Student Dissertation

Agency : Handover Communication; ICU and Ward; Quality of Services; Doctors and Nurses

Objective : To assess the compliance of handover communication among the doctors and nurses in ICU and wards in Max Super Specialty Hospital, Shalimar Bagh in regard to the parameters in the focus of the study. To identify the reasons for noncompliance for the parameters in focus for doctors and nurses.

Background : Compliance in regards to handover communication is an important aspect of the quality care services provided by the hospital. Prior to the study conducted internal audits have been done in regard to various parameters of the compliance of handover communication. After analyzing the results certain changes were suggested for the better compliance of the doctors and nurses in regard to certain parameters. Parameters of doctors include - initial assessment, progress note, and drugs order. Parameters of nurses include - initial assessment, nursing plan of care, current vitals. In order to monitor the compliance after the interventions were made the study in concern was suggested.

Methodology : The study is Operational research study (Analytical study design). The study was conducted at ICU and Wards of Max Hospital, Shalimar Bagh, New Delhi. The duration of the study was 2 months. The respondents were healthcare providers i.e. doctors and nurses of the hospital who are involved in the process were participants of the study. Only the parameters for which the intervention was done by the hospital for improvement in compliance were considered for assessing the compliance. Non-probability convenient sampling was used to calculate the exact sample size 100 Nurses 100 Doctors were considered to be part of the study. Primary Data: -Checklist, Review of handover registers, Conversation with Hospital staff, Direct observation. Secondary Data: -Data were also collected from the hospital records to see the compliance before giving the training.

Recommendations : The study conducted shows that improvement in compliance with regard to the parameters in the focus of the study for both the doctors and nurses. However further interventions can be made which can enhance the compliance further and hence can improve the quality of care. Strict monitoring of the interventions as well can enhance the functioning further