Abstract

Despite discussions in health care regarding poor communication and its link to patient safety, it was revealed in the literature that many student nurses are inadequately prepared to conduct handoff communication. Student nurses have difficulty in this area due to limited or no experience with the handoff process, which jeopardizes patient safety. The purpose of this research study was to understand how senior nursing students make meaning of their lived experiences with handoff communication. The guiding research question for this study is: How do senior nursing students make meaning of their lived experiences with handoff communication during the change-of-shift report in the clinical practicum? Lave's situated cognition theory and Kolb's experiential learning theory are the two theories that support the conceptual framework of this study. A qualitative phenomenological inquiry using the hermeneutical approach was used to explore and interpret the student nurses' experience with handoff communication. Purposeful sampling was used to recruit nine senior nursing students enrolled in their final clinical practicum. Four major themes and nine subthemes were revealed in this study: (a) active participation, (b) understanding handoff communication, (c) insufficient training and practical experience, and (d) confidence with the shift report. The results of this study illuminated the experiences of nine senior nursing students' learning and practical experience with the change-of-shift handoff report during clinical practicum.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 22622595; ProQuest document ID: 2323127793. The author still retains copyright.

Author Details

Juanita Hanley-Gumbs, PhD, APRN, FNP-BC

Sigma Membership

Upsilon Chi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Phenomenology

Research Approach

Qualitative Research

Keywords:

Patient Handoff, Clinical Practicum, Nurse-to-Nurse Communication, Nursing Students, Change-of-Shift Handoff Report

Advisor

Chitra Paul Victor

Second Advisor

Eve Butler

Third Advisor

Terry Ogilby

Degree

PhD

Degree Grantor

Nova Southeastern University

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2022-03-21

Full Text of Presentation

wf_yes

Download

Share

COinS