Research Article

Know Your Client and Know Your Team: A Complexity Inspired Approach to Understanding Safe Transitions in Care

Box 1

Appreciative Inquiry interview guide.
(1) As a starting point I would like to find out a little more about you. What experience have you had
with client transfers?
(2) What would you describe as the key steps in the transfer process?
(3) Reflecting on your own experience, tell me a story about a time when you experienced an “exceptional client
transfer”—a high point—where you may have felt “Wow, wouldn’t it be wonderful if the client/client
transfer experience was like this all the time?”
(4) Sometimes our work requires us to deal with delays, bottlenecks, unanticipated problems or other obstacles
that make our jobs difficult. Fortunately, over time, we all learn about or discover tricks and workarounds to
help us overcome these barriers. We do this in an effort to deliver quality care. Tell me about the tips
or creative workarounds you’ve learned in this handoff!
(5) In your opinion, how might the College of Nurses or other regulatory and/or professional bodies provide
better support for exceptional client/client transfer?
(6) Imagine that a nurse (who is a good friend and colleague) just called you to tell you that a decision is about
to be made about the transfer of your loved one to another health care setting. What would you ask
your nurse friend to do to ensure the best possible transfer? Who do you want included in the decision-making?
What request(s) would you make? What information/documentation would you request?
(7) As a final question, imagine it is three years from now and exceptional client transfer experiences are
the new normal. Please describe in detail how you see the process functioning. What are we doing that
is new, different or better? What 3 changes have been implemented? What barriers needed to be broken
down to achieve the changes? What did we do to make sure the changes occurred in a smooth and rapid fashion?