Authors (including presenting author) :
Yau PY(1)(2), Leung CC(1)(2), Leung CYM(1)(2), Ng ML(1)(2), Ng LK(1)(2)
Affiliation :
(1)Department of Surgery (2)Ruttonjee & Tang Shiu Kin Hospitals
Introduction :
With the raise of the concept of patient-centred care, patients and nurses are both encouraged to participate in health care planning. By moving clinical handover to the bedside, not only allow nurses to have immediate assessment of patients’ general conditions, also allows patients to voice out their needs and concerns during the handover process, leading to improvements in handover accuracy and patient care continuity.
Objectives :
To enhance a safety and quality patient centred care at bedside handover.
Methodology :
Sampling:
Nurses and patients in A8 ward in Ruttonjee & Tang Shiu Kin Hospitals from April to December 2019.
Methodology:
1. Preparation phase: workgroup formation; identify staff concerns and improvements area by collecting opinions through survey and discussions; (March, 2019)
2. Provide education on clinical handover strategies (the necessity of instant check on patients’ general condition during handover process), and the criteria of handover content (April-May, 2019)
3. Implement bedside clinical handover from AM shift to PM shift with the use of ISBAR Handover Prompt card(June-November, 2019)
4. Post-program phase: Collect patient satisfaction survey, staff opinion survey and time count for handover (Dec, 2019)
Result & Outcome :
(1)Staff Satisfaction
18 nurses in A8 Surgical Ward participated in the program. By comparing pre and post staff surveys, nurses are satisfied with the time needed for handover and patient assessment with 20% increase. Moreover, 30% increase of staff expressed that bedside handover helps them to obtain updated conditions of the patients. 40% increase in nurse thought that bedside clinical handover can improve patients’ participation building trust. Result showed that 15% of staff preferred handover at nurse station.
Mild reduction of 20% staff in expressing worrisome towards distractions, unpleasant handover environments, difficulties in handling sensitive information of patients during beside handover.
(2) Patient Satisfaction
10 patients were invited to participate in the survey. More than 90% of patients were satisfied with bedside handover, 10% of patients expressed their concerns in patients’ participation issues, worrying that they would interrupt the handover.
Conclusion
Obviously, action is much better that imagination. The effectiveness of bedside handover in facilitating patient-centred care is being appreciated after the six-months trial.There are still several worrisome are identified, further modifications in handover environment should be done. Nurses are encouraged to interact with patients to ensure patients’ participation. We wish bedside handover will help to achieve sustainable developments in other patient-centred care related research in the future.
