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Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.

https://arctichealth.org/en/permalink/ahliterature122387
Source
J Nurs Manag. 2012 Jul;20(5):592-8
Publication Type
Article
Date
Jul-2012
Author
Diana Clarke
Kim Werestiuk
Andrea Schoffner
Judy Gerard
Katie Swan
Bobbi Jackson
Betty Steeves
Shelley Probizanski
Author Affiliation
University of Manitoba, Winnipeg, MB, Canada. diana_clarke@umanitoba.ca
Source
J Nurs Manag. 2012 Jul;20(5):592-8
Date
Jul-2012
Language
English
Publication Type
Article
Keywords
Checklist
Communication
Humans
Interview, Psychological
Manitoba
Models, organizational
Models, Psychological
Nurse's Role
Nursing Evaluation Research
Patient care team
Patient transfer
Program Development
Trust
Abstract
To use the philosophy and methodology of Appreciative Inquiry (AI) in the investigation of unit to unit transfers to determine aspects which are working well and should be incorporated into standard practice.
Handoffs can result in threats to patient safety and an atmosphere of distrust and blaming among staff can be engendered. As the majority of handoffs go well, an alternative is to build on successful handoffs.
The AI methodology was used to discover what was currently working well in unit to unit transfers. The data from semi-structured interviews that were conducted with staff, patients, and family informed structural process improvements.
Themes extracted from the interviews focused on the situational variables necessary for the perfect transfer, the mode and content of transfer-related communication, and important factors in communication with the patient and family.
This project was successful in demonstrating the usefulness of AI as both a quality improvement methodology and a strategy to build trust among key stakeholders.
Giving staff members the opportunity to contribute positively to process improvements and share their ideas for innovation has the potential to highlight expertise and everyday accomplishments enhancing morale and reducing conflict.
PubMed ID
22823214 View in PubMed
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