IMPLEMENTING BEDSIDE SHIFT HANDOVER AND SHARED DECISION MAKING AT THE EMERGENCY DEPARTMENT; EFFECT ON PATIENT EXPERIENCES, NURSES’ JOB SATISFACTION AND RETENTION OF NURSES

Bedside shift handover including shared decision making (SDM) reduces health disparities since it may empower vulnerable populations to better understand treatment options and tailor decisions to their individual preferences. SDM is not implemented at the emergency department (ED). It is unclear in what circumstances and for which patients SDM is feasible. Our hypotheses are patient experiences and ED staffs’ job satisfaction may improve.

We will assess:

1. conditions for successful implementation
2. effects on patient and nurses experiences, using questionnaires and focus groups and data from hospital files

We will inform practice how to tailor interventions to promote SDM to the values and needs of each patient at the ED, what the best processes are for SDM among vulnerable patient groups, what organizational changes and what competencies are needed to enable ED nurses to consider the patients’ context, and how to teach these competencies to student nurses.