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October 30, 2024Journal of Evaluation in Clinical Practice

Implementation of bedside handover that includes patients or carers in hospital settings: A systematic review

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Why the study?

Increasing healthcare complexity necessitates effective handover, but while a universal structure is often recommended, many frameworks do not include the patient.

Does bedside handover that includes patients or carers improve outcomes for patients and providers in hospital settings?

Comparison

Bedside handover that includes patients or carers vs conventional handover

Design

Systematic review

Authors

AMAmy G. MaherHHHenry R. HsuMEMohamed Eftal Bin Mohamed Ebrahim

Discussion

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Overview

Supports patient-inclusive bedside handover for perceived benefits; leaves open superiority on objective outcomes.

Structured PICO

Does bedside handover that includes patients or carers improve outcomes for patients and providers in hospital settings?

P
Population
30 peer-reviewed studies (10 mixed methods; 11 quantitative; 9 qualitative) assessing qualitative or quantitative outcomes resulting from patient-centred handover in hospital settings.
I
Intervention
Bedside handover that includes patients or carers (patient-centred handover)
C
Comparator
Conventional handover
O
Outcome
Qualitative or quantitative outcomes resulting from patient-centred handover (including patient satisfaction, engagement, autonomy, and effective information exchange)patient reported

Patient-centred bedside handover improves patient satisfaction and engagement but faces implementation barriers such as time constraints and increased staff workload.

Limitations

  • Heterogenous reporting precluded meta-analysis
  • Publication bias may have led to under reporting of negative trials
  • Limited reporting on physician-led handovers that included patients

Cite This Study

Maher et al. (2024) studied this question.

synapsesocial.com/papers/6a709ccdfe4101aa97e03d83https://doi.org/10.1111/jep.14223
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Patient perceptions of outcomes used to evaluate in-hospital handover interventions: a rapid review of qualitative data.2025 · 1 citations
  2. 2Patient participation in nursing bedside handover: A systematic mixed-methods review2017 · 110 citations
  3. 3Perceptions of Patients and Nurses about Bedside Nursing Handover: A Qualitative Systematic Review and Meta-Synthesis2024 · 16 citations
  4. 4The effectiveness of bedside handovers: A multilevel, longitudinal study of effects on nurses and patients2019 · 23 citations
  5. 5Physician inpatient handoffs—Patient and physician outcomes: A systematic review2024 · 4 citations