Clinical Communication (Handover) and Safety of Nursing Care: a literature review
Keywords:clinical communication, Patient Handoff, patient safety, nursing
Introduction: The handover as a process of transference of responsibilities is considered a crucial moment in the provision of nursing quality care. Problems in communication are the major causes of errors that occur during situations of handover.
Objectives: We propose to identify the evidence of the relationship of clinical communication (handover) and safety of nursing care.
Methods: We accomplished an integrative literature review using Pubmed, Web of Science, Scopus, CINAHL data bases. A research across the terms: “Patient Handoff”, “Patient Safety”, “Clinical Communication”, “Nursing” was realized. In studies for research strategy emerged 137 articles. We selected 8 articles that responded to the purpose of this study. As inclusion criteria, studies published between January 2010 and March 2016 were established, available in Portuguese and English. Results: The analysis of the articles through critical identified convergences allowing the following grouping by themes: handoveras a process of the transference of responsibility, barriers to effective communication and strategies promoting a handover withquality.
Conclusions: The quality of information during the handover allows nurses to organize interventions anticipating risks. It is essential to identify barriers that interfere with the handover process, for being able to implement strategies that constitute an effective communication process and promote the safety of the patient.
Azevedo, P.M.D.S. & Sousa, P.A.F. (2012). Partilha de informação de enfermagem: Dimensões do papel de prestador de cuidados. Revista de Enfermagem Referência, 3(7), 113-122.
Birmingham, P., Buffum, M. D., Blegen, M. A., & Lyndon, A. (2015). Handoffs and patient safety: Grasping the story and painting a full picture. Western Journal of Nursing Research, 37(11), 1458-1478. doi:10.1177/0193945914539052
Drach-Zahavy, A., Goldblatt, H., & Maizel, A. (2015). Between standardisation and resilience: Nurses’ emergent risk management strategies during handovers. Journal of Clinical Nursing, 24(3-4), 592-601. doi:10.1111/jocn.12725
Fay-Hillier, T. M., Regan, R. V., & Gallagher Gordon, M. (2012). Communication and patient safety in simulation for mental health nursing education. Issues in Mental Health Nursing, 33(11), 718-726. doi:10.3109/01612840.2012.709585
Gonçalves, M.I., Rocha, P.K, Anders. J.C., Kusahara, D.M., & Tomazoni, A. (2016). Comunicação e segurança do paciente na passagem de plantão em unidades de cuidados intensivos neonatais. Texto Contexto Enfermagem 25(1).
Holly, C., & Poletick, E. B. (2013). A systematic review on the transfer of information during nurse transitions in care. J Clin Nurs, 23(17-18), 2387-2395. doi:10.1111/jocn.12365
International Council of Nurses (2012). ICNPosition: Patient safety. Acedido em http://www.icn.ch/images/stories/documents/publications/position_statements/D05_Patient_Safety.pdf
Johnson, M., & Cowin, L. S. (2013). Nurses discuss bedside handover and using written handover sheets. Journal of Nursing Management, 21(1), 121-129. doi:10.1111/j.1365-2834.2012.01438.x
Kerr, M.P.(2002). A qualitative study of shift handover practice and function from a socio‑technical perspective. J Adv Nurs, 37, 125‑34.
Mendes, K.D.S.; Silveira, R.C.C. P., Galvao, C. M. (2008). Revisão integrativa: Método de pesquisa para a incorporação de evidências na saúde e na enfermagem. 17(4). Acedido em abril 12, 2016, em http://dx.doi.org/10.1590/S0104-07072008000400018.
Pereira, A.S., Gaspar, C., Reis, D., Barradas, J., & Nobre, P. (2012). Revisão sistemática de literatura. Coimbra: Escola Superior de Enfermagem de Coimbra.
Quirino, D.D.E., Collet, N., Neves, A.F.G.V. (2010). Hospitalização infantil; concepções da enfermagem acerca da mãe acompanhante. Rev. Gaucha Enferm., 31(2), 300-306.
Sand-Jecklin, K., & Sherman, J. (2014). A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation. Journal of Clinical Nursing, 23(19-20), 2854-2863. doi:10.1111/jocn.12575
Santos, M. C. D., Grilo, A., Andrade, G., Guimarães, T., & Gomes, A. (2010). Comunicação em saúde e a segurança do doente: Problemas e desafios. Rev Port Saúde Pública, 10, 47-57.
Street, M., Eustace, P., Livingston, P.M., Craike, M.J., Kent, B. & Patterson, D. (2011). Communication at the bedside to enhance patient care: A survey of nurses’ experience and perspective of Handover . International Journal of Nursing Practice, 17, 133–140
Streeter, A. R., Harrington, N. G., & Lane, D. R. (2015). Communication behaviors associated with the competent nursing handoff. Journal of Applied Communication Research, 43(3), 294-314. doi:10.1080/00909882.2015.1052828
Welsh C., Flanagan M., & Ebright P. (2010) Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nursing Outlook, 58, 148-154.
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