Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals

The transfer of accountability (TOA) for a patient from one nurse to another at change of shift is an important opportunity to exchange essential patient care information, as well as to enhance the safety and quality of patient care. This study was undertaken to explore nurses’, patients’ and family...

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Autores principales:	Kristina Miller, Aden Hamza, Kateryna Metersky, Dianne Gaffney
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2018
Materias:	transfer of accountability nursing qualitative methods patient engagement communication patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/89884c45178b45a0aeef1df0a0dfeb71
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spelling	oai:doaj.org-article:89884c45178b45a0aeef1df0a0dfeb712021-11-15T04:25:45ZNursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals2372-0247https://doaj.org/article/89884c45178b45a0aeef1df0a0dfeb712018-04-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss1/12https://doaj.org/toc/2372-0247The transfer of accountability (TOA) for a patient from one nurse to another at change of shift is an important opportunity to exchange essential patient care information, as well as to enhance the safety and quality of patient care. This study was undertaken to explore nurses’, patients’ and family members’ perceptions associated with the implementation of bedside nurse to nurse TOA. Focus groups were conducted pre-implementation (two with nurses and two with patients and family members) and post-implementation (six with nurses and two with patients and family members). The focus groups were audio-recorded, transcribed and analysed using directed content analysis. Findings were divided into positive outcomes and challenges to bedside nurse to nurse TOA. Positive outcomes included increased patient safety, more informed patients more consistent use of whiteboards in the patient rooms, better engagement with family via the whiteboard and increased family involvement, confirmation of information between nurses, increased accountability between nurses, and personal introduction/icebreaker of the new nurse. The inclusion of the Patient Partners on the project team was a key success factor for the project. Challenges included a perception of lengthened time required for TOA and increased workload, lack of privacy and potential breaches of confidentiality, patient fear and lack of comprehension, lack of clarity in TOA processes, and inconsistent application of the procedures. Hospital administrators and nurse leaders can use these findings to anticipate and understand change associated with bedside TOA as seen by both nurses and patients/families.Kristina MillerAden HamzaKateryna MeterskyDianne GaffneyThe Beryl Institutearticletransfer of accountabilitynursingqualitative methodspatient engagementcommunicationpatient experienceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	transfer of accountability nursing qualitative methods patient engagement communication patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	transfer of accountability nursing qualitative methods patient engagement communication patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270 Kristina Miller Aden Hamza Kateryna Metersky Dianne Gaffney Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals
description	The transfer of accountability (TOA) for a patient from one nurse to another at change of shift is an important opportunity to exchange essential patient care information, as well as to enhance the safety and quality of patient care. This study was undertaken to explore nurses’, patients’ and family members’ perceptions associated with the implementation of bedside nurse to nurse TOA. Focus groups were conducted pre-implementation (two with nurses and two with patients and family members) and post-implementation (six with nurses and two with patients and family members). The focus groups were audio-recorded, transcribed and analysed using directed content analysis. Findings were divided into positive outcomes and challenges to bedside nurse to nurse TOA. Positive outcomes included increased patient safety, more informed patients more consistent use of whiteboards in the patient rooms, better engagement with family via the whiteboard and increased family involvement, confirmation of information between nurses, increased accountability between nurses, and personal introduction/icebreaker of the new nurse. The inclusion of the Patient Partners on the project team was a key success factor for the project. Challenges included a perception of lengthened time required for TOA and increased workload, lack of privacy and potential breaches of confidentiality, patient fear and lack of comprehension, lack of clarity in TOA processes, and inconsistent application of the procedures. Hospital administrators and nurse leaders can use these findings to anticipate and understand change associated with bedside TOA as seen by both nurses and patients/families.
format	article
author	Kristina Miller Aden Hamza Kateryna Metersky Dianne Gaffney
author_facet	Kristina Miller Aden Hamza Kateryna Metersky Dianne Gaffney
author_sort	Kristina Miller
title	Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals
title_short	Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals
title_full	Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals
title_fullStr	Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals
title_full_unstemmed	Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals
title_sort	nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in ontario community hospitals
publisher	The Beryl Institute
publishDate	2018
url	https://doaj.org/article/89884c45178b45a0aeef1df0a0dfeb71
work_keys_str_mv	AT kristinamiller nursingtransferofaccountabilityatthebedsidepartneringwithpatientstopilotanewinitiativeinontariocommunityhospitals AT adenhamza nursingtransferofaccountabilityatthebedsidepartneringwithpatientstopilotanewinitiativeinontariocommunityhospitals AT katerynametersky nursingtransferofaccountabilityatthebedsidepartneringwithpatientstopilotanewinitiativeinontariocommunityhospitals AT diannegaffney nursingtransferofaccountabilityatthebedsidepartneringwithpatientstopilotanewinitiativeinontariocommunityhospitals
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Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals

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