Implementing bedside handover: Strategies for change management

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Title Implementing bedside handover: Strategies for change management
Author McMurray, Anne Mary; Chaboyer, Wendy; Wallis, Marianne; Fetherston, Cathy
Journal Name Journal of Clinical Nursing
Year Published 2010
Place of publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd
Abstract Aims and objectives.  To identify factors influencing change in two hospitals that moved from taped and verbal nursing handover to bedside handover. Background.  Bedside handover is based on patient-centred care, where patients participate in communicating relevant and timely information for care planning. Patient input reduces care fragmentation, miscommunication-related adverse events, readmissions, duplication of services and enhances satisfaction and continuity of care. Design.  Analysing change management was a component of a study aimed at developing a standard operating protocol for bedside handover communication. The research was undertaken in two regional acute care hospitals in two different states of Australia. Method.  Data collection included 532 semi-structured observations in six wards in the two hospitals and 34 in-depth interviews conducted with a purposive sample of nursing staff involved in the handovers. Observation and interview data were analysed separately then combined to generate thematic analysis of factors influencing the change process in the transition to bedside handover. Results and conclusion.  Themes included embedding the change as part of the big picture, the need to link the project to standardisation initiatives, providing reassurance on safety and quality, smoothing out logistical difficulties and learning to listen. We conclude that change is more likely to be successful when it is part of a broader initiative such as a quality improvement strategy. Relevance to clinical practice.  Nurses are generally supportive of quality improvement initiatives, particularly those aimed at standardising care. For successful implementation, change managers should be mindful of clinicians' attitudes, motivation and concerns and their need for reassurance when changing their practice. This is particularly important when change is dramatic, as in moving from verbal handover, conducted in the safety of the nursing office, to bedside handover where there is greater transparency and accountability for the accuracy and appropriateness of communication content and processes.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1111/j.1365-2702.2009.03033.x
Copyright Statement Copyright 2010 Wiley-Blackwell Publishing. This is the author-manuscript version of the paper. Reproduced in accordance with the copyright policy of the publisher.The definitive version is available at www.interscience.wiley.com
Volume 19
Issue Number 17-18
Page from 2580
Page to 2589
ISSN 0962-1067
Date Accessioned 2010-08-30
Date Available 2011-06-06T05:59:43Z
Language en_AU
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/34146
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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