Handover Evaluation Research Articles

Improving and Sustaining Resident Physician Handover.

Background Handoffs serve a critical patient safety function in the transition between caregivers. In 2006, the Joint Commission on Accreditation of Healthcare Organizations strongly recommended the implementation of "a standardized approach to 'handoff' communications, including an opportunity to ask and respond to questions."Numerous studies have investigated the quality and efficacy of patient handoffs and the utility of structured handoff curriculums, particularly in the context of patient safety and outcomes. Objective The pediatric residents at Penn State Health (PSH) did not utilize a formal written or verbal handoff tool. Our study facilitated the design of a comprehensive handoff curriculum, including verbal and written components, and the implementationof faculty and multidisciplinary care team involvement coupled with resident training and observations.We investigate the impact of this curriculum longitudinally utilizing validated tools completed by external observers as well as the residents themselves. Methods Prior to SAFETIPS being implemented, residents at a mid-sized Pediatric program were observed giving handovers at various intervals to understand baseline habits.Residents were then educated with the SAFETIPS curriculum and again observed.Trained observers of the handover process completed a validated evaluation form concentrating onseven key domains necessary for effective handover and communication; residents involved in the handover also completed a validated evaluation form.Consent for the project was implied with the observer's presence during the process and our study was exempt from full IRB consideration given its quality improvement design.A mix of summary statistics, stacked dot plots, mixed effects regression, and joint F tests were used to analyze data. Results Mean values on all sections of the handover evaluation Likert scale completed by trained observers tended to increase over time; the variance in responses was likewise much smaller at later time periods.Similarly, all sections of the evaluation tools completed by the resident physicians themselves showed significantly increased scores from pre- to post-implementation of our curriculum.Data revealed a plateauing of results towardlater time points suggestive of skills mastery and sustained improvements. Conclusion Our findings suggest that the introduction of a structured handoff curriculum correlated with improved communication among residents, and such improvements were sustained over time.

ACİL SERVİS HEMŞİRELERİNİN YORGUNLUK DÜZEYİNİ VE DEVİR TESLİM ETKİNLİĞİNİ ETKİLEYEN FAKTÖRLER ÜZERİNE BİR DEĞERLENDİRME

It is predicted that due to the increasing work load of nurses, fatigue levels and knowledge transfer will be adversely affected. The present study aimed to determine the Fatigue Level, Handover Effectiveness, and Related Factors in Emergency Nurses. The study is a descriptive cross-sectional study. Research data were collected from nurses working in the emergency departments of 8 hospitals in a city in Turkiye. The data were collected through Google Form using the Personal Information Form, the Handover Evaluation Scale, and the Fatigue Scale. There is a negative and significant relationship between the nurses' fatigue levels and the handover effectiveness (r=-0.476 p

5G handover issues and techniques for vehicular communications

<span lang="EN-US">Vehicular communication is gaining popularity, and seamless handover is critical to maintaining a stable and uninterrupted network connection between vehicles and roadside units. This paper investigates the advancements in handover approaches in vehicular networks, with a specific focus on 5G technology. Vehicular Ad-hoc Networks (VANETs) face challenges due to high mobility, dynamic network topology, and frequent information exchange. The paper discusses handover issues in 5G VANET environments, such as too-late and too-early handovers, wrong handover decisions, and unnecessary handovers. It also explores key performance indicators (KPIs) used in handover evaluation. The advancements in handover approaches presented in this paper pave the way for enhanced connectivity and communication management in 5G VANETs, contributing to the development of safer and more efficient intelligent transportation systems.</span>

Effectiveness of handover practices between emergency department and intensive care unit nurses.

Nurses from the emergency department (ED) and the intensive care unit (ICU) must interact during the handover procedure. Factors such as unit boundaries, the interaction between different specialities, patient acuities, and treatment adjustments generate specific negotiating and teamwork problems during the transition of patients from ED to ICU. This study aimed to describe the opinions of nurses regarding the effectiveness of handover practices between nurses in the ED and ICU in a major academic hospital in Gauteng province, South Africa. An analytical cross-sectional survey design was used. Data were collected using a 16-item handover evaluation tool. It comprises two sections (1) biographical details and (2) 16 statements about handover quality divided into five constructs, namely information transfer, shared understanding, working atmosphere, overall handover quality, and circumstances of handover. Data analysis was done utilising descriptive and non-parametric statistics. The majority (51.8%; n=115) of the handovers occurred during the day. Out of 171 nurses, there were specialist practice emergency (19.2%; n=33) and intensive care (28.0%; n=48) nurses. There was statistical significance in information transfer between the ED and ICU nurses. (Me=4.0, p<0.05), compared to ICU nurses (Me=3.0). Nurse specialist and non-specialist nurses' handovers differed statistically significantly on 12 of the 16 items on the rating scale, compared to 10 for non-specialist nurses' handovers. The study showed that ED and ICU nurses have significantly different requirements and expectations for handover procedures. In addition to completed documentation, subtle interpretations of the information provided and received also impact the need. The ED and ICU nurses would need to agree on the contents of a structured handover framework because different specialities and departments have varied expectations to achieve an effective handover.

Nursing Handover: Experiences and Perspectives in the Critical Care Unit at Murang’a County Referral Hospital

Continuity in delivery of nursing care to patient in the critical care unit is of utmost importance. Although nurses have a variety of guidelines and formats to conduct the handover, gaps have been detected regarding the contents of the handover and its effects on the continuity of care in the critical care unit. The focus of the study was to explore the experiences and perspectives of nurses with nursing handover in the critical care unit. The study adopted a phenomenological qualitative design. A sample of 9 critical care nurses participated in this study. The study found critical care nurses believed they were individually equipped with adequate knowledge to carry out effective departmental and interdepartmental nursing handover. The existence of handover policies in the critical care unit was considered a major enabler of the handover. The participants also believed that strained human resource, lack of standardized handover tools and deviation from the set handover rules negatively impacted the handover process. Furthermore, they reported perceived insufficiency in the management’s role in handover evaluation and feedback. Moreover, all participants advocated for improvement of the current handover practices for improved quality of patient care as well as sense of self-accomplishment among the nurses. There are pertinent implications in the findings of this research for critical care nurses, nurses in other departments and policy makers. The resultant implication for each group of stakeholders promotes the adoption and formulation of effective handover practices and consequently enhanced quality of patient care through transfer of adequate patient information and sense of self-accomplishment among nurses. Keywords: Nursing handover, experiences, perspectives, critical care unit

Comparative study of SBAR- based handover evaluation from primary and associate nurses at the regional public hospital lakipadada Tana Toraja

Comparative study of SBAR- based handover evaluation from primary and associate nurses at the regional public hospital lakipadada Tana Toraja

Comparative study of SBAR- based handover evaluation from primary and associate nurses at the regional public hospital lakipadada Tana Toraja

Situation, Background, Assessment, Recommendation (SBAR) is one of the methods applied in implementing handover. This study aimed to evaluate SBAR- based handover by comparing its implementation between the primary and associate nurses at the inpatient hospital room Lakipadada. The research design used analytic observational. One hundred and one nurses involved in the sample were chosen using the random cluster technique. The research instrument used an observational sheet. The comparison test results showed there was one dimension of handover implementation that was not significantly different between the associate and the primary nurses, which was at the dimension assessment (p&gt;0.05). It was evidenced by a nearly similar observational mean between the group of nurses, 11.83 for associates and 11.98 for primary nurses. Meanwhile, other dimensions (situation, background, recommendation) and the handover implementation showed a significant difference between associate and primary nurses (p&gt;0.05). It was supported by the mean value of observation results in which primary nurses were higher than associate nurses. Therefore, it can be interpreted that the implementation of SBAR- based handover evaluation by primary nurses is better than that of associate nurses. However, the nursing fields still entail optimizing supervision activities, monitoring the implementation of SBAR- based handover, and scheduling effective communication training that could facilitate all nurses.

Correlation between the quality of nursing handover, job satisfaction, and group cohesion among psychiatric nurses

BackgroundNursing handovers are a critical component of patient safety. Researchers have performed many primary studies in this field, mainly reporting findings from changes in nursing handover patterns. However, few quantitative studies have explored the factors that influence handover quality. Therefore, this study aimed to investigate the quality of handovers and explore the associations between handover quality, job satisfaction, and group cohesion among psychiatric nurses.MethodsThis cross-sectional study included 186 registered psychiatric nurses from a Chinese hospital, who responded to the Handover Evaluation Scale, McCloskey/Mueller Satisfaction Scale, and Group Cohesion Scale. Bootstrap analyses were used to evaluate the mediating effect between variables.ResultsThe average item score for handover quality was (5.85 ± 1.14), and job satisfaction and group cohesion could predict the variance of handover quality. Job satisfaction could partially mediate between group cohesion and handover quality, and the value of the mediating effect was 45.77%.ConclusionThe quality of psychiatric nursing handovers has enhanced space. Thus, hospital managers should take various measures to strengthen group cohesion and promote job satisfaction, both of which help improve the quality of psychiatric nursing handovers.

A Power Efficiency Wireless Communication Networks by Early Detection of Wrong Decision Probability in Handover Traffic

This paper highlights the energy consumption due to handovers in wireless communication system. Ever-increasing demand for higher data rate for users of cellular networks and the energy consumption that results from the effective satisfaction of these demands leads to greater consumption of energy from such energy sources that depend on burning of greenhouse gas emitting fossil fuels for energy production. An evolved Node B or e-NB inside, as in equipment handling the radio frequencies, can be divided into two large categories (1) BaseBand Unit (2) Remote Radio Head or RRH. For the purpose of our current work, we will focus on mainly the Remote Radio Head part. A simple picturization of the evolved Node B and the User Equipment (UE) that are included in the power model has been discussed. The proposed framework for mobility management/security gateway protocol including wrong decision probability of handover evaluation following measurements’ procedure has been designed successfully. We have compared to other UL/UE power consumption. The lowest ISD has the largest power usage in resultant output.

Evaluation of emergency service nurses' patient handover and affecting factors: A descriptive study

AimThe aim of the study was to determine the patient handover efficacy level of emergency room nurses and the influencing factors. MethodThis descriptive, cross-sectional study was completed with (n = 120) emergency room nurses of two different state hospitals from April 26 to May 26, 2021. The “Nurses descriptive information form” and “Handover Evaluation Scale” were used as data collection forms. ResultsThe mean age of the nurses was 29.53(6.327 years, 70.8% of them were female, and 76.7% of them had a bachelor’s degree. The mean number of handovers was 3.25 (SD = 3.17) for one nurse in a shift, and the mean handover duration for a patient was 10.16 (SD = 9.23) minutes. More than half of the nurses (61.7%) carried out oral handover at the bedside. The mean score of the handover evaluation scale was 53.31 (SD = 9.55). The mean score of the nurses who performed the handover with all the nurses on the shift (spelling and relieving) together was 56.47 (SD = 9.21) and higher than that of the nurses who performed the handover in small groups 49.84 (SD = 9.70), (p = 0.012). ConclusionThe results of this study may contribute to promoting patient safety and improving patient handover processes in emergency rooms. It is recommended that standardized and comprehensive written handover forms be used, that all emergency room nurses should attend the handover process, and that further observational and interventional studies should be conducted.

The Effect of Education Program on Registered Nurse Perceptions, Satisfaction and Compliance towards Bedside Handover in a Private Hospital, Malaysia

A nursing handover involves one nurse handing over the responsibility of care for a patient to another nurse. Failure of ineffective nursing handover is associated with medication errors, delayed diagnostic testing, adverse reactions, and sentinel events. Critical information related to patient care must be efficiently communicated among registered nurses during bedside handover. This study examined registered nurses' perception, satisfaction, and compliance with bedside handovers in a private hospital in Malaysia. A quasi-experimental study using one group pre and post was conducted. A purposive sampling of 154 registered nurses who had experienced practising bedside report handover participated in the study. Compliance of registered nurses with clinical bedside handover practices was assessed using the bedside handover audit tool. The researchers used the handover evaluation scale to assess the perception of nurses regarding bedside handover. A researcher self-developed questionnaire with seven items on a 5-point Likert scale was used to assess satisfaction among registered nurses. Data was collected from 1st July 2020 to 30th December 2020. The researcher organised a bedside handover training program for the participants, and data was collected pre and post-training. The result shows the perception mean score of the pre-intervention phase as M= 5.68 (SD =.58) and post-intervention phase as M = 5.71 (SD =.38). Satisfaction level before the intervention was M = 4.13 (SD =.47) and after M = 4.31(SD =.41). This study confirmed that compliance with bedside handover (M = 66.69, SD = 5.95) was greater than in the post-intervention phase (M = 99.06, SD = 1.96). Data demonstrated an increase in perception, satisfaction, and compliance after the bedside handover education program. In conclusion, the handover practice of bedside reports and education training promotes positive working conditions, employee satisfaction, and a safe work environment, resulting in significantly increased efficiency, patient outcomes, and preservation of a safe workplace.

NURSES’ SATISFACTION TOWARDS THE USAGE OF SBAR AS A COMMUNICATION TOOL FOR HANDOFF IN A PRIVATE HOSPITAL PENANG

Background: Handoff is an important communication process involving the exchange of patient information between healthcare workers. Situation, Background, Assessment and Recommendation (SBAR) is a standardised tool that is created to enhance the efficiency of communication thus giving rise to effective collaboration, increases patient satisfaction as well as patient outcome. Although, SBAR was initiated in this private hospital for almost a decade and reinforced in 2017, the overall acceptance and usage of SBAR reflect otherwise. Hence, the purpose of this study is to determine the nurses’ satisfaction towards the usage of SBAR as a communication tool and its association with socio-demographic variables. Methods: A cross-sectional descriptive study design was conducted with 234 nurses selected using a simple random sampling at a private hospital, Penang. A piloted and validated, Handover Evaluation Scale (HES) was used as the study tool. Result: Overall, nurses were satisfied with the use of SBAR (M = 68.9, SD = 11.94) and there was a significant association between gender and satisfaction of nurses towards usage of SBAR (t = 2.130, p &lt; 0.05). Conclusion: Although the nurses were satisfied with the use of SBAR, there is a need to look into the reason for lack of satisfaction with its efficiency of implementation.

Impact of a blended curriculum on nursing handover quality: a quality improvement project

Context and objectiveThe negative consequences of inadequate nursing handovers on patient safety are widely acknowledged, both within the literature as in practice. Evidence regarding strategies to improve nursing handover is,...

Handover Nurse Monitoring and Evaluation In Meeting The SNARS Accreditation Standards 1.1

Sultan Agung Islamic Hospital Semarang as one of the providers of health, education and research services must be supported by a strong organization and good management. The nurse plays an important role regarding the clinical outcome of the client, especially during the handover the process which has an impact on patient safety and the quality of the hospital. The implementation of monitoring and evaluation of handover in this hospital has never been implemented because there are no working tools and regulations that regulate it as a reference for implementation. This study uses the interviews and observations with the approach carried out on 7 - 19 December 2020. Participants consisted of the Responsible Person / Head of the Room, the Responsible Nurse (PPJA) and the Implementing Nurse (PP) in the Baitul Izzah 2 room of the Sultan Agung Islamic Hospital Semarang. This study found 3 themes were found, namely the absence of monitoring and evaluation of handover nurses, lack of understanding of nurses regarding the implementation of handover monitoring and evaluation, the absence of regulations and work tools regarding the handover monitoring and evaluation. Work tools and regulations are very helpful in the implementation of monitoring and evaluation of handover in providing nursing care in the inpatient room. As well as fulfilling SNARS 1.1 Accreditation standards.

Handover From the Emergency Department to Inpatient Units: A Quality Improvement Study.

Intrahospital handovers are high risk. Standardization of content and process is recommended. Emergency department to inpatient unit handovers were inefficient. The intervention was a standardized operating protocol, including checklist and procedures. The intervention was coproduced and prototyped. Handovers were observed for intervention adherence, and the Handover Evaluation Scale was used to measure nurses' perceived quality of handover. The handover had 3 steps. Step 1 had more content, prompting by the receiver, and family participation postintervention. Step 3 was shorter in duration, had less content, and occurred at the bedside more postintervention. Receiving nurses were able to ask questions and found that information provided was timely, current, and easy to follow. Sending nurses perceived that handover was less succinct postimplementation, despite decreases in handover duration and repetition of information. This project has triggered ongoing improvement initiatives, necessary to keep accommodating the needs of nurses that work across boundaries.

The Turkish version of the Handover Evaluation Scale: A validity and reliability study.

The purpose of this study is to adapt the English version of the Handover Evaluation Scale to a Turkish nursing sample. This is a methodological and cross-sectional study. This study was conducted with 192 nurses working in different units in a public hospital between September 2016 and January 2017. A descriptive information form and the Handover Evaluation Scale were used to collect data. First, language validity and content validity were determined regarding the adaptation of the scale. As a result of the adaptation process, it was determined that the scale's structure, which consisted of 10 items and two factors explaining 68.96% of the total variance, was valid and reliable for the Turkish nursing sample. A Kaiser-Meyer-Olkin test and Bartlett's test of sphericity indicated that the sample met the criteria required for factor analysis. The reliability coefficient for the overall scale was 0.92. The test-retest reliability results were 0.87 for the overall intraclass correlation coefficient, and the t-test result was P > .05. This adaptation study revealed that the scale is a valid and reliable tool for evaluation of the handover of Turkish nurses.

Factors relating to nurse satisfaction with communication during the bedside handover

This study is to describe the factors related to nurse satisfaction with communication during the bedside handover in the hospitals in Banda Aceh. This research used a descriptive correlation design with a cross-sectional approach. The data retrieval instruments used based on the General Self-Efficacy Scale instrument, the Handover Evaluation Scale (HES), and the Ferguson questionnaire. The results showed that there was a significant relationship between communication during the bedside handover, as perceived by the nurse, and nurse satisfaction (p=0.001; r=0.829), and showed that significant relationships between age, length of employment, self-efficacy, a nurse's job satisfaction. The most dominant factors related to nursing satisfaction during the bedside handover were communication during the bedside handover variables. This study can be used as an evidence base regarding nurse satisfaction with communication during the bedside handover process to improve the quality of care and patient safety.

Caring behavior of nurses is linked to the implementation of bedside handover between shifts

This study examined the relationship of nurses' caring behavior with the implementation of bedside handover between shifts. A descriptive cross-sectional design was used in this study. A total of 153 nurses in three hospitals in Kepulauan Bangka Belitung Province, Indonesia took part in the study and filled out the Handover Evaluation Scale (HES) and Measuring of Nurses' Caring Behavior (MNCB) questionnaires. Data were analyzed by performing Pearson correlation test. There was a statistically significant relationship between the nurses' caring behavior and bedside handover implementation (p=0.000, r=0.537). Nurses' caring behavior is linked with the implementation of the bedside handover. Nurse managers are expected to improve the caring behavior of nurses and the implementation of bedside handovers by designing a supportive environment, providing periodic supervision, and conducting the evaluation.

Benefits of Health Care Communication Training for Nurses Conducting Bedside Handovers: An Australian Hospital Case Study

This study aimed to examine the effects of communication training on nurses' ability to conduct bedside handovers in hospital. Of the 26 participating nurses, 13 had recently completed specialized training in bedside handovers using the Connect, Ask, Respond, and Empathize (CARE) and Past, Present, and Future (PPF) of the patient journey and condition protocols for health care communication. The other 13 nurses did not participate in this training. Researchers videotaped and evaluated these nurses' handover practices using the Bedside Handover Evaluation Form. Nurses who had received the specific training in bedside handovers interacted with their patients to a far greater extent, asked more questions, and stated more complete information about their patient's medical journey. Nurses who participate in health care communication training on bedside handovers subsequently demonstrate a significantly better ability to lead these clinical interactions. This is evidenced by their articulation of more detailed medical information, their more respectful and multifaceted interactions with patients, and their more inclusive approach to all participants in the handover. J Contin Educ Nurs. 2018;49(7):329-336.

Status quo of handover evaluation of nurses and analysis the related factors

Objective To investigate status quo of handover evaluation of nurses and analysis the related factors. Methods Study was administered to 505 nurses, using Handover Evaluation Scale, Perceived Organizational Support Scale, General Self-Efficacy Scale, Maslach Burnout Inventory and Nurse′s Work Pressure Sources Scale. Results The handover evaluation of nurses was in a high level (6.35±0.74) points, quality of information (6.39±0.89) points, interaction and support (6.23±0.88) points, efficiency (6.43±0.69) points. Education background were influence factors of handover evaluation (F=31.97-53.65, P<0.01). Handover evaluation, organizational support and self-efficacy were positive correlation(r=0.263, 0.139, P<0.01). Handover evaluation, burnout and work pressure were negative correlation (r= -0.270, -0.257, P<0.01). Conclusions Nursing administrators should take effective measures to improve nurses′ organizational support and self-efficacy level, decrease burnout and burnout for enhancing nurses′ handover evaluation. Key words: Nurses; Handover; Job burnout; Occupational stress