Evidence map›Paper›PMID 39925665›Full record

ArticleWellcome open research2024

Co-design of a nurse handover tool to optimise infection control and antimicrobial stewardship in a low resource setting intensive care unit: A nurse led collaboration.

Candice Bonaconsa, Dena van den Bergh, Esmita Charani, Thouwybah Phillips, Aletta Spogter, Aghmat Mohamed, Dawood Peters, Ivan Joubert, Marc Mendelson

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In one paragraph

Article in Wellcome open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Candice BonaconsaDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, Western Cape, 7925, South Africa.ORCID https://orcid.org/0000-0002-3773-8522
Dena van den BerghDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, Western Cape, 7925, South Africa.
Esmita CharaniDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, Western Cape, 7925, South Africa.ORCID https://orcid.org/0000-0002-5938-1202
Thouwybah PhillipsDivision of Nursing, Intensive Care, Groote Schuur Hospital, Observatory, Western Cape, South Africa.
Aletta SpogterDivision of Nursing, Intensive Care, Groote Schuur Hospital, Observatory, Western Cape, South Africa.
Aghmat MohamedDivision of Nursing Management, Groote Schuur Hospital, Observatory, Western Cape, South Africa.
Dawood PetersDivision of Nursing Management, Groote Schuur Hospital, Observatory, Western Cape, South Africa.
Ivan JoubertDivision of Critical Care, University of Cape Town Department of Anaesthesia and Perioperative Medicine, Cape Town, Western Cape, South Africa.ORCID https://orcid.org/0000-0001-8687-4224
Marc MendelsonDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, Western Cape, 7925, South Africa.ORCID https://orcid.org/0000-0001-6668-3893

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: The quality of intensive care unit (ICU) nursing handover impacts patient safety, including infection prevention and control (IPC) and antimicrobial stewardship (AMS) practices. We report a co-designed quality improvement study using a visual, structured nurse handover tool in a low resource setting. Methods: The study was conducted with clinical nurses in an 8-bed medical ICU at a tertiary hospital in South Africa. Using a participatory action research (PAR) framework and visual participatory methods, the handover tool development had three phases: data collection, journal club, and co-design. To engage busy nurses and create real-time discussions and input, 7-minute focussed sessions in the ICUs using large-scale graphics to facilitate were used. Qualitative data were thematically analysed. Results: Between September - October 2022, baseline data were collected from 16 handovers (46 patient discussions over 4 hours). The tool was co-designed through 18 contact sessions involving 31 nurses (April-June 2023). Variation was observed in patterns of handover structure (sequence of what was presented) and content (type and the level of detail of information provided). An evidence-based visual tool was co-designed to identify and manage key patient care risk factors. The tool included a structured section to report on IPC and AMS. Nurses reported the visual prompts to be beneficial to ensuring consistent inclusion of critical information in handovers. Conclusions: An innovative approach involving ICU nurses in co-designing a visual handover tool resulted in a structured method for systematically reporting patient care risk factors, body systems, IPC, and AMS. Implementation and dissemination in this unit, and expansion to other units, is underway to promote sustainable change in nursing clinical practices.

Indexed as

Antimicrobial stewardshipCo-designGraphic facilitationInfection controlIntensive care unit.Nursing handoverParticipatory action research

Identifiers

PMID39925665
PMCPMC11803200

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.