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Am I getting an accurate picture: A tool to assess clinical handover in remote settings?

Moore, Malcolm; Roberts, Christopher; Newbury, Johnathan; Crossley, Jim

Description

Background: Good clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. Methods: Researchers consulted with clinicians to develop an assessment tool, based on...[Show more]

dc.contributor.authorMoore, Malcolm
dc.contributor.authorRoberts, Christopher
dc.contributor.authorNewbury, Johnathan
dc.contributor.authorCrossley, Jim
dc.date.accessioned2021-05-06T01:30:11Z
dc.date.available2021-05-06T01:30:11Z
dc.identifier.issn1472-6920
dc.identifier.urihttp://hdl.handle.net/1885/232484
dc.description.abstractBackground: Good clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. Methods: Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature. The tool was applied 'live' by receiving clinicians and from recorded handovers by academic assessors. The tool's performance was analysed using generalisability theory. Receiving clinicians and assessors provided feedback. Results: Reliability for assessing a call was good (G = 0.73 with 4 assessments). The scale had a single factor structure with good internal consistency (Cronbach's alpha = 0.8). The group mean for the global score for nurses and students was 2.30 (SD 0.85) out of a maximum 3.0, with no difference between these sub-groups. Conclusions: We have developed and evaluated a tool to assess high-stakes handover in a remote setting. It showed good reliability and was easy for working clinicians to use. Further investigation and use is warranted beyond this setting.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherBioMed Central
dc.rights© The Author(s). 2017
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceBMC Medical Education
dc.subjectClinical handover
dc.subjectWork-based assessment
dc.subjectCommunication skills
dc.subjectMedical education
dc.titleAm I getting an accurate picture: A tool to assess clinical handover in remote settings?
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume17
dc.date.issued2017
local.identifier.absfor111707 - Family Care
local.identifier.absfor130209 - Medicine, Nursing and Health Curriculum and Pedagogy
local.identifier.ariespublicationa383154xPUB8919
local.publisher.urlhttp://www.biomedcentral.com/bmcmededuc/
local.type.statusPublished Version
local.contributor.affiliationMoore, Malcolm, College of Health and Medicine, ANU
local.contributor.affiliationRoberts, Christopher, University of Sydney
local.contributor.affiliationNewbury, Johnathan, University of Adelaide
local.contributor.affiliationCrossley, Jim, University of Sheffield
local.bibliographicCitation.issue213
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage9
local.identifier.doi10.1186/s12909-017-1067-0
dc.date.updated2020-11-23T10:10:33Z
local.identifier.scopusID2-s2.0-85034436761
dcterms.accessRightsOpen Access
dc.provenanceOpen Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
dc.rights.licenseCommons Attribution 4.0 International License
CollectionsANU Research Publications

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