Resisting bedside reporting Waiting your turn Dealing with competing priorities () Interviews BSHO implemented 3 themes: Canada (n=45) for 18 months on 1 Creating a for personal connection unit and 6 months on up to speed” “Bumping the other 3 units priors Varying preferences to interviews () BSHO practiced since 5 themes: Australia 2008 following Bedside handover strengths and weaknesses focus groups national initiatives Patient involvement in handover (n=6) Good communication is about good communicators Three sources of information (verbal handover, written notes and nursing notes) Other issues () Observations, BSHO implemented 5 categories: Australia surveys for 6 months; patient Implementation and transition (n=120), focus clinical information Work practice changes and bedside handover group system implemented Accessible and standardised patient information interviews at same time Accountability for information transfer (n=3) A central repository of patient information () Survey (n=153) Only 1 unit (4.3%) Nurse preferences: Australia conducted bedside Preference for how information is transferred: handover Verbal and written= 104 nurses (68.0%) Preference for who provides afternoon handover: Nurse in charge= 63 nurses (41.2%) Preference for where handover is conducted: Staff room= 103 nurses (67.3%) Would you like the style of handover to change? No change= 125 nurses (81.7%)
Resisting bedside reporting Waiting your turn Dealing with competing priorities () Canada Interviews (n=45) BSHO implemented for 18 months on 1 unit and 6 months on the other 3 units priors to interviews 3 themes: Creating a for personal connection “Bumping up to speed” Varying preferences () Australia focus groups (n=6) BSHO practiced since 2008 following national initiatives 5 themes: Bedside handover strengths and weaknesses Patient involvement in handover Good communication is about good communicators Three sources of information (verbal handover, written notes and nursing notes) Other issues () Australia Observations, surveys (n=120), focus group interviews (n=3) BSHO implemented for 6 months; patient clinical information system implemented at same time 5 categories: Implementation and transition Work practice changes and bedside handover Accessible and standardised patient information Accountability for information transfer A central repository of patient information () Australia Survey (n=153) Only 1 unit (4.3%) conducted bedside handover Nurse preferences: Preference for how information is transferred: Verbal and written= 104 nurses (68.0%) Preference for who provides afternoon handover: Nurse in charge= 63 nurses (41.2%) Preference for where handover is conducted: Staff room= 103 nurses (67.3%) Would you like the style of handover to change? No change= 125 nurses (81.7%)