Abstract:
OBJECTIVES:To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover. DESIGN:A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING:One anaesthetic clinic at two hospitals in Sweden. PARTICIPANTS:Six focus groups with 23 healthcare professionals involved in postoperative handovers. Each group was homogeneous regarding participant profession, resulting in two groups per profession: nurse anaesthetists (n=8), anaesthesiologists (n=7) and postanaesthesia care unit nurses (n=8). RESULTS:Patterns and five categories emerged: (1) having different temporal foci during handover, (2) insecurity when information is transferred from one team to another, (3) striving to ensure quality of the handover, (4) weighing the advantages and disadvantages of the bedside handover and (5) having different perspectives on the transfer of responsibility. The professionals' perceptions of the postoperative handover differed with regard to temporal foci and transfer of responsibility. All professional groups were insecure about having all information needed to ensure the quality of care. They strived to ensure quality of the handover by: focusing on matters that deviated from the normal course of events, aiding memory through structure and written information and cooperating within and between teams. They reported that the bedside handover enhances their control of the patient but also that it could threaten the patient's privacy and that frequent interruptions could be disturbing. CONCLUSIONS:The present findings revealed variations in different professionals' views on the postoperative handover. Healthcare interventions are needed to minimise the gap between professionals' perceptions and practices and to achieve a shared understanding of postoperative handover. Furthermore, to ensure high-quality and safe care, stakeholders/decision makers need to pay attention to the environment and infrastructure in postanaesthesia care.
journal_name
BMJ Openjournal_title
BMJ openauthors
Randmaa M,Engström M,Swenne CL,Mårtensson Gdoi
10.1136/bmjopen-2016-015038subject
Has Abstractpub_date
2017-08-04 00:00:00pages
e015038issue
8issn
2044-6055pii
bmjopen-2016-015038journal_volume
7pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:INTRODUCTION:In Australia, suicide is the leading cause of death for people aged 15-44 years. Health professionals deliver most of our key suicide prevention strategies via health services, but other efficacious population-level strategies include means restriction and public awareness campaigns. Currently, we have no ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038181
更新日期:2020-05-11 00:00:00
abstract:OBJECTIVES:Patients with idiopathic intracranial hypertension (IIH) usually require multiple lumbar punctures (LPs) during the course of their disease, and often report significant morbidity associated with the procedure. The aim of this study was to assess the patient's experience of diagnostic LP in IIH. DESIGN, MET...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020445
更新日期:2018-05-30 00:00:00
abstract:INTRODUCTION:Total mesorectal excision (TME) is the highly effective standard treatment for rectal cancer but is associated with significant morbidity and may be overtreatment for low-risk cancers. This study is designed to determine the feasibility of international recruitment in a study comparing organ-saving approac...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-019474
更新日期:2017-12-28 00:00:00
abstract:OBJECTIVE:Administering medication to hospitalised infants and children is a complex process at high risk of error. Failure mode and effect analysis (FMEA) is a proactive tool used to analyse risks, identify failures before they happen and prioritise remedial measures. To examine the hazards associated with the process...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001249
更新日期:2012-12-18 00:00:00
abstract:IMPORTANCE:The Use of a Multidrug Pill In Reducing cardiovascular Events (UMPIRE) trial has shown improved adherence with the use of a polypill strategy when compared with usual medications for cardiovascular disease (CVD) prevention. To advance from efficacy to impact, we need a better understanding of why and how suc...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-008018
更新日期:2015-09-30 00:00:00
abstract:OBJECTIVES:The aim was to study whether a workplace-registered frequent short-term sick leave spell pattern was an early indicator of future disability pension or future long-term sick leave among municipal eldercare workers. SETTING:The municipal healthcare sector in the city of Aarhus, which is the second largest ci...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003941
更新日期:2014-02-07 00:00:00
abstract:INTRODUCTION:Evidence from animal studies suggest that the rate of ageing may be influenced not only by genetic and lifestyle factors, but also by the prenatal environment. We have previously shown that people who were exposed to famine during early gestation performed worse on a selective attention task, which may be ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003167
更新日期:2013-06-20 00:00:00
abstract:INTRODUCTION:In recent years, it has been demonstrated that photobiomodulation therapy (PBMT) using low-level laser therapy and/or light-emitting diode therapy combined to static magnetic field (sMF) has ergogenic effects, improving muscular performance and accelerating postexercise recovery. However, many aspects rela...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-030194
更新日期:2019-10-28 00:00:00
abstract:INTRODUCTION:Reducing length of hospital stay for stroke survivors often creates a shift in the responsibility of care towards informal carers. Adjustment to the caregiving process is experienced by many carers as overwhelming, complex and demanding and can have a detrimental impact on mental and physical health and we...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-018309
更新日期:2017-10-22 00:00:00
abstract:INTRODUCTION:Many studies have assessed the predictors of morbidity/mortality of patients with traumatic brain injury (TBI) in acute care. However, with the increasing rate of survival after TBI, more attention has been given to discharge destinations from acute care as an important measure of clinical priorities. This...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016694
更新日期:2017-08-31 00:00:00
abstract:OBJECTIVES:Cancer is the leading cause of death among Asian Americans. Chinese Americans comprise the largest Asian American ethnic group. Low health literacy (LHL) is associated with lower cancer screening rates, but this association has not been studied in Chinese Americans. We examined the relationship between LHL a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006104
更新日期:2015-01-05 00:00:00
abstract:OBJECTIVES:Estimate the prevalence of genital warts (GW) and GW-related healthcare resource use and costs among male and female patients seeking treatment in South Korea. DESIGN:To estimate GW prevalence, physicians in five major South Korean regions recorded daily logs of patients (n=71 655) seeking care between July...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014217
更新日期:2017-07-02 00:00:00
abstract:INTRODUCTION:Breathlessness remains a highly prevalent and distressing symptom for many patients with progressive life-limiting illnesses. Evidence-based interventions for chronic breathlessness are limited, and there is an ongoing need for high-quality research into developing management strategies for optimal palliat...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2016-013177
更新日期:2016-11-29 00:00:00
abstract:OBJECTIVE:To compare intrapartum and neonatal mortality in low-risk term women starting labour in midwife-led versus obstetrician-led care. STUDY DESIGN:We performed a propensity score matched study using data from our national perinatal register, completed with data from medical files. We studied women without major ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018845
更新日期:2018-01-05 00:00:00
abstract:OBJECTIVES:To assess people's procedural preferences for making medical surrogate decisions, from the perspectives of both a potential surrogate and an incapacitated patient. DESIGN:Computer-assisted telephone interviews. Respondents were randomly assigned either the role of an incapacitated patient or that of a poten...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022289
更新日期:2018-07-25 00:00:00
abstract:OBJECTIVES:Evidence comparing the effectiveness of surgical and conservative treatment of symptomatic lumbar disc herniation is controversial. We sought to compare short-term and long-term effectiveness of surgical and conservative treatment in sciatica symptom severity and quality of life in patients with lumbar disc ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012938
更新日期:2016-12-21 00:00:00
abstract:PURPOSE:Chagas disease (CD) has become a global health issue mainly due to migration. Germany lacks surveillance data and is home to a large Latin American immigrant population. Recognising that Bolivia is the country with the highest CD prevalence in Latin America, this cross-sectional, descriptive pilot study investi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013960
更新日期:2017-01-16 00:00:00
abstract:INTRODUCTION:To advance person- and family-centred healthcare, government initiatives have supported the engagement of patients and family caregivers in decision-making in healthcare systems. There is, however, no consensus on how to define success for such initiatives. This scoping review aims to identify the key elem...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032788
更新日期:2019-11-06 00:00:00
abstract:INTRODUCTION:The BCG vaccine is designed to protect against tuberculosis, but the vaccine may have broader effects. In 2014, the Strategic Advisory Group of Experts on Immunization reviewed the literature on non-specific effects of BCG, and concluded that the evidence was consistent with beneficial non-specific effects...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025724
更新日期:2019-09-24 00:00:00
abstract:BACKGROUND:Health risk behaviours are prominent in late adolescence and young adulthood, yet UK population-level research examining the relationship between drug or alcohol use and sexual health and behaviour among young people is scarce, despite public health calls for an integrated approach to health improvement. Our...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011961
更新日期:2016-06-30 00:00:00
abstract:OBJECTIVES:The Acne Priority Setting Partnership (PSP) was set up to identify and rank treatment uncertainties by bringing together people with acne, and professionals providing care within and beyond the National Health Service (NHS). SETTING:The UK with international participation. PARTICIPANTS:Teenagers and adults...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008085
更新日期:2015-07-17 00:00:00
abstract:OBJECTIVES:To determine the contribution of progress in averting premature deaths to the increase in life expectancy and the decline in lifespan variation. DESIGN:International comparison of national life table data from the Human Mortality Database. SETTING:40 developed countries and regions, 1840-2009. POPULATION:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000128
更新日期:2011-07-29 00:00:00
abstract:OBJECTIVE:Limited research has assessed the association between patterns of body mass index (BMI) change across adulthood and mortality. We aimed to identify groups of individuals who followed specific group-based BMI trajectories across adulthood, using weight collected on three occasions and recalled data from early ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030078
更新日期:2019-08-10 00:00:00
abstract:INTRODUCTION:Pancreatic cancer is a devastating disease with an exceptionally poor prognosis. Complete resection of the primary tumour followed by adjuvant chemotherapy is the current standard treatment for patients with resectable disease and the only curative treatment option. However, long-term survival remains rare...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028696
更新日期:2019-08-20 00:00:00
abstract:OBJECTIVES:Syphilis is a global health concern with an estimated 12 million infections occurring annually. Due to the increasing rates of new syphilis infections being reported in patients infected with HIV, and their higher risk for atypical and severe presentations, periodic screening has been recommended as a routin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021544
更新日期:2018-07-10 00:00:00
abstract:INTRODUCTION:Internal temporomandibular joint (TMJ) disorders are present in approximately 80% of patients with symptomatic temporomandibular disorders. Among the minimally invasive therapies, we find the intra-articular infiltration of substances, such as corticosteroids, hyaluronic acid or platelet-rich plasma accomp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034327
更新日期:2020-09-06 00:00:00
abstract:OBJECTIVES:Linkage of electronic health records (EHRs) to Hospital Episode Statistics (HES)-Office for National Statistics (ONS) mortality data has provided compelling evidence for lower life expectancy in people with severe mental illness. However, linkage error may underestimate these estimates. Using a clinical samp...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035884
更新日期:2020-07-07 00:00:00
abstract:OBJECTIVE:To review the epidemiology of pertussis-related intensive care unit (ICU) admissions across Australia, over a 17-year period. DESIGN:Retrospective descriptive study. SETTING:Australian ICUs contributing data to the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry. The number of contrib...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010386
更新日期:2016-04-06 00:00:00
abstract:OBJECTIVES:Few studies have focused on pulmonary arterial hypertension (PAH) associated with connective tissue diseases (CTDs). The optimal treatment for CTD-PAH has yet to be established. DESIGN:Meta-analysis of the data from evaluations of treatment for PAH generally (19 studies) and CTD-PAH specifically (nine studi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003113
更新日期:2013-08-01 00:00:00
abstract:INTRODUCTION:The significant increase in the rate of morbidity and mortality due to cardiovascular diseases has become a health challenge globally. Lack of enough knowledge on the underlying causes in Iran and taking the unique characteristics of the Shiraz metropolitan city (the capital city of Fars Province) into con...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-026317
更新日期:2019-04-03 00:00:00