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Evaluation of patie...
Evaluation of patient participation in relation to the implementation of a person-centered nursing shift handover
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- Lantz, Ann‐Christin Hultman (author)
- Uppsala universitet,Institutionen för folkhälso- och vårdvetenskap,Vårdvetenskap, Caring Sciences
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- Gunningberg, Lena (author)
- Uppsala universitet,Institutionen för folkhälso- och vårdvetenskap,Vårdvetenskap, Caring Sciences
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- Eriksson, Gunilla (author)
- Uppsala universitet,Institutionen för medicinska vetenskaper,Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy Karolinska Institutet Huddinge Sweden,Rehabiliteringsmedicin
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- Eldh, Ann Catrine (author)
- Uppsala universitet,Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Uppsala Univ, Sweden,Institutionen för folkhälso- och vårdvetenskap,Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden,Hälso- och sjukvårdsforskning
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- Wenemark, Marika (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Region Östergötland, Enheten för folkhälsa,Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden;Unit of Public Health and Statistics, Region Östergötland Linköping Sweden
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- Pöder, Ulrika (author)
- Uppsala universitet,Institutionen för folkhälso- och vårdvetenskap,Vårdvetenskap, Caring Sciences
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- WILEY, 2023
- 2023
- English.
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In: Worldviews on Evidence-Based Nursing. - : WILEY. - 1545-102X .- 1741-6787. ; 20:4, s. 330-338
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Abstract
Subject headings
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- BackgroundIt has been suggested that nursing shift-to-shift handover should be a more team-based dialogue with and for the patient rather than about a patient. AimThe aim of this study was to evaluate patient participation in relation to the implementation of the person-centered handover (PCH). MethodA pretest-posttest design was used without a comparison group, including patients from nine units in a university hospital at pretest (n = 228) and after implementing PCH (posttest, n = 253) per the framework integrated-Promoting Action on Research Implementation in Health Services. The PCH is inspired by an Australian bedside handover model. The Patient Preferences for the Patient Participation tool was used to rate the preference for and experience of participation on 12 items, combined into three levels of preference-based participation (insufficient-fair-sufficient). ResultsThere were no differences regarding experience or preference-based participation between patients at pretest-posttest; however, posttest patients experienced participation in the item Reciprocal communication to a lesser extent than the pretest patients. Only 49% of the posttest group received PCH; of those not receiving PCH, some would have wanted PCH (27%), while some would have declined (24%). Patients receiving PCH had sufficient participation (82%), to a greater extent, regarding the item Sharing ones symptoms with staff than patients at pretest (72%). Patients receiving PCH also had sufficient participation, to a greater extent, than patients at posttest who did not receive, but would have wanted PCH, regarding four items: (1) sharing ones symptoms with staff, (2) reciprocal communication, (3) being told what was done, and (4) taking part in planning. Linking evidence to actionMost patients want to be present at PCH. Therefore, nurses should ask for the patients preferences regarding PCH and act accordingly. Not inviting patients who want PCH could contribute to insufficient patient participation. Further studies are needed to capture what assistance nurses would want in identifying and acting in alignment with patient preferences.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- bedside handover; bedside handover report; patient participation; person-centered handover; preference-based participation; preferences
Publication and Content Type
- ref (subject category)
- art (subject category)
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