The functions and roles of questioning during nursing handovers in specialty settings: An ethnographic study

Sascha Rixon, Sandra Braaf, Allison Williams, Danny Liew, Elizabeth Manias

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Nursing handovers are an important component of patient safety and quality in communicating across transitions of care.
Objectives: To determine the functions and roles of questions in nursing handovers, and of how questions contribute to handover quality improvement in specialty settings of an Australian tertiary hospital.
Design: An ethnographic research design was employed.
Methods: Participant observations were conducted, which were audiorecorded and transcribed. Question-response sequences and the roles of questions in the handovers were coded.
Results: Questions served many functions, and included: requests for information, requests for confirmation, other initiations of repair, outloud utterances, understanding checks, requests for action and agreement, and knowledge checks.
Conclusions: Questioning was mostly used to transmit patient-related information, and nurses could use questioning to jointly construct understandings about patients. Future research should examine how questions function in diverse clinical environments, such as rural and regional hospitals, and how questioning occurs in multidisciplinary handover situations.
Original languageEnglish
Pages (from-to)182-195
Number of pages14
JournalContemporary Nurse
Volume2
DOIs
Publication statusPublished - 2017

Keywords

  • Australia
  • communication
  • patient handoff
  • quality improvement
  • ethnography
  • patient safety

Cite this

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The functions and roles of questioning during nursing handovers in specialty settings : An ethnographic study. / Rixon, Sascha; Braaf, Sandra; Williams, Allison; Liew, Danny; Manias, Elizabeth.

In: Contemporary Nurse, Vol. 2, 2017, p. 182-195.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - The functions and roles of questioning during nursing handovers in specialty settings

T2 - An ethnographic study

AU - Rixon, Sascha

AU - Braaf, Sandra

AU - Williams, Allison

AU - Liew, Danny

AU - Manias, Elizabeth

PY - 2017

Y1 - 2017

N2 - Background: Nursing handovers are an important component of patient safety and quality in communicating across transitions of care.Objectives: To determine the functions and roles of questions in nursing handovers, and of how questions contribute to handover quality improvement in specialty settings of an Australian tertiary hospital.Design: An ethnographic research design was employed.Methods: Participant observations were conducted, which were audiorecorded and transcribed. Question-response sequences and the roles of questions in the handovers were coded.Results: Questions served many functions, and included: requests for information, requests for confirmation, other initiations of repair, outloud utterances, understanding checks, requests for action and agreement, and knowledge checks.Conclusions: Questioning was mostly used to transmit patient-related information, and nurses could use questioning to jointly construct understandings about patients. Future research should examine how questions function in diverse clinical environments, such as rural and regional hospitals, and how questioning occurs in multidisciplinary handover situations.

AB - Background: Nursing handovers are an important component of patient safety and quality in communicating across transitions of care.Objectives: To determine the functions and roles of questions in nursing handovers, and of how questions contribute to handover quality improvement in specialty settings of an Australian tertiary hospital.Design: An ethnographic research design was employed.Methods: Participant observations were conducted, which were audiorecorded and transcribed. Question-response sequences and the roles of questions in the handovers were coded.Results: Questions served many functions, and included: requests for information, requests for confirmation, other initiations of repair, outloud utterances, understanding checks, requests for action and agreement, and knowledge checks.Conclusions: Questioning was mostly used to transmit patient-related information, and nurses could use questioning to jointly construct understandings about patients. Future research should examine how questions function in diverse clinical environments, such as rural and regional hospitals, and how questioning occurs in multidisciplinary handover situations.

KW - Australia

KW - communication

KW - patient handoff

KW - quality improvement

KW - ethnography

KW - patient safety

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