Show item record

dc.contributor.authorLavoie, Patrick
dc.contributor.authorClarke, Sean
dc.contributor.authorClausen, Christina
dc.contributor.authorPurden, Margaret
dc.contributor.authorEmed, Jessica
dc.contributor.authorCosencova, Lidia
dc.contributor.authorFrunchak, Valerie
dc.subjectClinical judgmentfr
dc.subjectPatient deteriorationfr
dc.subjectMixed-methods researchfr
dc.subjectNursing assessmentfr
dc.titleNursing handoffs and clinical judgments regarding patient risk of deterioration : a mixed-methods studyfr
dc.contributor.affiliationUniversité de Montréal. Faculté des sciences infirmièresfr
dcterms.abstractAims and objectives: To explore how change-of-shift handoffs relate to nurses’ clinical judgments regarding patient risk of deterioration. Background: The transfer of responsibility for patients’ care comes with an exchange of information about their condition during change-of-shift handoff. However, it is unclear how this exchange affects nurses’ clinical judgments regarding patient risk of deterioration. Design: A sequential explanatory mixed-methods study reported according to the STROBE and COREQ guidelines. Methods: Over four months, 62 nurses from one surgical and two medical units at a single Canadian hospital recorded their handoffs at change-of-shift. After each handoff, the two nurses involved each rated the patient’s risk of experiencing cardiac arrest or being transferred to an intensive care unit in the next 24 hours separately. The information shared in handoffs was subjected to content analysis; code frequencies were contrasted per nurses’ ratings of patient risk to identify characteristics of information that facilitated or hindered nurses’ agreement. Results: Out of 444 recorded handoffs, there were 125 in which at least one nurse judged that a patient was at risk of deterioration; nurses agreed in 32 cases (25.6%) and disagreed in 93 (74.4%). These handoffs generally included information on abnormal vital signs, breathing problems, chest pain, alteration of mental status, or neurological symptoms. However, the quantity and seriousness of clinical cues, recent transfers from intensive care units, pain without a clear cause, signs of delirium, and nurses’ knowledge of patient were found to affect nurses’ agreement. Conclusions: Nurses exchanged more information regarding known indicators of deterioration in handoffs when they judged that patients were at risk. Disagreements most often involved incoming nurses rating patient risk as higherfr
UdeM.ReferenceFournieParDeposantLavoie, P., Clarke, S. P., Clausen, C., Purden, M., Emed, J., Cosencova, L. et Frunchak, V. (2020). Nursing handoffs and clinical judgments regarding patient risk of deterioration: A mixed-methods study. Journal of Clinical Nursing, 29(19-20), 3790-3801.
UdeM.VersionRioxxVersion acceptée / Accepted Manuscriptfr
oaire.citationTitleJournal of clinical nursingfr

Files in this item


This item appears in the following Collection(s)

Show item record

This document disseminated on Papyrus is the exclusive property of the copyright holders and is protected by the Copyright Act (R.S.C. 1985, c. C-42). It may be used for fair dealing and non-commercial purposes, for private study or research, criticism and review as provided by law. For any other use, written authorization from the copyright holders is required.