Nursing handovers: do we really need them?
OBJECTIVE
This study attempts to address the content of nursing handover when compared with formal documentation sources.


BACKGROUND
The nursing handover has attracted criticism in the literature in relation to its continuing role in modern nursing. Criticisms include those related to time expenditure, content, accuracy and the derogatory terms in which patients are sometimes being discussed.


METHODS
Twenty-three handovers, covering all shifts, from one general medical ward were audio-taped. Their content was analysed and classified according to where, within a ward's documentation systems, the information conveyed could be located.


RESULTS
Results showed that almost 84.6% of information discussed could be located within existing ward documentation structures and 9.5% of information discussed was not relevant to ongoing patient care. Only 5.9% of handover content involved discussions related to ongoing care or ward management issues that could not be recorded in an existing documentation source.


CONCLUSIONS
The results of this study are representative of only one ward in one Australian Hospital. Specific documentation sources were also not checked to determine their content.


CONCLUSIONS
Streamlining the nursing handover may improve the quality of the information presented and reduce the amount of time spent in handover.
Sexton
Amanda
A
Department of Public Health, University of Wollongong, Wollongong, NSW, Australia.
Chan
Connie
C
Elliott
Malcolm
M
Stuart
John
J
Jayasuriya
Rohan
R
Crookes
Patrick
P
D003142:Communication; D003266:Continuity of Patient Care; D006801:Humans; D009517:New South Wales; D009737:Nursing Records; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D010347:Patient Care Planning; D036301:Qualitative Research