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. 2022 May 1;31(3):181-188.
doi: 10.4037/ajcc2022629.

Standardized Change-of-Shift Handoff: Nurses' Perspectives and Implications for Evidence-Based Practice

Lori M Rhudy  1 , Maren R Johnson  2 , Catherine A Krecke  3 , Danielle S Keigley  4 , Sarah J Kraft  5 , Pamela M Maxson  6 , Sharon M McGill  7 , Karen T Warfield  8
Affiliations

Standardized Change-of-Shift Handoff: Nurses' Perspectives and Implications for Evidence-Based Practice

Lori M Rhudy et al. Am J Crit Care. .

Abstract

Background: Nursing handoff is a communication activity with a high risk for loss or omission of information. Efforts to improve handoffs include standardization of the processes and content of handoff communications.

Objectives: To examine nurses' perspectives on the structure and organization of change-of-shift handoffs.

Methods: A qualitative descriptive approach was used to conduct a secondary analysis of focus group data. Thirty-four nurses from 4 critical care units participated in focus groups.

Results: Three themes emerged: handoff elements are defined by practice and culture; a clear, consistent, identified structure supports handoff; and personal preferences can disrupt handoff.

Conclusions: A standardized approach to handoff based on unit and organizational needs will be more successful than a broad mandate of content and organization. Individual preference is prevalent and strongly influences the information conveyed and the structure of handoff communication.

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