Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, Norfolk, UK.
School of Pharmacy, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Qld, Australia.
Health Expect. 2017 Aug;20(4):742-750. doi: 10.1111/hex.12513. Epub 2016 Nov 2.
To describe and compare patients' and nurses' preferences for the implementation of bedside handover.
Discrete choice experiment describing handover choices using six characteristics: whether the patient is invited to participate; whether a family member/carer/friend is invited; the number of nurses present; the level of patient involvement; the information content; and privacy.
Two Australian hospitals.
Adult patients (n=401) and nurses (n=200) recruited from medical wards.
Mean importance scores for handover characteristics estimated using mixed multinomial logit regression of the choice data.
Both patient and nurse participants preferred handover at the bedside rather than elsewhere (P<.05). Being invited to participate, supporting strong two-way communication, having a family member/carer/friend present and having two nurses rather than the nursing team present were most important for patients. Patients being invited to participate and supporting strong two-way communication were most important for nurses. However, contrary to patient preferences, having a family member/carer/friend present was not considered important by nurses. Further, while patients expressed a weak preference to have sensitive information handed over quietly at the bedside, nurses expressed a relatively strong preference for handover of sensitive information verbally away from the bedside.
All participants strongly support handover at the bedside and want patients to participate although patient and nurse preferences for various aspects of bedside handover differ. An understanding of these preferences is expected to support recommendations for improving the patient hospital experience and the consistent implementation of bedside handover as a safety initiative.
描述并比较患者和护士对实施床边交接班的偏好。
使用六个特征描述交接班选择的离散选择实验：是否邀请患者参与；是否邀请家属/照顾者/朋友；护士人数；患者参与程度；信息内容；以及隐私。
澳大利亚的两家医院。
从内科病房招募的成年患者（n=401）和护士（n=200）。
使用混合多项逻辑回归对选择数据进行分析，得出交接班特征的平均重要性得分。
患者和护士参与者都更喜欢在床边而不是其他地方进行交接班（P<.05）。对于患者而言，被邀请参与、支持双向沟通、有家属/照顾者/朋友在场以及有两名护士而不是整个护理团队在场是最重要的。对于护士而言，被邀请参与和支持双向沟通是最重要的。然而，与患者的偏好相反，护士并不认为有家属/照顾者/朋友在场很重要。此外，虽然患者表示希望在床边安静地传递敏感信息，但护士则表示希望在床边以外的地方口头传递敏感信息。
所有参与者都强烈支持在床边进行交接班，并且希望患者参与，尽管患者和护士对床边交接班的各个方面的偏好不同。了解这些偏好有望支持改善患者的住院体验和一致实施床边交接班作为安全措施的建议。
