Analysis of bedside nursing handover implementation by nurses: An observational study
Keywords:
bedside handover, nursing communication, patient safety, nursing management, continuity of careAbstract
Patient handover is a critical nursing process to ensure continuity of care and patient safety. Ineffective and unstructured handover practices increase the risk of miscommunication and adverse events. Bedside nursing handover is considered an effective strategy to improve communication and patient involvement. This study aimed to identify bedside nursing handover. This study used a descriptive observational case study design. The sample consisted of 22 nurses working in the Bromo Ward of Dr. Saiful Anwar Hospital, selected using total sampling. Data were collected through observation using a 22-item bedside nursing handover checklist and interviews with the head nurse and clinical instructor. Data were analyzed descriptively. The implementation of bedside nursing handover was generally almost optimal. Most indicators related to effective communication, patient involvement, and patient safety were well implemented. However, communication regarding patients’ daily care needs and inspection of call bells were not consistently performed. Bedside nursing handover was conducted only during the morning shift due to limited nursing staff on other shifts.
Bedside nursing handover in the Bromo Ward has been implemented well but remains suboptimal. Barriers include limited communication of basic patient needs and constraints in staffing and facilities.
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