AIM AND OBJECTIVES to understand the purpose, impact and experience of nurse handover from patient and staff perspectives. BACKGROUND poor communication is increasingly recognised as a major factor in healthcare errors. Handover is a key risk point. Little consensus exists regarding the practice in nursing but the trend is towards bedside handover. Research on patient and staff experiences of...

INTRODUCTION Despite increased visibility of clinical trials through international trial registries, patients often remain uninformed of their existence, especially if they do not have access to adequate information about clinical research, including the language of the information. The aim of this study was to describe the context for transparency of clinical trials in Croatia in relation to c...

OBJECTIVE To evaluate the efficacy of the Patient Reporting and Action for a Safe Environment intervention. DESIGN A multicentre cluster randomised controlled trial. SETTING Clusters were 33 hospital wards within five hospitals in the UK. PARTICIPANTS All patients able to give informed consent were eligible to take part. Wards were allocated to the intervention or control condition. INT...

OBJECTIVE Question Prompt Lists (QPLs) have been used extensively in the oncology setting to improve communication, psychological and/or cognitive outcomes. In this systematic review, the objectives were to (a) examine the methodological quality of QPL interventions, (b) review the effectiveness of QPL interventions on communication, psychological and/or cognitive outcomes of cancer patients, (...

OBJECTIVE To review the literature on the involvement of patients in efforts to promote their own or others' safety while using health care services. METHOD A total of 1933 reports were identified as potentially relevant and 745 of these were included in the review (437 descriptions of interventions, 299 comment or opinion pieces and 42 discussions or studies of patients' willingness and abil...

INTRODUCTION Length of hospital inpatient stays have reduced. This benefits patients, who prefer to be at home, and hospitals, which can treat more people when stays are shorter. Patients may, however, leave hospital sicker, with ongoing care needs. The transition period from hospital to home can be risky, particularly for older patients with complex health and social needs. Improving patient e...

BACKGROUND Shared decision-making is a key determinant of patient-centered care. A lack of patient involvement in treatment decisions may explain persistent racial disparities in rates of cardiac catheterization (CCATH). To date, limited evidence exists to demonstrate whether patients who engage in shared decision-makingare more or less likely to undergo non-emergency CCATH. OBJECTIVE To asse...

background: patient participation means involvement of the patient in decision making or expressing opinions about different treatment methods, which includes sharing information, feelings and signs and accepting health team instructions. objectives: given the importance of patient participation in healthcare decision making which empowers patients and improves services and health outcomes, thi...

BACKGROUND Present models and definitions of patient-centeredness revealed a lack of conceptual clarity. Based on a prior systematic literature review, we developed an integrative model with 15 dimensions of patient-centeredness. The aims of this study were to 1) validate, and 2) prioritize these dimensions. METHOD A two-round web-based Delphi study was conducted. 297 international experts we...

BACKGROUND Patients in surgical care have reported a fear of being discharged prior to sufficient recovery and a lack of control of their situation. Establishing the patient-nurse relationship is essential in the context of the care. The Swedish National Board of Health and Welfare has established indicators for good care for comparison, evaluation and improvement of the quality of the health c...