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. 2024 May;33(5):1751-1761.
doi: 10.1111/jocn.16967. Epub 2024 Feb 27.

Reaching consensus on the definition of person-centred handover practices in emergency departments: A modified online Delphi

Santel de Lange  1 , Tanya Heyns  1 , Celia Filmalter  1
Affiliations

Reaching consensus on the definition of person-centred handover practices in emergency departments: A modified online Delphi

Santel de Lange et al. J Clin Nurs. 2024 May.

Abstract

Aim: To reach consensus on the definition and attributes of 'person-centred handover practices' in emergency departments.

Background: Handover practices between emergency care practitioners and healthcare professionals in emergency departments are important and should be conducted meticulously. Person-centred handover practices may enhance the delivery of person-centred care in emergency departments.

Design: A three-round online Delphi survey.

Methods: Nine experts participated in a three round Delphi survey. The expert panel comprised experts from nine countries. Quantitative data were descriptively analysed, and qualitative data were thematically analysed. A consensus of 80% had to be reached before an attribute and definition could be accepted.

Results: Experts reached a consensus of 79% in round one, 95% in round two and 95% in round three. A final set of six attributes were agreed upon and the final concept definition was formulated.

Conclusion: Person-centred handover practices have not been implemented in emergency departments. Yet, person-centred handover practices may enhance the delivery of person-centred care, which has multiple benefits for patients and healthcare practitioners.

Implications for the profession and/or patient care: Person-centred care is not generally implemented in emergency departments. Person-centred handover practices can lead to person-centred care. Handover practices in emergency departments are a high-risk activity. Despite numerous calls to standardise and improve handover practices, they remain a problem. Developing a standardised definition could be a first step towards implementing person-centred handover practices in emergency departments.

Reporting method: The study adhered to the relevant EQUATOR reporting guidelines: Guidance on Conducting and Reporting Delphi Studies (CREDES) checklist.

Impact (addressing): Improve handover practices and patient care. Improve person-centred care in emergency departments.

Patient or public contribution: Emergency care practitioners and nurses experienced in handover practices and/or person-centred care, working in clinical and academic fields, participated in the study by sharing their expert knowledge during each of the Delphi rounds.

Keywords: Delphi; concept; emergency department; handover practices; person‐centred care.

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References

REFERENCES

    1. Almaze, J. P. B., & de Beer, J. (2017). Patient‐and family‐centred care practices of emergency nurses in emergency departments in the Durban area, KwaZulu‐Natal, South Africa. Southern African Journal of Critical Care, 33(2), 59–65. https://doi.org/10.7196/SAJCC.2017.v33i2.317
    1. Bagnasco, A., Costa, A., Catania, G., Zanini, M., Ghirotto, L., Timmins, F., & Sasso, L. (2019). Improving the quality of communication during handover in a Paediatric Emergency Department: A qualitative pilot study. Journal of Preventive Medicine and Hygiene, 60(3), E219–E225. https://doi.org/10.15167/2421‐4248/jpmh2019.60.3.1042
    1. Beiderbeck, D., Frevel, N., von der Gracht, H. A., Schmidt, S. L., & Schweitzer, V. M. (2021). Preparing, conducting, and analyzing Delphi surveys: Cross‐disciplinary practices, new directions, and advancements. MethodsX, 8, 1–20. https://doi.org/10.1016/j.mex.2021.101401
    1. Bost, N., Crilly, J., Patterson, E., & Chaboyer, W. (2012). Clinical handover of patients arriving by ambulance to a hospital emergency department: A qualitative study. International Emergency Nursing, 20(3), 133–141. https://doi.org/10.1016/j.ienj.2011.10.002
    1. Campbell, D., & Dontje, K. (2019). Implementing bedside handoff in the emergency department: A practice improvement project. Journal of Emergency Nursing, 45(2), 149–154. https://doi.org/10.1016/j.jen.2018.09.007

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