Abstract
Nursing handover facilitates the continuity of nursing and ensures patient safety and quality of care. This study aimed to evaluate the effectiveness of a handover education program by assessing handover knowledge, self-efficacy, and handover performance competency. A group pretest–post-test quasi-experimental design was used. Thirty 4th-year Korean nursing students participated in a handover education program comprising a lecture and simulation training using a high-fidelity simulator. The average level of handover knowledge was 4.63 ± 1.61 before the program and 5.83 ± 0.95 after (t = −3.71, p = 0.001). Meanwhile, the average self-efficacy score was 3.35 ± 0.57 before the program and 3.90 ± 0.60 after (t = −5.65, p < 0.001). Further, the average handover performance competency was 1.75 ± 0.25 before the program and 2.37 ± 0.21 after (t = −12.08, p < 0.001). The simulation-based handover education intervention was effective in improving knowledge, self-efficacy, and performance competency of nursing students. This intervention can provide an effective method of improving nursing students’ handover skills prior to entering clinical practice.
Highlights
Handover is a communication process among nurses that involves conveying patient information and is important in ensuring quality and continuity of nursing care [1,2].Accurate and comprehensive handover helps nurses sufficiently understand patient needs and increases the stability and efficacy of nursing; it has a positive impact on nurses’job satisfaction and enhancing their expertise [3]
Patient handover is a type of indirect nursing care that requires high-level nursing competencies to make comprehensive clinical decisions
It was found that the simulationbased handover education program was effective in improving handover knowledge, self-efficacy, and handover performance competency in nursing students
Summary
Handover is a communication process among nurses that involves conveying patient information and is important in ensuring quality and continuity of nursing care [1,2].Accurate and comprehensive handover helps nurses sufficiently understand patient needs and increases the stability and efficacy of nursing; it has a positive impact on nurses’job satisfaction and enhancing their expertise [3]. Accurate handovers help reduce errors and enable nurses who lack clinical experience to improve by receiving suggestions from advanced nurses [4]. Some inexperienced nurses often make mistakes in the handover process for various reasons, such as their lack of nursing experience, psychological crisis, and relationship conflicts, all of which can hinder the effectiveness of nursing work [4]. Such errors delay the diagnosis, treatment, and evaluation of patients, thereby increasing patient morbidity and mortality, and possibly longer-term hospitalization, reducing patient satisfaction [5,6]. Studies reporting the current state of handover by clinical nurses in Korea constantly emphasize the need for educating nurses on accurate handover methods [4,7,8]
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