Older care home residents’ and their relatives’ knowledge, understanding and views of shift handovers: an exploratory, focused-ethnographic qualitative study using interviews and observations Article Swipe
Katharine Orellana
,
Valerie Lipman
,
Jill Manthorpe
,
Jo Moriarty
,
Caroline Norrie
,
Rekha Elaswarapu
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2019-032189
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2019-032189
Objectives To investigate residents’ and relatives’ views and experiences of handovers in care homes. This paper reports residents’ and relatives’ awareness of handovers, knowledge of and views on handover practices and purpose, and views on handover effectiveness. Outcomes, safety and satisfaction in clinical settings are influenced by shift handovers. Despite this link with quality, residents’ increasing support needs and the provision of 24 hours care in care homes for older people, little is known about handovers in these settings from a resident and visiting relative perspective. Setting Five purposively sampled care homes for older people in South East England. Participants Home managers (n=5), residents (n=16) relatives of residents (n=10) were interviewed; residents (n=15) and their interactions with staff were observed during handover periods. Participation was voluntary and subject to consent. Residents were identified by managers as having mental capacity to take a decision about participation which was then assessed. An ethnographic approach to data collection was taken, preceded by an evidence review. Results Shift handovers were largely invisible processes to participating residents and relatives, many of whom had given little thought to handover practice, logistics or effectiveness prior to study participation. Their awareness and understanding of handovers, handover practices, and handover purpose and effectiveness varied. There appeared to be an underlying assumption that administrative procedures in care homes would operate without input from residents or relatives. A small number of residents, however, were highly aware of the routine of handovers and the implications of this for the timing of and response to their requests for care or support. Conclusions The care home setting and perspectives of the effectiveness of handovers may influence awareness of, knowledge of and levels of interest in involvement in handovers.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjopen-2019-032189
- https://bmjopen.bmj.com/content/bmjopen/9/12/e032189.full.pdf
- OA Status
- gold
- Cited By
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- References
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- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2995252889
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2995252889Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bmjopen-2019-032189Digital Object Identifier
- Title
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Older care home residents’ and their relatives’ knowledge, understanding and views of shift handovers: an exploratory, focused-ethnographic qualitative study using interviews and observationsWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
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2019Year of publication
- Publication date
-
2019-12-01Full publication date if available
- Authors
-
Katharine Orellana, Valerie Lipman, Jill Manthorpe, Jo Moriarty, Caroline Norrie, Rekha ElaswarapuList of authors in order
- Landing page
-
https://doi.org/10.1136/bmjopen-2019-032189Publisher landing page
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https://bmjopen.bmj.com/content/bmjopen/9/12/e032189.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://bmjopen.bmj.com/content/bmjopen/9/12/e032189.full.pdfDirect OA link when available
- Concepts
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Medicine, Nursing, Handover, Perspective (graphical), Qualitative research, Exploratory research, Gerontology, Sociology, Social science, Anthropology, Computer science, Artificial intelligence, Computer networkTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
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2025: 2, 2023: 2, 2022: 1Per-year citation counts (last 5 years)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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