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Interactions between nurses during handovers in elderly care.

Payne, Sheila and Hardey, Michael and Coleman, Peter (2000) Interactions between nurses during handovers in elderly care. Journal of Advanced Nursing, 32 (2). pp. 277-285. ISSN 0309-2402

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Abstract

This paper explores the role of nursing interaction within the context of handovers and seeks to identify the clinical discourses used by registered nurses, student nurses and care assistants in acute elderly care wards, to determine their influence on the delivery of patient care. The study design involved an ethnographic approach to data collection which involved: observations of formal nursing end of shift reports (23 handovers) and informal interactions between nurses (146 hours); interviews (n=34) with registered nurses, student nurses and care assistants; and analysis of written nursing records. A grounded theory analysis was undertaken. Data were collected from five acute elderly care wards at a district general hospital in the south of England. Results from this empirical study indicate that handovers were formulaic, partial, cryptic, given at high speed, used abbreviations and jargon, required socialized knowledge to interpret, prioritized biomedical accounts and emphasized physical aspects of care. Patients' resuscitation status was highly salient to all grades of nurse. Doing 'paperwork' was accorded less status and priority than patient care, and was regarded as excessively time consuming. Despite this, there was evidence of repetition in nursing documents. Moreover, the delivery of clinical nursing appeared to be guided by personal records rather than formal records.

Item Type: Article
Journal or Publication Title: Journal of Advanced Nursing
Uncontrolled Keywords: communication • nurses • nursing • elderly care • health services research • ward handovers • resuscitation status • written records • medical decisions
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Health and Medicine > Health Research
ID Code: 32552
Deposited By: Mr Richard Ingham
Deposited On: 29 Mar 2010 10:11
Refereed?: Yes
Published?: Published
Last Modified: 19 Mar 2013 11:08
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/32552

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