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dc.contributor.authorNygaard, Anne Mette
dc.contributor.authorHaugdahl, Hege Selnes
dc.contributor.authorBrinchmann, Berit Støre
dc.contributor.authorLind, Ranveig
dc.date.accessioned2021-01-22T13:02:33Z
dc.date.available2021-01-22T13:02:33Z
dc.date.issued2020-07-16
dc.description.abstract<i>Aims and objectives</i> - To explore how information concerning ICU patients´ families is included in the ICU clinicians’ daily handover.<p> <p><i>Background</i> - Handover refers to the transfer of information and care responsibility between clinicians. An effective and precise handover are of great importance to ensure quality of care. Although improvements in handovers have received increasing attention in recent decades, little is known about how information about ICU patients’ family members is included in handovers.<p> <p><i>Design</i> - A qualitative study using Charmaz’ constructivist grounded theory approach.<p> <p><i>Methods</i> - Data were gathered through participant observation, focus groups, dyadic and individual interviews of physicians and nurses from four ICUs in different Norwegian hospitals. The data consist of 270 observation hours, seven focus groups, three dyadic interviews and two individual interviews. Field notes and transcribed interview data were analysed using constructivist grounded theory approach. COREQ checklist was applied as reporting guideline for this study.<p> <p><i>Findings</i> - “A game of whispers” emerged as the core category, representing missing information about the patient's family during the handover. Together with three subcategories: “documentation dilemmas,” “being updated” and “talking together,” the core category explains how transfer of family‐related information between clinicians is continually processed and resolved.<p> <p><i>Conclusions</i> - This study indicates challenges related to appropriate and high‐quality handover concerning ICU patients´ families. Oral handovers are essential in terms of clinicians’ need to elaborate on written information and update each other. However, oral transmission involves a high risk of information loss during the handover. Written documentation about the family seems to be inadequate and poorly structured.<p> <p><i>Relevance to clinical practice</i> - The study findings suggest a need for increased awareness in practice and research of the importance of transferring appropriate and reliable information about patients’ families between ICU clinicians. User‐friendly handover tools and patient records that include information on patients’ family members should be developed.en_US
dc.identifier.citationNygaard AM, Haugdahl Hs, Brinchmann BS, Lind R. Information concerning ICU patients’ families in the handover— The clinicians’ «game of whispers»: A qualitative study. Journal of Clinical Nursing (JCN). 2020;29:3822-3834
dc.identifier.cristinIDFRIDAID 1861184
dc.identifier.doi10.1111/jocn.15414
dc.identifier.issn0962-1067
dc.identifier.issn1365-2702
dc.identifier.urihttps://hdl.handle.net/10037/20391
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.ispartofNygaard, A.M. (2022). Family care strategies in an unpredictable ICU environment. ICU nurses’ and physicians’ interprofessional and individual strategies for critically ill ICU patients’ families – a qualitative study. (Doctoral thesis). <a href=https://hdl.handle.net/10037/27396>https://hdl.handle.net/10037/27396</a>.
dc.relation.journalJournal of Clinical Nursing (JCN)
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Nursing science: 808en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808en_US
dc.titleInformation concerning ICU patients’ families in the handover— The clinicians’ «game of whispers»: A qualitative studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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