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Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study
OBJECTIVE: We investigated the content and quality of communication of interservice interprofessional handover between obstetric nurses and neonatal physicians for high-risk deliveries. DESIGN: Observational study. SETTING: Labour and delivery unit at a tertiary care hospital. METHOD: We audio-recor...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542453/ https://www.ncbi.nlm.nih.gov/pubmed/31206078 http://dx.doi.org/10.1136/bmjpo-2018-000432 |
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author | Arora, Anshul Kannampallil, Thomas Abraham, Joanna |
author_facet | Arora, Anshul Kannampallil, Thomas Abraham, Joanna |
author_sort | Arora, Anshul |
collection | PubMed |
description | OBJECTIVE: We investigated the content and quality of communication of interservice interprofessional handover between obstetric nurses and neonatal physicians for high-risk deliveries. DESIGN: Observational study. SETTING: Labour and delivery unit at a tertiary care hospital. METHOD: We audio-recorded handovers between obstetric and neonatal teams (n=50) and conducted clinician interviews (n=29). A handover content framework was developed and used to qualitatively code missing core and ancillary content and their potential for adverse events. RESULTS: 26 (52%) handovers missed one or more clinical content elements; a third of the handovers missed at least one core clinical content element. Increase in the number of missed clinical content elements increased the odds of potential adverse events by 2.39 (95% CI1.18 to 5.37). Both residents and nurses perceived handovers to be of low quality and inconsistent and attributed it to the lack of a structured handover process. CONCLUSION: Streamlining handover processes by instituting standardisation approaches for both information organisation and communication can improve the quality of neonatal handovers. |
format | Online Article Text |
id | pubmed-6542453 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-65424532019-06-14 Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study Arora, Anshul Kannampallil, Thomas Abraham, Joanna BMJ Paediatr Open Original Article OBJECTIVE: We investigated the content and quality of communication of interservice interprofessional handover between obstetric nurses and neonatal physicians for high-risk deliveries. DESIGN: Observational study. SETTING: Labour and delivery unit at a tertiary care hospital. METHOD: We audio-recorded handovers between obstetric and neonatal teams (n=50) and conducted clinician interviews (n=29). A handover content framework was developed and used to qualitatively code missing core and ancillary content and their potential for adverse events. RESULTS: 26 (52%) handovers missed one or more clinical content elements; a third of the handovers missed at least one core clinical content element. Increase in the number of missed clinical content elements increased the odds of potential adverse events by 2.39 (95% CI1.18 to 5.37). Both residents and nurses perceived handovers to be of low quality and inconsistent and attributed it to the lack of a structured handover process. CONCLUSION: Streamlining handover processes by instituting standardisation approaches for both information organisation and communication can improve the quality of neonatal handovers. BMJ Publishing Group 2019-04-26 /pmc/articles/PMC6542453/ /pubmed/31206078 http://dx.doi.org/10.1136/bmjpo-2018-000432 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Original Article Arora, Anshul Kannampallil, Thomas Abraham, Joanna Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study |
title | Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study |
title_full | Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study |
title_fullStr | Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study |
title_full_unstemmed | Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study |
title_short | Interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study |
title_sort | interdisciplinary handover between obstetric nursing and neonatal physician teams: an observational study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542453/ https://www.ncbi.nlm.nih.gov/pubmed/31206078 http://dx.doi.org/10.1136/bmjpo-2018-000432 |
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