Nursing Handovers in Critical Care: A Retrospective Analysis of Information Content and Function. Issue 1 (September 2019)

• Record Type: Journal Article
• Authors: Patterson, Emily S.; McIntire, Anne; Beecroft, Nicholas; Happ, Mary Beth; Moffatt-Bruce, Susan D.
• Is Part Of: Proceedings of the International Symposium of Human Factors and Ergonomics in Healthcare. Volume 8:Issue 1(2019)
• Page Start: 4
• Page End: 8
• Publication Date: 2019-09
• Subjects: Human engineering -- Periodicals; Medical care -- Periodicals; 620.8
• DOI: 10.1177/2327857919081001
• Languages: English
• ISSNs: 2327-8579

Abstract

Translating validated handover protocols from physicians in non-critical care settings to nursing report in critical care is challenging. Our objectives are to identify information content in verbal reports, where information is documented, and the function of non-documented communication. This is a descriptive study of 20 reports describing 27 patients from two medical intensive care units. Analysis involved unique coding of phrases and emergent themes analysis. Information categories included: Identify patient (51.9%); Narrative history (96.3%); Unusual symptoms (88.9%); Response to care (37%); Status of tasks (100%); Expectations of patients and families (55.6%). Information is documented in progress notes, the medication administration record, nursing flowsheets, lab results, orders, and past medical history. Information not typically documented supports providing patient-centered care, sharing clinical judgments, coordinating work, and mentorship. These objectives may guide nursing administrators in tailoring policies and procedures for nursing report to the needs of registered nurses in a critical care setting.