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Transfers of Patient Care: An Exploration of the Nurses’ Process

Elkins, Karin Ann
http://rave.ohiolink.edu/etdc/view?acc_num=osu1249671002

Abstract Details

2009, Master of Science, Ohio State University, Nursing.
The purpose of this study is to analyze the nurses transfer process as patients transferred from the ICU to general medical surgical units in a large academic medical center, and to explore the data elements that nurses define as essential to safe and effective transfer of patient care, including factors that may impact the optimal delivery of the handoff information. Data were collected through observations of the ICU and medical surgical unit nurses, interviews of the nurses regarding current and ideal processes surrounding patient transfers, and chart reviews of data elements related to transfer outcomes. Results of this study explore the types of activities nurses perform pre- and post-transfer and compare those activities to the described actual and described ideal processes identified by the nurses in interviews. Elements of information included in the handoff communication were observed and documented, then compared to the stated actual and ideal information according to the respondents. Although sequence of transfer components varied in both the observed activities and the described activities, the pre- and post-transfer processes were able to be categorized. Interview responses were analyzed using a modified version of Spradley’s Domain Analysis (1979). Two of the nine defined semantic relationships were found to be present: (a) spatial where X is a part of Y, and (b) attribution where X is an attribute of Y. This relationship analysis enabled understanding of the interviews across responses.
Laureen Smith, PhD, RN (Advisor)
Victoria Elfrink, Phd, RN (Committee Member)
74 p.
Nursing
handoff; handoff communication; nursing handoff; nursing communication

Recommended Citations

Citations

  • Elkins, K. A. (2009). Transfers of Patient Care: An Exploration of the Nurses’ Process [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1249671002

    APA Style (7th edition)

  • Elkins, Karin. Transfers of Patient Care: An Exploration of the Nurses’ Process. 2009. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1249671002.

    MLA Style (8th edition)

  • Elkins, Karin. "Transfers of Patient Care: An Exploration of the Nurses’ Process." Master's thesis, Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1249671002

    Chicago Manual of Style (17th edition)

osu1249671002
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© 2009, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.