- Immediately after nurse-to-nurse shift report, I am able to communicate with physicians regarding patient care: Mean=3 pre, Mean=1 post () BSHO implemented 3 4 themes: Australia years prior to study Acknowledging patients as partners interviews Amending inaccuracies (n=10) Passive engagement Handover as interaction (, ) Surveys Blended handover: Statistically significantly improvements for patients for: USA (n=844), recorded and BSHO Made sure I knew who my nurse was: Mean= 4.56 pre, Mean= 4.76 post measures of used Encourage me to be involved in care: Mean= 4.36 pre, Mean= 4.59 post patient falls, Communicated important information shift to shift: Mean= 4.40 pre, Mean= 4.60 post medication BSHO (including use Patient narrative responses at 3 and 13 months: globally positive comments indicating errors and of SBAR) in for good and professional care (n=106-93; 42-48%), BSHO not used or used inconsistently nurse overtime 13 months (n=24-34; 10-18%), felt informed, good explanations (n=20-19; 8-10%) (n=9 nurses per Statistically significant improvements for nurses for: unit for 10 Report is an effective means of communication: Mean= 4.04 pre, Mean= 3.98 post shifts in the Report helps assure accountability: Mean= 3.43 pre, Mean= 3.85 post month) Report is relatively stress free: Mean= 3.63 pre, Mean= 3.48 post Report helps prevent patient safety problems: Mean= 3.41 pre, Mean= 3.93 post Report promotes patient involvement: Mean= 2.64 pre, Mean= 3.81 post Nurse perceptions of bedside handover: checks of intravenous medication and safety going well, BSHO is too time consuming, recorded and BSHO needs to stop to improve handover Falls and medication errors decreased. No change in overtime data with the change to BSHO () Survey (259) BSHO in place for 5 Nurses received one or two handovers at shift commencement. Handover Australia and audit months at time of (significantly shorter for those receiving one handover) audit (including use of SBAR)
- Immediately after nurse-to-nurse shift report, I am able to communicate with physicians regarding patient care: Mean=3 pre, Mean=1 post () Australia interviews (n=10) BSHO implemented 3 years prior to study 4 themes: Acknowledging patients as partners Amending inaccuracies Passive engagement Handover as interaction (, ) USA Surveys (n=844), measures of patient falls, medication errors and nurse overtime (n=9 nurses per unit for 10 shifts in the month) Blended handover: recorded and BSHO used BSHO (including use of SBAR) in for 13 months Statistically significantly improvements for patients for: Made sure I knew who my nurse was: Mean= 4.56 pre, Mean= 4.76 post Encourage me to be involved in care: Mean= 4.36 pre, Mean= 4.59 post Communicated important information shift to shift: Mean= 4.40 pre, Mean= 4.60 post Patient narrative responses at 3 and 13 months: globally positive comments indicating good and professional care (n=106-93; 42-48%), BSHO not used or used inconsistently (n=24-34; 10-18%), felt informed, good explanations (n=20-19; 8-10%) Statistically significant improvements for nurses for: Report is an effective means of communication: Mean= 4.04 pre, Mean= 3.98 post Report helps assure accountability: Mean= 3.43 pre, Mean= 3.85 post Report is relatively stress free: Mean= 3.63 pre, Mean= 3.48 post Report helps prevent patient safety problems: Mean= 3.41 pre, Mean= 3.93 post Report promotes patient involvement: Mean= 2.64 pre, Mean= 3.81 post Nurse perceptions of bedside handover: checks of intravenous medication and safety going well, BSHO is too time consuming, recorded and BSHO needs to stop to improve handover Falls and medication errors decreased. No change in overtime data with the change to BSHO () Australia Survey (259) and audit BSHO in place for 5 months at time of audit (including use of SBAR) Nurses received one or two handovers at shift commencement. Handover (significantly shorter for those receiving one handover)
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