Enhancing Teamwork Through Effective Handover Practices Among Nurses in Elder Care Setting

Authors

  • Sili Gaing @ Angelen Shirley Lincoln University College, Wisma Lincoln, No. 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor Darul Ehsan, Malaysia
  • Bibi Florina Abdullah Lincoln University College, Wisma Lincoln, No. 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor Darul Ehsan, Malaysia
  • Regidor III Dioso Lincoln University College, Wisma Lincoln, No. 12-18, Jalan SS 6/12, 47301 Petaling Jaya, Selangor Darul Ehsan, Malaysia

DOI:

https://doi.org/10.31674/mjn.2024.v15i04.012

Abstract

Introduction: This study aims to investigate how effective handover practices among nurses contribute to enhancing teamwork within elder care settings. It will explore the impact of clear communication, structured handover processes, and collaboration among nursing teams during handovers on various aspects of teamwork, including coordination, information sharing, and mutual support. Methods: A qualitative, descriptive study employed semi-structured interviews with nurses and other healthcare professionals involved in handover processes. Participants included nurses and various healthcare professionals. Thematic analysis, guided framework, was utilized to examine handover practices and their impact on patient care. Responses were meticulously coded manually to identify recurring themes and subthemes. Results: The study identified three key themes in healthcare handover practices: the importance of objective and clear documentation, including essential information for continuity of care, and the role of effective documentation in promoting understanding and accountability among healthcare professionals. These practices enhance communication, teamwork, and accountability, leading to improved patient outcomes. Effective communication involves aspects such as frequency, timeliness, accuracy, problem-solving, shared knowledge, goals, and mutual respect among team members, fostering a culture of teamwork and accountability that benefits both staff and patients. Conclusion: Achieving optimal teamwork in professional hierarchies requires insights and experiences on handover implementation from an interprofessional perspective. This collaborative approach involves professionals working together to provide comprehensive patient care. Interprofessional collaboration encourages effective communication, mutual respect, and shared decision-making among team members, ultimately enhancing patient outcomes.

Keywords:

Clinical Hand Over, Effective Teamwork, Healthcare, Nursing Practice

Downloads

Download data is not yet available.

References

Arnold, E. C., & Boggs, K. U. (2019). Arnold, E. C., & Boggs, K. U. (2022). Interpersonal Relationships: Professional Communication Skills for Canadian Nurses In C. Mallette & O. Yonge (Canadian Eds.), 8th Edition. Elsiever, Toronto, Canada. https://evolve.elsevier.com/cs/product/9780323763684?role=student

Cantín, M. (2014). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Reviewing the latest version. International Journal of Medical and Surgical Sciences, 1(4), 339-346.https://doi.org/10.1001/jama.2013.281053

Chien, L. J., Slade, D., Dahm, M. R., Brady, B., Roberts, E., Goncharov, L., ... & Thornton, A. (2022). Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. Journal of Advanced Nursing, 78(5), 1413-1430. https://doi.org/10.1111/jan.15110

Clapper, T. C., & Ching, K. (2020). Debunking the myth that the majority of medical errors are attributed to communication. Medical Education, 54(1), 74-81.https://doi.org/10.1111/medu.13821

Clarke, V., & Braun, V. (2013). Teaching thematic analysis: Overcoming challenges and developing strategies for effective learning. The Psychologist, 26(2), 120-123. https://uwe-repository.worktribe.com/preview/937606/Teaching%20. . Accessed on 16th May, 2023.

Cooper, A. L., Brown, J. A., Eccles, S. P., Cooper, N., & Albrecht, M. A. (2021). Is nursing and midwifery clinical documentation a burden? An empirical study of perception versus reality. Journal of Clinical Nursing, 30(11-12), 1645-1652. https://doi.org/10.1111/jocn.15718

Curtis, K., Elphick, T. L., Eyles, M., & Ruperto, K. (2020). Identifying facilitators and barriers to develop implementation strategy for an ED to Ward handover tool using behaviour change theory (EDWHAT). Implementation Science Communications, 1, 1-14.https://doi.org/10.1186/s43058-020-00045-1

Etherington, C., Burns, J. K., Kitto, S., Brehaut, J. C., Britton, M., Singh, S., & Boet, S. (2021). Barriers and enablers to effective interprofessional teamwork in the operating room: A qualitative study using the Theoretical Domains Framework. PloS One, 16(4), e0249576. https://doi.org/10.1371/journal.pone.0249576

Fernández Castillo, G., Khalid, M., & Salas, E. (2024). Beyond communication: an update on transforming healthcare teams. Frontiers in Medicine, 11, 1282173. https://doi.org/10.3389/fmed.2024.1282173

Forbes, C., Jayamaha, J. Y., & Lee, E. (2024). A tool to assess the components of a safe and quality medical handover. Hospital Administration and Medical Practices, 3(1). https://doi.org/10.54844/hamp.2023.0038

Harris, P. A., Taylor, R., Minor, B. L., Elliott, V., Fernandez, M., O'Neal, L., ... & REDCap Consortium. (2019). The REDCap consortium: building an international community of software platform partners. Journal of Biomedical Informatics, 95, 103208. https://doi.org/10.1016/j.jbi.2019.103208

Harvey, K., & Koteyko, N. (2012). Exploring health communication: Language in action. Routledge. https://doi.org/10.4324/9780203096437

House, S., Wilmoth, M., & Kitzmiller, R. (2022). Relational coordination and staff outcomes among healthcare professionals: A scoping review. Journal of Interprofessional Care, 36(6), 891-899. https://doi.org/10.1080/13561820.2021.1965101

Johnson, J., Latif, A., Randive, B., Kadam, A., Rajput, U., Kinikar, A., ... & Milstone, A. M. (2022). Implementation of the comprehensive unit-based safety program to improve infection prevention and control practices in four neonatal intensive care units in Pune, India. Frontiers in Pediatrics, 9, 794637. https://doi.org/10.3389/fped.2021.794637

Jones, B., James, P., Vijayasiri, G., Li, Y., Bozaan, D., Okammor, N., ... & Jenq, G. (2022). Patient perspectives on care transitions from hospital to home. JAMA Network Open, 5(5), e2210774-e2210774. https://doi.org/10.1001/jamanetworkopen.2022.10774

Keller, N., Bosse, G., Memmert, B., Treskatsch, S., & Spies, C. (2020). Improving quality of care in less than 1 min: a prospective intervention study on postoperative handovers to the ICU/PACU. BMJ Open Quality, 9(2), e000668. https://doi.org/10.1136/bmjoq-2019-000668

Kim, E. J., & Seomun, G. (2020). Handover in nursing: A concept analysis. Research and Theory for Nursing Practice, 34(4), 297-320. https://doi.org/10.1891/RTNP-D-19-00089

Lazzari, C. (2024). Implementing the Verbal and Electronic Handover in General and Psychiatric Nursing Using the Introduction, Situation, Background, Assessment, and Recommendation Framework: A Systematic Review. Iranian Journal of Nursing and Midwifery Research, 29(1), 23-32. https://doi.org/10.4103/ijnmr.ijnmr_24_23

Maher, C., Hadfield, M., Hutchings, M., & De Eyto, A. (2018). Ensuring rigor in qualitative data analysis: A design research approach to coding combining NVivo with traditional material methods. International Journal of Qualitative Methods, 17(1), 1609406918786362. https://doi.org/10.1177/1609406918786362

Mahran, G. S. K., Mekkawy, M. M., Ibrahim, B. A., Saber, E. A., Ali, M., Abbas, M. S., ... & Ahmed, R. D. (2024). Designing and Validating an Evidence-Based, Shift-to-Shift Handover Bundle for Nurses and Physicians. Critical Care Nursing Quarterly, 47(1), 41-50. https://doi.org/10.1097/CNQ.0000000000000490

Manias, E., Bucknall, T., Woodward-Kron, R., Hughes, C., Jorm, C., Ozavci, G., & Joseph, K. (2021). Interprofessional and intraprofessional communication about older people’s medications across transitions of care. International Journal of Environmental Research and Public Health, 18(8), 3925. https://doi.org/10.3390/ijerph18083925

Mishler, E. G. (1995). Models of narrative analysis: A typology. Journal of Narrative and Life History, 5(2), 87-123. https://doi.org/10.1075/jnlh.5.2.01mod

Munchhof, A., Gruber, R., Lane, K. A., Bo, N., & Rattray, N. A. (2020). Beyond discharge summaries: communication preferences in care transitions between hospitalists and primary care providers using electronic medical records. Journal of General Internal Medicine, 35, 1789-1796. https://doi.org/10.1007/s11606-020-05786-2

Nzele, C., & Sekinat, D. (2023). Nurses handover and continuity of patient care in hospital settings. https://www.theseus.fi/bitstream/handle/10024/803657/Nzele_Sekinat.pdf;jsessionid=9C10A1737166206D3546843D32445615?sequence=3GIVE.Accessed on 15th June, 2023.

Papermaster, A. E., & Champion, J. D. (2021). Exploring the use of curbside consultations for interprofessional collaboration and clinical decision-making. Journal of interprofessional care, 35(3), 368-375. https://doi.org/10.1080/13561820.2020.1768057

Paquette, S., Kilcullen, M., Hoffman, O., Hernandez, J., Mehta, A., Salas, E., & Greilich, P. E. (2023). Handoffs and the challenges to implementing teamwork training in the perioperative environment. Frontiers in Psychology, 14, 1187262. https://doi.org/10.3389/fpsyg.2023.1187262

Pilarska, J. (2021). The constructivist paradigm and phenomenological qualitative research design. Research Paradigm Considerations for Emerging Scholars, 64-83. https://doi.org/10.21832/9781845418281-008

Poelen, A., van Kuppenveld, M., & Persoon, A. (2023). Nurses' perspectives on shift‐to‐shift handovers in relation to person‐centred nursing home care. Nursing Open, 10(8), 5035-5043. https://doi.org/10.1002/nop2.1740

Ratna, H. (2019). The importance of effective communication in healthcare practice. Harvard Public Health Review, 23, 1-6. https://doi.org/10.54111/0001/W4

Reilly, D., Shandilya, S., Streater, B., Aprile, B., Aprile, J. M., & Streater, B. A. (2024). Improving and Sustaining Resident Physician Handover. Cureus, 16(2). https://doi.org/10.7759/cureus.53413

Ross, J. G., Latz, E., Meakim, C. H., & Mariani, B. (2021). TeamSTEPPS curricular-wide integration: Baccalaureate nursing students' knowledge, attitudes, and perceptions. Nurse Educator, 46(6), 355-360. https://doi.org/10.1097/NNE.0000000000000999

Sajan, M., Haeusler, I. L., & Parrish, A. (2020). Mind the message: Referral letter quality at a South African medical outpatient department. South African Medical Journal, 110(5), 396-399. https://doi.org/10.7196/SAMJ.2020.v110i5.14275

Scaioli, G., Schäfer, W. L., Boerma, W. G., Spreeuwenberg, P. M., Schellevis, F. G., & Groenewegen, P. P. (2020). Communication between general practitioners and medical specialists in the referral process: a cross-sectional survey in 34 countries. BMC Family Practice, 21, 1-9. https://doi.org/10.1186/s12875-020-01124-x

Smith, R., Martin, A., Wright, T., Hulbert, S., & Hatzidimitriadou, E. (2021). Integrated dementia care: A qualitative evidence synthesis of the experiences of people living with dementia, informal carers and healthcare professionals. Archives of Gerontology and Geriatrics, 97, 104471. https://doi.org/10.1016/j.archger.2021.104471

Tabalan, D. A. (2016). Common Verbal and Non-Verbal Communication Practices in the Workplace of Multi-National Companies. https://doi.org/10.17148/IARJSET.2016.3533

Villacarlos, F. A., & Daño, J. C. (2020). Impetus of Clinical Nurse Managers: Countless Stories of Nurses. Malaysian Journal of Medical Research (MJMR), 4(1), 9-19. https://doi.org/10.31674/mjmr.2020.v04i01.002

Wang, L., Ma, Y. J., Chen, X. T., Zhang, J., & Liu, T. (2022). The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique. Frontiers in Public Health, 10, 1029573. https://doi.org/10.3389/fpubh.2022.1029573

Wong, X., Tung, Y. J., Peck, S. Y., & Goh, M. L. (2019). Clinical nursing handovers for continuity of safe patient care in adult surgical wards: a best practice implementation project. JBI Evidence Synthesis, 17(5), 1003-1015. https://doi.org/10.11124/JBISRIR-2017- 004024

Yahalom, S., & Manias, E. (2024). Nurses engaging with referral letters and discharge summaries: A qualitative study. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.17054

Zajac, S., Woods, A., Tannenbaum, S., Salas, E., & Holladay, C. L. (2021). Overcoming challenges to teamwork in healthcare: a team effectiveness framework and evidence-based guidance. Frontiers in Communication, 6, 606445. https://doi.org/10.3389/fcomm.2021.606445

Zolkefli, Y. (2022). Greater accountability in nursing handover. Belitung Nursing Journal, 8(1), 84. https://doi.org/10.33546/bnj.1966

Published

20-04-2024

How to Cite

Shirley, S. G. @ A., Abdullah, B. F. ., & III Dioso, R. . (2024). Enhancing Teamwork Through Effective Handover Practices Among Nurses in Elder Care Setting. The Malaysian Journal of Nursing (MJN), 15(4), 100-108. https://doi.org/10.31674/mjn.2024.v15i04.012

Metrics