{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T09:56:27Z","timestamp":1784022987320,"version":"3.55.0"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T00:00:00Z","timestamp":1598486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011729","name":"Abbeyfield Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011729","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Older People Nursing"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>It is widely acknowledged that inadequate handovers are associated with putting patients at risk in clinical settings; however, handover practices have received little attention in other 24\u2010hr settings such as long\u2010stay residential care facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to explore the perceived purpose and organisational processes involved in the handover of information between shifts of staff caring for older residents in five care homes in England.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study took an ethnographic approach to fieldwork, undertaken between February and June 2016. It consisted of observations of handovers (<jats:italic>n<\/jats:italic>\u00a0=\u00a012) and interviews with managers, Registered Nurses (RNs) and care assistants (<jats:italic>n<\/jats:italic>\u00a0=\u00a027) working day and night shifts. Interview transcripts and observation notes were analysed within NVivo using a matrix approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Handovers were highly variable in all five care homes in relation to their timings, locations, content and participants. Managers and RNs highlighted handovers as an opportunity for risk assurance, supervision, team building, staff education and monitoring of residents\u2019 clinical status. In comparison, care assistants considered the purpose of handovers to be prepared for the responsibilities of working a shift. The discussion addresses implications of these findings, particularly consideration of how best use can be made of RN skills and knowledge in handovers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Research is needed to identify whether care home resident safety can be linked to handover practices and how the presence of RNs in handovers in care homes affects this.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>Care home managers, RNs and care workers may find this research useful in practice when considering how best to organise handovers and deploy staff in care homes for older people.<\/jats:p><\/jats:sec>","DOI":"10.1111\/opn.12339","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T14:55:30Z","timestamp":1598626530000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A qualitative study of handovers at shift changeovers in five care homes for older people in England"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6715-9305","authenticated-orcid":false,"given":"Caroline","family":"Norrie","sequence":"first","affiliation":[{"name":"Policy Research Unit on Health and Social Care Workforce The Policy Institute at King's King\u2019s College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1574-1242","authenticated-orcid":false,"given":"Jo","family":"Moriarty","sequence":"additional","affiliation":[{"name":"Policy Research Unit on Health and Social Care Workforce The Policy Institute at King's King\u2019s College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5958-7155","authenticated-orcid":false,"given":"Valerie","family":"Lipman","sequence":"additional","affiliation":[{"name":"Policy Research Unit on Health and Social Care Workforce The Policy Institute at King's King\u2019s College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7695-931X","authenticated-orcid":false,"given":"Rekha","family":"Elaswarapu","sequence":"additional","affiliation":[{"name":"Policy Research Unit on Health and Social Care Workforce The Policy Institute at King's King\u2019s College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9006-1410","authenticated-orcid":false,"given":"Jill","family":"Manthorpe","sequence":"additional","affiliation":[{"name":"Policy Research Unit on Health and Social Care Workforce The Policy Institute at King's King\u2019s College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12190"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12706"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.02.008"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.12.080"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2013.10.009"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12520"},{"key":"e_1_2_8_8_1","volume-title":"12\u2010hour shifts: prevalence, views and impact","author":"Ball J.","year":"2014"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X14000853"},{"issue":"5","key":"e_1_2_8_10_1","first-page":"927","article-title":"Nursing handovers and patient safety: Findings from an umbrella review","volume":"76","author":"Bressan V.","year":"2019","journal-title":"Journal of Advanced Nursing"},{"key":"e_1_2_8_11_1","volume-title":"Where does the money go? Financialised chains and the crisis in residential care","author":"Burns D.","year":"2016"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0019793916640491"},{"key":"e_1_2_8_13_1","volume-title":"Residential key lines of enquiry (KLOE), prompts and potential sources of evidence","author":"Care Quality Commission","year":"2014"},{"key":"e_1_2_8_14_1","volume-title":"Guidance for providers on meeting the regulations","author":"Care Quality Commission","year":"2015"},{"key":"e_1_2_8_15_1","volume-title":"The state of adult social care services 2014 to 2017","author":"Care Quality Commission","year":"2017"},{"key":"e_1_2_8_16_1","volume-title":"Preparing for a CQC Inspection","author":"Care Quality Commission"},{"key":"e_1_2_8_17_1","volume-title":"Adult social care Ninth Report of Session, 2016\u201317 Report","author":"Communities and Local Government (CLG) Committee of the House of Commons","year":"2017"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.7748\/nop.2016.e817"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1833358316639434"},{"key":"e_1_2_8_20_1","first-page":"95","article-title":"The relationship between registered nurses and nursing home quality: An integrative review (2008\u20132014)","volume":"33","author":"Dellefield M. E.","year":"2015","journal-title":"Nursing Economics"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-12-40"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2011.04049.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNA.0000000000000115"},{"key":"e_1_2_8_24_1","first-page":"1","article-title":"Shift work in hospitals: What are the effects on patient and employee outcomes?","volume":"2","author":"Griffiths P.","year":"2017","journal-title":"Health Work: Evidence Briefs"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781405165518.wbeose070"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-3743.2010.00217.x"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12365"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412986274"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12072"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2002.02066.x"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12321"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1257\/app.3.1.224"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/opn.12226"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1062860615612923"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000142"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-5153.2007.00244.x"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2011.08.009"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000370154.79857.09"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/1062860609332512"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12524"},{"key":"e_1_2_8_41_1","first-page":"308","article-title":"Investigating bedside nursing report: A synthesis of the literature","volume":"22","author":"Sherman J.","year":"2013","journal-title":"Medsurgical Nursing"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.02.014"},{"key":"e_1_2_8_43_1","volume-title":"The ethnographic interview","author":"Spradley J. P.","year":"2016"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2012.06087.x"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-11-82"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004589"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12490"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.10.014"},{"issue":"8","key":"e_1_2_8_49_1","first-page":"30","article-title":"Improved record\u2010keeping with reading handovers","volume":"16","author":"Tucker A.","year":"2009","journal-title":"RN Manager"},{"issue":"24","key":"e_1_2_8_50_1","first-page":"18","article-title":"Dementia care 1: Person centred approaches help to promote effective communication","volume":"106","author":"Wheeler N. L.","year":"2010","journal-title":"Nursing Times"},{"key":"e_1_2_8_51_1","volume-title":"A structured evidence\u2010based literature review regarding the effectiveness of improvement interventions in clinical handover","author":"Wong M.","year":"2008"},{"key":"e_1_2_8_52_1","volume-title":"World Report on Ageing and Health","author":"World Health Organisation","year":"2015"},{"key":"e_1_2_8_53_1","volume-title":"The benefits of introducing electronic health records in residential aged care facilities","author":"Zhang Y.","year":"2012"}],"updated-by":[{"DOI":"10.1111\/opn.12359","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T00:00:00Z","timestamp":1614902400000}}],"container-title":["International Journal of Older People Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/opn.12339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/opn.12339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/opn.12339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T18:13:07Z","timestamp":1693851187000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/opn.12339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,27]]},"references-count":52,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1111\/opn.12339"],"URL":"https:\/\/doi.org\/10.1111\/opn.12339","archive":["Portico"],"relation":{"erratum":[{"id-type":"doi","id":"10.1111\/opn.12359","asserted-by":"object"}]},"ISSN":["1748-3735","1748-3743"],"issn-type":[{"value":"1748-3735","type":"print"},{"value":"1748-3743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,27]]},"assertion":[{"value":"2019-11-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12339"}}