We revealed three interrelated themes: (1) Adaptation of declared handover
goals to goals, which better fit the day-to-day routine of the ward; (2) Contextual
turbulent circumstances, and (3) Strategies to optimise care for patients.
Nurses on the outgoing shift developed organising strategies, ensuring efficient
transmission of all important information; nurses on the incoming shift used
cross-checking strategies to verify the accuracy of the received information.