Transcript Slide 1

Patients and health workers responses to Bedside Handover
reporting as part of change management at Atoifi Hospital.
Otuana E1, Konau R1, Dilenty L1, Asugeni. R.T1,2
1Atoifi Adventist Hospital.
2 James Cook University
Introduction
• Handover reporting at Atoifi Hospital traditionally takes place in
each ward’s office where patients cannot hear information about
their health.
• Since 2012, bedside handover reporting was introduced to Atoifi
Hospital as part of a change management process.
• Bedside handover is believed to be patient-centred approach
whereby patients are encouraged to involve in the decisions about
their health.
• There has not been any study conducted on patients, registered
nurses and nursing administrators responses to Bedside handover.
• This study explores patients, registered nurses and nursing
administrators perceptions toward bedside handover at Atoifi
Hospital and how their responses can better improve and sustain
the change management on bedside handover reporting.
Emergent themes
Four themes emerged: i) confidentiality, ii) Centred-care, iii)
Cultural sensitivity and iv) Educational needs.
1. Most patients, nurses and nursing administrators stated that
confidentiality needs improvement when conducting bedside
handover in Atoifi
Mi feel shame, nurses ol tokaboutim sick blo mi lo front blo staka
pipol (Female patient, OBW).
Mi feel hem no fittim fo mi storim secret or private samting taem
pipol stay, taem bed ya stap klosap (Male patient, MW).
I’m not feel good about it. Patient confidentiality is not
maintained(Male Nurse).
With beds close by, verbal report does not maintain confidentiality
which is against nursing ethics (Nursing Administrator).
Conclusions
Four key areas to improve and sustain the change management
process on bedside handover were identified by staff and
patients.
Most respondents highlighted that there is room for
improvement and a need for nurses, patients and nursing
administrator to assist in developing a bedside handover
guideline relevant for the Atoifi context.
Further research is needed to inform guidelines that are relevant
to bedside handover in the Atoifi context.
Four key areas to improve and sustain the change management
process of Bedside Handover
Atoifi Adventist Hospital
2. All participants recommend that nurses must be sensitive to
patients’ culture when conducting bedside handover.
If patient hem from mountain (bush) no can report lo side lo bed
bikos hem tabu lo custom (Female patient, OBW)
To talk about somebody’s diagnose and other sensitive complaints
and issues while other people are watching and listening is very
embarrassing for people. It violates culture (Male nurse).
Sensitive issues to be discussed away from patients if required,
especially bush people explained in different manner (Female
Nursing Administrator).
Acknowledgements
Handover report at nursing station
James Cook University and TDR for research capacity building
support at Atoifi.
Lyndel S Asugeni, Registered Nurse, Atoifi Adventist Hospital
3. Both nurses and patients acknowledged that bedside
handover provides the opportunity for patients to involve
in their care while in the wards.
Mi feel happy lo bedside handover bikos nurses gat
References
concern lo mi(Female patient, FW)
Bedside handover gives closeness between every one in the 1. Chaboyer. W, McMurray. A, & Wallis. M (2008). Standard Operating Protoccol
ward, it involves staff, student, patient therefore nurses
for Implementating Bedside Handover in Nursing: Australian Commission on
Safety and Quality in Healthcare.
and patients knows each other well (Male nurse).
2. Rutherford,P.,Lee, B. & Greiner, A.(2004). Transforming care at the bedside.
Good in a sense that its more factual, the recipient see
Cambridge, Ma: Institute for Healthcare Innovations.
what’s being said, can ask questions if there’s any (Nursing 3. World Health Organisation (2007). Communication during patient hand-overs.
Administrator).
Patient Safety Solutions, 1(3). Accessed from http//www.who.int/patientsfety
(26 May, 2008).
Contacts
Method
Sampling method
• Eight (8) nurses, 4 administrators, 8 patients were purposively
sampled.
• Nurses were given written responses and patients provided verbal
responses.
• Voice recorded and transcribed and added to written responses.
Transcript were manually coded and thematically analysed.
Interview with a patient
4. Most nursing Administrators pointed out that educational
need of staff and students needs on bedside handover is
important in order to sustain this change management.
Education on handover to all new staff and students
.Workshop on bedside handover for junior staff on what is
important to handover (Female nursing administrator)
Have nursing forum meeting (Male nursing administrator).
Orders of reporting system must be practical during
reporting/standard checklist (Male nursing
administrator).
Data analysis
Mrs Rowena Asugeni
Director of Nursing, Atoifi Adventist Hospital
[email protected]
Eileen Otuana
Nurse Probationer, Atoifi Adventist Hospital
Raenisha Konau
Nurse Probationer, Atoifi Adventist Hospital
Lavinia Dilenty
Nurse Probationer, Atoifi Adventist Hospital
Handover report at bedside
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