Clinical handover of patients arriving by ambulance to a hospital emergency department: A qualitative study

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Title Clinical handover of patients arriving by ambulance to a hospital emergency department: A qualitative study
Author Bost, Nerolie Fiona; Crilly, Julia Louise; Patterson, Elizabeth Anne; Chaboyer, Wendy
Journal Name International Emergency Nursing
Year Published 2012
Place of publication United Kingdom
Publisher Elsevier Ltd
Abstract Aim: The aims of this study were to (1) explore the clinical handover processes between ambulance and ED personnel of patients arriving by ambulance at one hospital and (2) identify factors that impact on the information transfer to ascertain strategies for improvement. Methods: A focused ethnographic approach was used that included participant observation, conversational interviews and examination of handover tools. Participants included ambulance paramedics, nurses and medical practitioners from an ambulance service and regional hospital located in South East Queensland, Australia. Grounded theory methods of constant comparative data analyses were used to generate categories of findings. Findings: Two types of clinical handover were identified: (1) for non-critical patients and (2) for critical patients. Quality of handover appears to be dependent on the personnel's expectations, prior experience, workload and working relationships. Lack of active listening and access to written information were identified issues.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1007/10.1016/j.ienj.2011.10.002
Volume 20
Issue Number 3
Page from 133
Page to 141
ISSN 1755-599X
Date Accessioned 2012-04-10
Language en_US
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Griffith Health Faculty
Subject Nursing
URI http://hdl.handle.net/10072/44718
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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