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203 handover conversations were analysed.
Handover conversations were segmented into utterances.
Transcripts of handover conversations were segmented into utterances and analysed using Discourse Analysis.
The study focused on the description of the dynamic structure of handover conversations.
In total, 203 recordings of handover conversations were included in the analysis.
Questions are generally assumed to have significant potential for improving the quality of handover conversations.
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Across all types of handover, only 1.5%5%% of handover conversation content related to the patient's social and psychological needs.
Approximately 78%80%% of handover conversation content for resuscitation patients, and 74% of handover conversation content for 'majors' patients was concerned with the patient's previous and current status (category 'patient presentation').
The results suggest that in terms of content the different handover conversation types focused predominantly on physiological priorities of the patient.
8 Factors that may affect the quality of handover include unclear structure of the handover conversation; 9 frequent distractions; 10 inadequate documentation 11 and overreliance on documentation; 12 and a lack of training in handover and non-technical skills.
24 The findings of the present study suggest that only a very small proportion of the handover conversation is dedicated to the discussion of the patient's social circumstances and psychological needs.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com