An increasing number of public and private hospitals in Australia now require that nursing shift handovers take place at the bedside, so that patients can hear and contribute to the handover, with the end goal of improving the continuity and safety of patient care and making it more patient-centered [32]. Eggins and Slade, [43] as part of a national research project entitled Effective Communication in Clinical Handover (ECCHo), studied

the effectiveness of mandated nursing handovers at the bedside at a large MK-2206 mouse metropolitan Australian hospital through review and linguistic analysis of more than 200 hours of audio and video recordings of actual handovers. Analysis of the audio and video recordings showed that, without training, the nurses only nominally changed their behavior, with few handovers occurring at the bedside and even fewer involving direct patient engagement. Patient contributions

were not invited and often not welcomed, and patients felt objectified or ignored. Raf tumor From their research findings, Eggins and Slade developed training workshops that included four key components: (1) creating engagement to develop new practice, (2) self-reflection, (3) input in the form of practical communication protocols and strategies, and (4) role play activities to practice and reinforce new communication skills. A unique feature of these workshops

was the use of high quality, professionally produced DVDs of re-enactments by professional actors replicating transcripts of actual bedside handovers recorded on site. The workshop progressively introduced communication protocols, with explicit language examples, to strengthen participants’ skills in (1) managing the interactional dimension of handover (how you talk) and (2) the informational dimension (what you say). The International Charter values underpin the design of the intervention. This research suggests that, for nurses to involve the patient effectively in a respectful, compassionate and ethical manner, the focus of training and education for nurses (and physicians) needs to include IMP dehydrogenase how to effectively communicate both the interpersonal and informational dimensions of language. The International Charter for Human Values in Healthcare has as its focus the values that should be present in, and inform, every healthcare interaction. We have described the development and dissemination of the International Charter and the core values it identifies, conceptualized the role of skilled communication in demonstrating these values, and provided examples of educational and clinical training programs that translate values into action by using skilled communication to make these values visible.