hig.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Using focused ethnography to explore and describe the process of nurses' shift reports in a psychiatric intensive care unit
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.ORCID iD: 0000-0002-2610-8998
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 15-16, p. 3104-3114Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore and describe the cultural routine of shift reports among nursing staff in a psychiatric intensive care unit, and further to develop a taxonomic, thematic and theoretical understanding of the process.

BACKGROUND: Lack of communication among healthcare staff is associated with risks for medical errors. Thus, handovers and shift reports are an essential and integral routine among nurses in order to pass on information about the patients' health status. Previous studies within the field have highlighted the benefits of structured reporting tools. However, shift reports as a cultural activity within the nursing tradition have been given less attention, not the least in psychiatric care.

METHODS: Focused ethnography was used. The data comprised 20 observational sessions. The observations ranged over a time span of 5 months and were conducted in a psychiatric intensive care unit in Sweden.

RESULTS: The process of shift reports encompassed the following three phases: 1) getting settled, 2) giving the report and 3) engaging in the aftermath. The results demonstrate that the phases entails different cultural activities, which take place in different areas of the ward and that the level of formality varied.

CONCLUSIONS: Shift reports are not an isolated event with clear boundaries. The study enriches the understanding of shift reports as a 'fuzzy process'. The individual phases were found to be tied to cultural connotations, such as activities, places and roles with certain meanings for staff members.

RELEVANCE TO CLINICAL PRACTICE: The new insights are useful for nurses in overcoming an uncritical adoption of the biomedical tradition regarding pace and tone during shift reports. The reporting nurse has the potential to transform shift reports from a monologue with a foreclosed style to a more dialogical interaction with colleagues that focuses on the patients' needs rather than the needs of staff.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 27, no 15-16, p. 3104-3114
Keywords [en]
focused ethnography, handover, in-patient, mental health nursing, nursing, patient handoffs, psychiatric nurses, qualitative research, reporting, shift reports
National Category
Psychology Nursing
Identifiers
URN: urn:nbn:se:hig:diva-26781DOI: 10.1111/jocn.14502ISI: 000439796600019PubMedID: 29729037Scopus ID: 2-s2.0-85050382758OAI: oai:DiVA.org:hig-26781DiVA, id: diva2:1213566
Available from: 2018-06-05 Created: 2018-06-05 Last updated: 2018-11-27Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Salzmann-Erikson, Martin

Search in DiVA

By author/editor
Salzmann-Erikson, Martin
By organisation
Caring science
In the same journal
Journal of Clinical Nursing
PsychologyNursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 242 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf