Nurses' experiences in care transition meetings in palliative contexts
DOI:
https://doi.org/10.29352/mill0221e.43369Keywords:
transitional care; communication; palliative care; nursing; continuity of patient careAbstract
Introduction: The care transition meeting is a responsibility-based activity that is vital to the quality of care. Through communication, the safety and continuity of care are guaranteed, contributing to more humanised care for the individual.
Objective: Understanding nurses' experiences in care transition meetings within palliative care units.
Methods: This qualitative study employs a phenomenological approach. Ten nurses were identified using purposive snowball sampling. Audio-recorded semi-structured interviews were the technique used for data collection and were analysed according to Giorgi's descriptive phenomenological method.
Results: Communication was identified as a fundamental pillar in care transition meetings, which promotes greater effectiveness in the continuity of care provided to individuals, families, and caregivers with palliative needs. Facilitating factors (information organization and experience sharing) and limiting factors (time management and interruptions) were highlighted. To diminish these challenges, continuous training, improvements in record-keeping, and allocating more time for meetings are suggested.
Conclusion: Palliative care nurses emphasize the importance of effective communication in care transition meetings, identifying both facilitating and limiting factors, however, highlighting the significance of multidisciplinary involvement and other meetings/gatherings that promote professional self-care.
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Abou Hashish, E. A., Asiri, A. A., & Alnajjar, Y. K. (2023). Shift handover quality in Saudi critical care units: Determinants from nurses’ perspectives. BMC Nursing, 22(1), 1–14. https://doi.org/10.1186/s12912-023-01348-z
Argenta, C., Adamy, E. K., & Bitencourt, J. V. O. V. (2020). Processo de enfermagem: da teoria à prática. Editora UFFS. https://doi.org/10.7476/9786586545234
Barbosa, C. G. (2023). Considerações sobre o método fenomenológico de Amadeo Giorgi: Alcances e limites. PLURAL - Revista de Psicologia UNESP Bauru, 1, e022016. https://doi.org/10.59099/prpub.2022.9
Bezerra, T.P.P., Nobre, T.T.X., Pennafort, V.P. dos S., Graça, J.R.V. da Barra, I.P., Holanda, G. de O.M., & de Mendonça, A. E.O. (2024). Instruments for the assessment of hospitalized patients in palliative care: Integrative review. Cogitare Enfermagem, 29. https://doi.org/10.1590/ce.v29i0.95031.
Costa, M., Mendes, T., Amorim, V., Cordeiro, R., Calha, A. (2021). Utilização da norma de transição de cuidados para a qualidade da passagem de turno em enfermagem. Revista Sinais Vitais (12) 47-58.
Direção-Geral da Saúde - Norma n.º. 001/2017 de 08 de fevereiro (2017). Comunicação eficaz na transição de cuidados de saúde. Ministério da Saúde. https://encurtador.com.br/vttV
Direção-Geral da Saúde - Despacho n.º. 9390/2021 de 24 setembro (2021) - Plano Nacional para a Segurança dos Doentes 2021-2026. Ministério da Saúde. https://encurtador.com.br/rGbr
Engel, M., van der Ark, A., Tamerus, R., & van der Heide, A. (2020). Quality of collaboration and information handovers in palliative care: A survey study on the perspectives of nurses in the Southwest Region of the Netherlands. European Journal of Public Health, 30(4), 720–727. https://doi.org/10.1093/eurpub/ckaa046
Fealy, G., Donnelly, S., Doyle, G., Brenner, M., Hughes, M., Mylotte, E., Nicholson, E., & Zaki, M. (2019). Clinical handover practices among healthcare practitioners in acute care services: A qualitative study. Journal of Clinical Nursing, 28(1–2), 80–88. https://doi.org/10.1111/jocn.14643
Ferreira, M., Sequeira, A., Molina, D., Boiças, R., & Wees, S. (2020). Utilização de comunicação estandardizada na transição de cuidados do doente. Revista Eletrônica Nurses, 1 (1), 42-56.
Frias, A. C., & Paiva-Santos, F. M. (2023). Conceções de enfermeiros sobre a comunicação na reunião de passagem de turno. Revista de Enfermagem Referência, 6(2), e22110. https://doi.org/10.12707/RVI22110
Kim, E. M., Kim, J. H., Kim, C., & Cho, S. (2022). Experiences of handovers between shifts among nurses in small and medium-sized hospitals: A focus-group study. Nursing and Health Sciences, 24(3), 717–725. https://doi.org/10.1111/nhs.12970
Lei n.º 52/2012, de 5 de setembro. (2012). Lei de Bases dos Cuidados Paliativos. Diário da República, 1.ª Série, n.º 172, 5119-5124. https://diariodarepublica.pt/dr/detalhe/lei/52-2012-174841
Cunha, M., Loureiro, N., Duarte, J., & Carvalho, F. (2017). Estrutura fatorial da escala de dignidade em doentes com necessidades de cuidados paliativos. Millenium - Journal of Education, Technologies, and Health, 2(2e), 41–56. https://doi.org/10.29352/mill0202e.03
Matos, A.C.P.A. (2021). Passagem de turno: Contributo para a qualidade na gestão de informação. (Dissertação de Mestrado). Escola Superior de Enfermagem de Coimbra. https://repositorio.esenfc.pt/biblio-1366344
Neto, I. (2021). Princípios dos cuidados paliativos. In A. Abejas, & C. Duarte (Eds.), Humanização em cuidados paliativos (pp. 3-10). Lidel.
O’Neill, K., Powell, M., Lovell, T., Brown, D., Walsham, J., Calleja, P., Nielsen, S., & Mitchell, M. (2023). Improving the handover of complex trauma patients by implementing a standardised process. Australian Critical Care, 36(5), 799–805. https://doi.org/10.1016/j.aucc.2022.10.020
Ordem dos Enfermeiros (2017). Parecer nº 61/2017. Atribuição de tempo para a passagem de turno. Conselho de Enfermagem 2016-2029. https://abrir.link/SCRKb
Pun, J. (2021). Factors associated with nurses’ perceptions, their communication skills and the quality of clinical handover in the Hong Kong context. BMC Nursing, 20(1), 1–8. https://doi.org/10.1186/s12912-021-00624-0
Pun, J. (2023). Nurses’ perceptions of the ISBAR handover protocol and its relationship to the quality of handover: A case study of bilingual nurses. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1021110
Parola, V., Coelho, A., Sandgren, A., Fernandes, O., & Apóstolo, J. (2018). Caring in palliative care. Journal of Hospice & Palliative Nursing, 20(2), 180–186. https://doi.org/10.1097/NJH.0000000000000428
Spilioti, T., Aldridge-Waddon, M., Bartlett, T., & Ylänne, V. (2019). Conceptualising language awareness in healthcare communication: The case of nurse shift-change handover meetings. Language Awareness, 28(3), 207–226. https://doi.org/10.1080/09658416.2019.1636803
Weston, E. J., Jefferies, D., Stulz, V., & Glew, P. (2022). Exploring nurses’ perceptions of clinical handover in regional health care facilities: An exploratory qualitative study. Journal of Nursing Management, 30(7), 3113–3122. https://doi.org/10.1111/jonm.13719
Yetti, K., Dewi, N. A., Wigiarti, S. H., & Warashati, D. (2021). Nursing handover in the Indonesian hospital context: Structure, process, and barriers. Belitung Nursing Journal, 7(2), 113–117. https://doi.org/10.33546/bnj.1293
Yuen, E. Y. N., Street, M., Abdelrazek, M., Blencowe, P., Etienne, G., Liskaser, R., Choudhary, N., & Considine, J. (2023). Evaluating the efficacy of a digital app to enhance patient-centred nursing handover: A simulation study. Journal of Clinical Nursing, 7626–7637. https://doi.org/10.1111/jocn.16782
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