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Patient and nurse preferences for implementation of bedside handover: do they agree? Findings from a discrete choice experiment

journal contribution
posted on 2017-08-01, 00:00 authored by J A Whitty, J Spinks, Tracey BucknallTracey Bucknall, G Tobiano, W Chaboyer
OBJECTIVE: To describe and compare patients' and nurses' preferences for the implementation of bedside handover. DESIGN: Discrete choice experiment describing handover choices using six characteristics: whether the patient is invited to participate; whether a family member/carer/friend is invited; the number of nurses present; the level of patient involvement; the information content; and privacy. SETTING: Two Australian hospitals. PARTICIPANTS: Adult patients (n=401) and nurses (n=200) recruited from medical wards. MAIN OUTCOME MEASURES: Mean importance scores for handover characteristics estimated using mixed multinomial logit regression of the choice data. RESULTS: Both patient and nurse participants preferred handover at the bedside rather than elsewhere (P<.05). Being invited to participate, supporting strong two-way communication, having a family member/carer/friend present and having two nurses rather than the nursing team present were most important for patients. Patients being invited to participate and supporting strong two-way communication were most important for nurses. However, contrary to patient preferences, having a family member/carer/friend present was not considered important by nurses. Further, while patients expressed a weak preference to have sensitive information handed over quietly at the bedside, nurses expressed a relatively strong preference for handover of sensitive information verbally away from the bedside. CONCLUSIONS: All participants strongly support handover at the bedside and want patients to participate although patient and nurse preferences for various aspects of bedside handover differ. An understanding of these preferences is expected to support recommendations for improving the patient hospital experience and the consistent implementation of bedside handover as a safety initiative.

History

Journal

Health expectations

Volume

20

Issue

4

Pagination

742 - 750

Publisher

Wiley-Blackwell Publishing

Location

Chichester, Eng.

ISSN

1369-6513

eISSN

1369-7625

Language

eng

Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2016, The Authors