parental consent)*
Elderly individuals
Individuals from non–English-speaking backgrounds
Pensioners or welfare recipients
Intellectually or mentally impaired individuals unable/with compromised capacity to provide consent
C
Physically disabled individuals
Patients or clients
Prisoners, parolees, or wards of the state
Individuals highly dependent on medical care with a compromised capacity to give consent
Aboriginal and/or Torres Strait Island communities
Women who are pregnant and the human foetusPeople who
may be involved in illegal activities
*Parental consent may not be required in some instances - refer National Statement, 4.2.8 & 4.2.9
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7. RISK MANAGEMENT
This section raises the issue of your duty of care toward research participants. To what risks are
participants subjected? What will you do should an emergency occur, or should a participant
become upset or distressed? What is your risk management strategy? Refer National Statement:
Section 2.1 Risk and Benefit
Research Activities
Which of the following activities will the research involve? (Tick as many as apply)
Use of a questionnaire (attach copy)
Interviews (attach interview questions)
Observation of participants without their knowledge
Participant observation
Audio- or videotaping of interviewees or events
Access to personal and/or confidential data (including student, patient or client data) without
participants’ specific consent
Administration of any stimuli, tasks, investigations or procedures which may be experienced by
participants as physically or mentally painful, stressful or unpleasant during or after the research
process
Performance of any acts which may diminish the self-esteem of participants or cause them to
experience embarrassment, regret or depression
Use of non-treatment of placebo control conditions
Collection of body tissues or fluid samples
Identify as far as possible all potential risks to participants (e.g., physical, psychological, social,
legal, economic) associated with the proposed research. Explain what risk management procedures
will be put in place, along with contact details of an appropriately qualified organization for
participant reference in case of distress, eg: Lifeline (200 words)
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Throughout the research, a number of risks can be identified to be affecting mostly the
patients. The physical risk that the patient will be exposed to is for instance, poor or under care by
the different nurses, (Drach‐Zahavy, Goldblatt &Maizel 2015). A patient is put into risk physically
when the oncoming nurse fails to follow up all the procedures during the handover session. As a
result of the physical risk, the patient will be attacked by the psychological risk in that it can cause
some other depressing results, making the patient feel somehow confused in the medical
surrounding. Some drugs may create some other effects of hallucination and due to the change of
the staff nurses to some extent will cause a loss of the personal self-esteem to the patients. The
researcher is concerned with the way in which this risk can be avoided within the hospital fraternity.
Apart from the physical and the psychological risk, the patients are exposed to the social, legal and
the economic risk whereby they are faced with the breaches of the confidentiality, (Kennedy, Altar,
Taylor, Degtiar &Hornberger, 2014). Some patients are affected economically at the instances
where a physical risk had occurred and the insurance companies fail to cover up the health insurance
forcing the patient to cater to his or her own expenses
8. CONSENT Obtaining and Documenting Consent
How will informed consent be obtained/recorded?
Signed consent form
Recorded verbal consent
Implied by the return of survey
Other (Please specify):
9. INFORMATION PROTECTION (DATA STORAGE & SECURITY) Confidentiality
Tick which method will be used to guarantee confidentiality/anonymity?
Non-identifiable (anonymous) data, which have never been labeled with individual
identifiers or from which identifiers have been permanently removed, and by means of which
no specific individual can be identified.
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Re-identifiable data, from which identifiers have been removed and replaced by a code, but it
remains possible to re-identify a specific individual by, for example, using the code or linking
different data sets.
Individually identifiable data, where the identity of a specific individual can reasonably be
ascertained. Examples of identifiers include the individual’s name, image, and date of birth or
Security and Storage
Does the Principal Researcher accept responsibility for the security of the data
collected?
Yes
Who will have access to data?
Access by named researchers only Access by other(s) then named researcher(s)
Which of the following methods will be used to ensure data security?
Data will be kept in locked filing cabinets
Data and identifiers will be kept in separate, locked filing cabinets
Access to computer files will be available by password only
Other (please describe)
10. RESEARCH TOOLS
Please check that the following documents are included in your application by writing in the box
below (300 words)
Are the following research tools are included in this application? Yes No N/A
Questionnaire Draft
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Interview Questions Draft
Other
A questionnaire is a written set of questions with a choice of relevant answers that are prepared
specifically for a statistical study, (Krosnick 2018). The main reason to have a questionnaire is solely to gather
information from the respondents. This research is on matters dealing with the sensitive information about
the patients and the nurses, the researcher out not to use a questionnaire since it could not guarantee the
confidentiality of the information. The best alternative to this in the interviewing strategy where the
researcher conducted an interview with the nurses asking them some questions, (Spivak, & Harasym 2014).
Contrary to the use of questionnaires, the interview session allows the interviewee and the interviewer an
opportunity to interact. The way responses are obtained from the interview compared to the use of
questionnaires since the researcher could be able to gauge the level of accuracy the responses are given from
the facial expression.
From the research done, there was a number of conversations involving the nurses and the patients
together with the family members. Through this, the researcher was required to prepare a sample
questionnaire to clarify some issue with the patients. For instance, the following were simple questions that
were asked:
a. Why does the hospital offer the service of the bedside handover?
b. Throughout your nurse life, have you ever had an encounter with a patient who was very
demanding and difficult to understand?
c. What is your preference for work in this particular hospital?
d. Apart from working as a nurse here in the hospital, would you wish to advance to being a
specialized doctor?
e. What advice can you give to fellow nurses how to deal with the patients?
f. Are there life challenges in this field of nursing?
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g. Is there any importance in preparing for the handover process? Whether you are the one
being handed over or handing over.
h. The accuracy of information during the handover process is very important, as a nurse how
do you ensure this.
References
Addae, H. (2016). Communicating with RESPECT: An action learning approach for health professionals. eBookIt.
com.
Allison Roderick, B. N. (2014). BEYOND BASICS: EMBEDDED INFECTION CONTROL IN EVERYDAY PRACTICES
OF NURSES IN AN INTENSIVE CARE UNIT(Doctoral dissertation, Flinders University Adelaide, Australia).
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.
Brown, J., & Sims, S. (2014). Nursing clinical handover in neonatal care. Contemporary Nurse, 49(1), 50-59.
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approach.
Sage publications.
Drach‐Zahavy, A., Goldblatt, H., &Maizel, A. (2015). Between standardization and resilience: nurses' emergent risk
management strategies during handovers. Journal of Clinical Nursing, 24(3-4), 592-601.
Elger, B. S., Handtke, V., &Wangmo, T. (2015). Informing patients about limits to confidentiality: a qualitative study in
prisons. International journal of law and psychiatry, 41, 50-57.
Kaur, H., & Kochar, R. (2017). A Study on Discharge Process of Discharged Patients of a Multispecialty
Hospital Ludhiana. International Journal of Engineering and Management Research (IJEMR), 7(3),
688-694.
Kennedy, J. L., Altar, C. A., Taylor, D. L., Degtiar, I., &Hornberger, J. C. (2014). The social and economic burden of
treatment-resistant schizophrenia: a systematic literature review. International clinical
psychopharmacology, 29(2), 63-76.
Kerstenetzky, L., Birschbach, M. J., Beach, K. F., Hager, D. R., Hager, D. R., & Kennelty, K. A. (2018). Improving
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medication information transfer between hospitals, skilled nursing facilities, and long-term care pharmacies for
hospital discharge transitions of care: A targeted needs assessment using the Intervention Mapping framework.
Research in Social and Administrative Pharmacy, 14(2), 138-145.
Krosnick, J. A. (2018). Questionnaire design. In The Palgrave Handbook of Survey Research (pp. 439-455). Palgrave
Macmillan, Cham.
Morgan, S. J., Pullon, S. R., Macdonald, L. M., McKinlay, E. M., & Gray, B. V. (2017). Case study observational
research: a framework for conducting case study research where observation data are the focus. Qualitative
health research, 27(7), 1060-1068.
Nelson, P., Bell, A. J., Nathanson, L., Sanchez, L. D., Fisher, J., & Anderson, P. D. (2017). Ethnographic analysis on the
use of the electronic medical record for clinical handoff. Internal and emergency medicine, 12(8), 1265-1272.
Raduma-Tomàs, M. A., Flin, R., Yule, S., & Williams, D. (2011). Doctors' handovers in hospitals: a
literature review. BMJ quality & safety, she-2009.
Spivak, G. C., &Harasym, S. (2014). The post-colonial critic: Interviews, strategies, dialogues. Routledge.
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.
Turner, P., Wong, M. C., & Yee, K. C. (2009). A standard operating protocol (SOP) and minimum data set
(MDS) for nursing and medical handover: considerations for flexible standardization in developing
electronic tools. Studies in health technology and informatics, 143, 501-506.
11. DECLARATIONS
Researcher Declarations:
The information contained herein is, to the best of my knowledge and belief, accurate. I have read the
University’s current human ethics guidelines, and accept responsibility for the conduct of the procedures set
out in the attached application in accordance with the guidelines. I and my co-researchers have the
appropriate qualifications, experience, and facilities to conduct the research set out in the attached application
and to deal with any emergencies and contingencies related to the research that may arise.
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Principal Researcher
DR JOANNE PORTER
(Print name in block letters)
Date: …..../…...../….....
Other Researcher
………………………………………………
(Print name in block letters) Date:
…..../…...../….....
Other Researcher
…………………………………………………
(Print name in block letters) Date:
…..../…...../….....
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