Linguistic dissection of nursing handoffs: Implications for patient safety in varied‐acuity hospital settings.
Autor: | Galatzan, Benjamin J., Johnson, Elizabeth, Judson, Tonya, Shan, Liang |
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Předmět: |
CROSS-sectional method
MEDICAL care research PATIENT safety PATIENTS MEDICAL quality control ACADEMIC medical centers MEDICAL errors MEDICAL personnel RESEARCH funding NURSE-patient ratio LEADERSHIP CLINICAL decision support systems KRUSKAL-Wallis Test EVALUATION of medical care NURSING education PATIENT care EMOTIONS DESCRIPTIVE statistics CLASSIFICATION LINGUISTICS SOUND recordings NURSING practice COMMUNICATION NURSES' attitudes RESEARCH methodology INTENSIVE care units CONCEPTUAL structures ELECTRONIC health records AFFECT (Psychology) NURSING informatics COMPARATIVE studies HOSPITAL wards CRITICAL care nurses COGNITION LABOR supply PSYCHOSOCIAL factors |
Zdroj: | Journal of Clinical Nursing (John Wiley & Sons, Inc.); Aug2024, Vol. 33 Issue 8, p3077-3088, 12p |
Abstrakt: | Aim: This study examines the intricate language and communication patterns of nurse‐to‐nurse handoffs across three units with varying patient acuity levels and nurse–patient ratios, seeking to identify linguistic factors that may affect the quality of information transfer and patient outcomes. Design: A mixed‐methods cross‐sectional design. Methods: This study used the Nurse‐to‐Nurse Transition of Care Communication Model to explore the content and meaning of language in nursing handoffs within a large academic medical centre. Data were collected on three units through digital audio recordings of 20 handoffs between June and September 2022, which were transcribed and analysed using the Linguistic Inquiry Word Count programme. Trustworthiness was established by adhering to COREQ and STROBE guidelines for qualitative and quantitative research, respectively. Results: Analysis revealed a preference for casual, narrative language across all units, with ICU nurses demonstrating a higher confidence and leadership in communication. Cognitive processes such as insight and causation were found to be underrepresented, indicating a potential area for miscommunication. Communication motives driven by affiliation were more pronounced in ICU settings, suggesting a strong collaborative nature. No significant differences were observed among the units post multiple testing adjustments. Speech dysfluencies were most pronounced in ICU handoffs, reflecting possible stress and cognitive overload. Conclusion: The study highlights the need for improved communication strategies such as interventions to enhance language clarity and incorporating technological tools into handoff processes to mitigate potential miscommunications and errors. The findings advance nursing science by highlighting the critical role of nuanced language in varied‐acuity hospital settings and the necessity for structured nurse education in handoff communication and standardized handoff procedures. Implications for the profession and patient care: This study underscores the critical role of language in nurse‐to‐nurse handoffs. It calls for enhanced communication strategies, technology integration and training to reduce medical errors, improving patient outcomes in high‐acuity hospital settings. Patient or Public Contribution: Nurses only. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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