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proper format in giving handovers and their importance. It is essential for all nurses to determine
that another team member has interpreted her message accurately.
Alternatives to deal the issue
Instead of giving report in closed rooms, patients report should be given at bedside,
involving patient while giving report (Hysong, 2009). This gives opportunity to patients to be
involved in their care by sharing their concerns and goals with incoming nurse (Hysong, 2009).
Using communication tools such as situation-background assessment-recommendation (SBAR)
communication ensures messages are clear, precise and straightforward. This can prevent
misinterpretations and patient harm (Chapman, 2009). Patients who feel uncomfortable with
having their care discussed are free to decline. In order to respect clients privacy and
confidentiality in shared rooms, the nurse can take permission of patients for bedside rounds.
Another way to increase safety du e to miscommunications in patient care is to have a
team huddle at shift change that includes other health care professionals as well. Both shifts can
gather at nursing station and outgoing staff can report the critical information about each patient
that everyone needs to know, including code status, diagnosis, tests scheduled for the day, fall
risks and safety issues and plan for the day. The advantage of having an idea of all patients on a
busy high acuity unit can be a great help at time of emergency. Safety huddle also facilitates
collaboration among nurses of various levels of experience. In a pilot project at large medical
center, SBAR communication, multidisciplinary shift report and situational awareness were
instituted. After one year the improved communication and team work lead to improved patient
safety outcomes (Hillier, Regan & Gordan, 2012).
can be reviewed on regular basis by the nurse managers and evaluations can be done effectively.
Nurses communicate patient status using various communication systems, the Electronic Health
Record (EHR), audio recorded, written or verbal handovers (Carrington, 2012). Verbal report
using nursing handovers and patient records is generally considered an effective method of
exchange in information and tape recordings can be done to review the effectiveness of the
alternative.
References:
Carrington, J. M. (2008). The effectiveness of electronic health record with standardized nursing
languages for communicating patient status related to a clinical event (Order No.
3297974). Available from ProQuest Nursing & Allied Health Source. (304685769).
Retrieved from http://search.proquest.com/docview/304685769?accountid=11530
Carrington, J. M. (2012). Development of a Conceptual Framework to Guide a Program of
Research Exploring Nurse-to-Nurse Communication. CIN: Computers, Informatics,
Nursing, 30(6), 293-299.
Chapman, K. B. (2009). Improving Communication Among Nurses, Patients, and Physicians.
AJN, American Journal of Nursing, 109, 21-25.
Dingley, C., (2007). Improving patient safety through provider communication strategy
enhancements. American Nursing Association (ANA).
Hysong, Sylvia J., et al. "Improving outpatient safety through effective electronic
communication: a study protocol." Implementation Science 4 (2009): 62. Academic
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