COVID-19 Alert: We are currently at AMBER traffic light level - there are moderate rates of community transmission in Queensland. See visitor restrictions and the latest Queensland Government information. [10 November 2022].
PA Hospital’s Director of Nursing in the Division of Medicine, Adriana Hada, is now also a doctor after completing her PhD focussing on clinical handover.
“Clinical handover was a passion for me for many years, and I championed the value of clinical handover and its impact on patient outcomes throughout my nursing career,” Adriana said.
“It was this that motivated me to advance my research looking at clinical handover education for nurses, establishing best practice and implementing this.”
Adriana’s research over six years included three projects. By starting small in the Geriatric and Rehabilitation Unit medical units, the research had very encouraging results including higher compliance by nurses with the requirements of nursing handover procedure, increased patient satisfaction, and involvement in decision making with nursing handover.
“Additionally, there were small but significant positive changes with falls, pressure injuries and medication error prevention through clinical handover,” she said.
The second phase of the project advanced to a different clinical setting using the acute internal medical units across Ward 5A, B, C and 2D where sustainability of the handover practices could be proven with similar results regarding compliance, improved outcomes and reduced incidence of falls, pressure injuries and medication errors.
“It was really exciting to see the sustained results and, while it was hard work, it was very rewarding,” Adriana said. “There was so much weekend writing over many years – I published four articles during this time, but the topic was really ingrained in my work and my focus.
“It was really meaningful research that we can apply easily to all of our clinical areas and we can continue to evaluate our processes,” she said.
“Most nurses want to do what is best for the patients, so articulating this as evidence-based practice improves the engagement from nurses."