Strict structuring or mandating of handoff elements may limit nurses' ability to communicate information deemed most relevant to the care of a specific unique patient.Д¬ritical care focus group handoff interruptions nursing observation shift reports. Interruptions during handoff are evaluated as useful or disruptive based on the value to the nurse at the time. This legal-sized playbook covers 6 months of requested shift swaps, providing 2 page per week, with 9 lines per day. Focus group findings revealed that whether or not something is an interruption is determined by the individual nurse's appraisal of value added to their knowledge of the patient and/or plan of care at the time of handoff. About half of the nurses reported that interruptions occurred during handoff. Over 80% (645) of these interruptions were from the nurse receiving handoff and included questions or clarification of information received. Of the 1,196 interruptions observed, 800 occurred in the communication between the two nurses involved in the handoff. Focus group data were analyzed with qualitative content analysis. Observation data were analyzed with descriptive statistics and quantitative content analysis. One hundred nurse-to-nurse handoffs were observed, and four focus groups were conducted. To describe registered nurses' perceptions of interruptions experienced during change-of-shift handoff at the bedside in critical care units and analyze the number, type, and source of interruptions during change-of-shift handoff at the bedside.ДЄn exploratory descriptive design was used. Interruptions in handoff have been observed but there is a gap in the evidence concerning how interruptions during nurse-to-nurse handoff impact the change-of-shift handoff process. Surveillance requires the nurse to acquire, process, and synthesize information (cues) encountered during patient care. Change-of-shift handoff is an important source of data used in surveillance, a nursing intervention aimed at identifying and preventing complications.

The importance of change-of-shift handoffs in maintaining patient safety has been well demonstrated.

Shift exchange book