Nursing Handover Research Articles

Do Not Attempt Resuscitation (DNAR) Status Awareness Among Healthcare Staff For Patient's Under Their Care: A Clinical Audit

Abstract Background The HSE National Consent policy recommends service providers should develop specific mechanisms for the documentation and dissemination of decisions relating to resuscitation. The local hospital guidelines state DNAR orders should be clearly documented in the patient’s records and communicated to relevant staff at nursing handover and clinical rounds. This audit aims to ensure DNAR status is known or easily accessible by healthcare staff if a cardiac arrest occurs. The population age of the wards audited are predominantly >80 years. Methods A questionnaire was distributed to all nursing and medical staff working on the designated wards over a two-week period via SurveyMonkey QRcode (33 responses). The questionnaire contained five multiple choice questions with rating scale responses. Charts containing DNAR forms were reviewed alongside corresponding nursing handover sheet during this period (27 charts). Results 6% of healthcare staff were very confident of DNAR status of patients under their care at the time of survey without accessing medical notes/handover sheet, increasing to 24% with access. 18% reported DNAR status is very easily found in both the medical chart and nursing notes. 82% report the coloured DNAR form (used 56% of the time) is much easier to locate than the photocopy. 89% of forms were attached to the front of medical charts, 7% attached to admission note and 4% unfiled. 33% of patients with signed DNAR forms did not have DNAR status recorded on the nursing handover sheet. Conclusion The confidence among healthcare staff regarding DNAR status of patients under their care is low. This audit highlights that an explicit and reproducible system to relay DNAR information between healthcare staff is not in place. Recommendations for this clinical site include; only keeping original coloured DNAR forms on the ward, ensuring completed forms are at the front of patient charts and creating a DNAR status column on medical and nursing handover sheets.

WP7.13 - Recognising Clinical frailty in the Periooperative setting in the Acute Surgical Unit

Abstract Aim Due to an ageing population the number of elderly patients undergoing surgery is increasing. The literature and NELA guidance has highlighted frailty can lead to increased risks related to surgery, quantified by Clinical frailty scoring. With the introduction of the regions first Perioperative care for Older People undergoing Surgery (POPS) service, we aim to determine if formal documentation of clinical frailty score improved awareness of these patients and impacted on clinical outcomes. Methods A 3 week note review was completed of all patients over 65 admitted to the acute surgical emergency unit. Frailty was scored using the Rockall Score. The first cycle was a review of current documentation practice, with a subsequent cycle of documentation of frailty score following interventions included; clinical posters in clinical areas, teaching and medical and nursing staff handover. Results At baseline zero patient had a Rockall Clinical frailty score CFS documented. There has been an increase in the number of patients >65 years old who have a frailty score documented within 24 hours of admission. 15/40 patients over 65 had a CFS documented improved by 37.8%. Conclusion Overall improvement of documentation and awareness has been demonstrated highlighting higher frailty patients and those for POPS review to improve perioperative outcomes.

Comparison of the SBAR method and modified handover model on handover quality and nurse perception in the emergency department: a quasi-experimental study

BackgroundEffective information transfer during nursing shift handover is a crucial component of safe care in the emergency department (ED). Examining nursing handover models shows that they are frequently associated with errors. Disadvantages of the SBAR handover model include uncertainty of nursing staff regarding transfer of responsibility and non-confidentiality of patient information. To increase reliability of handover, written forms and templates can be used in addition to oral handover by the bedside.AimsThe purpose of this study is to compare the ‘Situation, Background, Assessment, Recommendation (SBAR) method and modified handover model on the handover quality and nurse perception of shift handover in the ED.MethodsThis research was designed as a semi-experimental study, with census survey method used for sampling. In order to collect data, Nurse Perception of Hanover Questionnaire (NPHQ) and Handover Quality Rating Tool (HQRT) were used after translating and confirming validity and reliability used to direct/collect data. A total of 31 nurses working in the ED received training on the modified shift handover model in a one-hour theory session and three hands-on bedside training sessions. This model was implemented by the nurses for one month. Data was analyzed with SPSS (version 26) using paired t-tests and analysis of covariance.ResultsResults indicated significant difference between the modified handover model and SBAR in components of information transfer (P < 0.001), shared understanding (P < 0.001), working atmosphere (P = 0.004), handover quality (P < 0.001), and nurse perception of handover (P < 0.001). The univariate covariance test did not show demographic variables to be significantly correlated with handover perception or handover quality in SBAR and modified methods (P > 0.05).ConclusionsThe results of this study can be presented to nursing managers as a guide in improving the quality of nursing care via implementing and applying the modified handover model in the nursing handover. The resistance of nurses against executing a new handover method was one of the limitations of the research, which was resolved by explanation of the plan and goals, as well as the cooperation of the hospital matron, and the ward supervisor. It is suggested to carry out a similar investigation in other hospital departments and contrast the outcomes with those obtained in the current study.

Perceptions of Patients and Nurses about Bedside Nursing Handover: A Qualitative Systematic Review and Meta-Synthesis.

Bedside nursing handover is a recognized nursing practice that involves conducting shift change communication at the patient's bedside to enhance communication safety. Understanding the perceptions of both patients and nurses regarding bedside handover is crucial in identifying the key principles for developing and implementing effective bedside handover protocols. However, there is currently a lack of comprehensive evidence that summarizes and evaluates studies focused on qualitative approaches for gaining insights into the perceptions of both nurses and patients. This meta-synthesis review aims to identify, synthesize, and evaluate the quality of primary qualitative studies on the perceptions of patients and nurses about bedside nursing handover. A meta-synthesis review was conducted to identify qualitative studies that reported patients and nurses' perceptions about bedside handover using seven electronic databases, including CINAHL, PsycINFO, Embase, Education Database (ProQuest), Web of Science, The Cochrane Library, and PubMed, from January 2013 to November 2023. The authors independently selected reviews, extracted data, and evaluated the quality of included studies using the 10-item JBI Qualitative Assessment and Review Instrument tool. A total of 871 articles were retrieved, of which 13 met the inclusion and exclusion criteria. These studies identified three main themes: (1) facilitators of bedside nursing handover, (2) barriers to bedside nursing handover, and (3) strategies to maintain confidentiality during bedside handover. This study systematically reviewed and integrated the perceptions of patients and nurses about bedside handover. Based on nurses' perceptions, the combined findings highlight the facilitators of bedside handover, including developing partnership interaction between nurses and patients, promoting professionalism, and enhancing emotional communication among nurses. From the patients' viewpoint, the synthesized findings emphasize the facilitators of bedside handover, including acknowledging the expertise, professionalism, and humanity of the nursing profession, ensuring a sense of safety, satisfaction, and confidence in the care received, as well as promoting individualized nursing care. In the context of barriers to bedside handover, both nurses and patients perceive breaches of confidentiality and privacy violations as significant barriers. When it comes to maintaining confidentiality during bedside handovers, it is important to consider patients' preferences. Patients often prefer handovers to take place in a private setting. From the nurses' perspective, it is important to inquire with patients about their preference for the presence of caregivers, and to conduct private handovers for sensitive issues away from the bedside. Relevance to Clinical Practice. Clinicians should carefully evaluate the barriers and facilitators in this meta-synthesis prior to implementing bedside handover. Study Registration. This study is registered in PROSPERO with Protocol registration ID: CRD42024514615.

STUDY OF HANDOVER PRACTICES AMONG NURSING STAFF OF A TERTIARY CARE TEACHING HOSPITAL IN NORTH INDIA

The study aimed to implement a standardized guiding nursing handover protocol and assess its impact on handoff practices. A total of 282 handover observations were analyzed before and after the intervention, and various factors related to handoffs were examined, including time specificity, place of handoffs, methods used, patient involvement, and nursing staff satisfaction. The study found that less experienced nurses faced challenges with handoffs, and the majority of handoffs occurred during evening and night shifts. Patient involvement during handovers was minimal, particularly in emergency and ward settings. The study also revealed the need for training and guidance on handoffs, as many nurses had not received adequate instruction in this area. Following the intervention, improvements were observed in terms of timing precision, duration of handovers, inclusion of bedside handoffs, and satisfaction with the information received during handovers. The study highlights the importance of effective handover practices in ensuring patient safety and suggests the implementation of training programs and standardized guidelines for handoffs.

The Relationship of The Nurse's Handover Process With Implementation of Patient Safety Targets in The Surgery Room and Icu

&lt;div&gt;&lt;table cellspacing="0" cellpadding="0" align="left"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td align="left" valign="top"&gt;&lt;p&gt;&lt;em&gt;Every year, millions of patients suffer injuries or die because of unsafe and Not Good-quality health care. Many medical practices and healthcare-related risks have emerged as major challenges to patient safety and contribute significantly to the burden of harm from unsafe care. The aim of this research is to determine the relationship between the nurse handover process and the implementation of patient safety targets in the surgical ward and ICU of the &lt;/em&gt;&lt;em&gt;Royal Prim&lt;/em&gt;&lt;em&gt;e&lt;/em&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;Hospital &lt;/em&gt;&lt;em&gt;Medan&lt;/em&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;2022. This research is a type of quantitative research with a pre-experimental design method type one group pretest-posttest (single group initial test-final test), with a population of all nurses working in the surgical ward (26 nurses) and ICU (26 nurses). 25 nurses) &lt;/em&gt;&lt;em&gt;Royal Prim&lt;/em&gt;&lt;em&gt;e&lt;/em&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;Hospital &lt;/em&gt;&lt;em&gt;Medan&lt;/em&gt;&lt;em&gt;, totaling 51 people. Research sample collection techniques are primary data, secondary data and tertiary data. The instrument used is a questionnaire. Research data analysis is univariate analysis and bivariate analysis. The results of the research showed that there was a significant increase in the implementation of the nurse handover process before the treatment was 24.75 and it increased after the treatment to 39.22. Shows that there was a significant increase in the implementation of patient safety targets before treatment, amounting to 27.65 and an increase after treatment to 43.39. And showing a p value (0.005) &amp;lt; 0.05, it shows that there is a significant relationship between the handover process and the implementation of patient safety targets at the RSU. Royal Prima Medan in 2022&lt;/em&gt;&lt;em&gt;.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt;&lt;br /&gt;&lt;/em&gt;&lt;/p&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/div&gt;&lt;strong&gt;&lt;em&gt;Keyword : Handover, Hospital, Patient Safety&lt;/em&gt;&lt;/strong&gt;

FAKTOR DETERMINAN HANDOVER DALAM KESELAMATAN PASIEN

Currently patient safety continues to be a major concern for nurses. One of the activities that can have an impact on patient safety is handovers carried out by nurses. Data shows that medical and treatment errors can threaten patient safety, 70% of them because of non-optimal handover activities by nurses. However, there are several organizational factors that influence the success of handover activities by nurses. This research is a quantitative study with a correlational design. The population was all nurses in the inpatient room of the Hospital in Banda Aceh, with a total of 175 nurses. The instrument for measuring organizational factors was adopted from the Hospital Survey on Patient Safety from the U.S. Agency for Healthcare Research and Quality (AHRQ), Department of Health and Human Services. Then, the instrument developed by Arianti was used for measuring nurse handover. Data were analyzed by using Chi-Square test and binary logistic regression with stepwise method. The results showed that of the 3 organizational factor variables in patient safety, 2 variables namely enabling factor (P-value: 0.000) and enacting factor (P-value: 0.002) were significant predictors of nurse handover in the inpatient ward. Furthermore, the data analysis indicated enabling factor is the most dominant predictor of nurse handover, with an odds ratio (OR) of 116.999. Meanwhile, the elaborating factor did not significantly affect the handover of nurses in the inpatient ward. Organizational factors that influence the success of the handover of the nurse in the inpatient unit are enabling and enacting factors.

The Relationship Of Organizational Climate And Nurse Handover To Patient Safety Incidents In Porsea General Hospital Items

Nurses as one of the largest human resources in hospital health care institutions have an important contribution in providing nursing care. Health services can be at risk of causing patient safety incidents. This condition can be caused by the quality of the organizational climate and the ineffective implementation of handovers. The purpose of this study was to analyze the relationship between organizational climate and nurse handovers on patient safety incidents in the Porsea Hospital Inpatient Room. Analytical descriptive research design with a cross sectional approach. The sample is 45 nurses using purposive sampling. Chi Square test results obtained p-value = 0.868 There is no significant relationship between organizational climate with patient safety incidents and p-value = 0.005 There is a significant relationship between handovers and patient safety incidents. Hospitals need to pay attention to the rights of nurses, such as the issue of unequal pay and conduct ongoing evaluations of the organizational climate and the effective implementation of handovers

Evaluating the efficacy of a digital App to enhance patient-centred nursing handover: A simulation study.

The study aim was to evaluate the feasibility and efficacy of a digital App developed to enhance patient communication with nurses during bedside nursing handover at shift change. Six nurses and 11 patient actors/volunteers participated in 12 simulated nursing handovers across six simulation workshops. Over half the patients were aged 70+ years (55%); majority were female (82%). Handover video recordings were analysed using a structured observation tool and a revised Four Habits Coding Scheme to assess nurses' handover communication skills. Patient and nurse feedback was also sought. The STROBE checklist (Data S1) guided preparation of the study. For all simulated handovers (n = 12): Nurses greeted the patient at commencement; nurses made eye contact with the patient; patients were given opportunity to ask questions; and all patient questions were answered. Nurses explained the handover process for less than half the handovers (42%). Familiarity with the patient's history was evident in every handover. Communication behaviours identified in most handovers included: good nonverbal behaviour; allowing time for the patient to absorb information; giving clear explanations; involving the patient in decisions; and exploring acceptability of the care plan. Patient and nurse feedback on the App included: The App was easy to navigate, features were well-liked, with some improvements suggested. Patients and nurses provided positive feedback for the App during hospital stay and at handover. The App has the potential to enhance existing handover processes and increase safety of hospital care by using technology to educate and empower patients/carers to be active partners in communication with nurses during change-of-shift handover. The App empowers and enables patients/carers to actively participate in nursing handover and allows patients to communicate concerns and provide information to their nursing team, facilitating a new approach. Patients and carers were involved in the research from the original co-design workshops that guided the development of the handover App. The research aims and outcome measures were informed by the experiences and preferences of patients/carers. Two patient representatives were involved in writing and submission of the grant application for the study to evaluate the efficacy of the App and were listed as co-authors on this paper. Patient volunteers were involved in the current study to pilot test the handover App. Patient volunteers were recruited through a consumer representative and volunteer registry at the health service. They participated in simulated nursing handovers with two nurses to assess the feasibility and acceptability of the handover App and then provided feedback and suggestions for improvement.

Evaluation of patient participation in relation to the implementation of a person-centered nursing shift handover.

It has been suggested that nursing shift-to-shift handover should be a more team-based dialogue with and for the patient rather than about a patient. The aim of this study was to evaluate patient participation in relation to the implementation of the person-centered handover (PCH). A pretest-posttest design was used without a comparison group, including patients from nine units in a university hospital at pretest (n = 228) and after implementing PCH (posttest, n = 253) per the framework integrated-Promoting Action on Research Implementation in Health Services. The PCH is inspired by an Australian bedside handover model. The Patient Preferences for the Patient Participation tool was used to rate the preference for and experience of participation on 12 items, combined into three levels of preference-based participation (insufficient-fair-sufficient). There were no differences regarding experience or preference-based participation between patients at pretest-posttest; however, posttest patients experienced participation in the item Reciprocal communication to a lesser extent than the pretest patients. Only 49% of the posttest group received PCH; of those not receiving PCH, some would have wanted PCH (27%), while some would have declined (24%). Patients receiving PCH had sufficient participation (82%), to a greater extent, regarding the item Sharing one's symptoms with staff than patients at pretest (72%). Patients receiving PCH also had sufficient participation, to a greater extent, than patients at posttest who did not receive, but would have wanted PCH, regarding four items: (1) sharing one's symptoms with staff, (2) reciprocal communication, (3) being told what was done, and (4) taking part in planning. Most patients want to be present at PCH. Therefore, nurses should ask for the patients' preferences regarding PCH and act accordingly. Not inviting patients who want PCH could contribute to insufficient patient participation. Further studies are needed to capture what assistance nurses would want in identifying and acting in alignment with patient preferences.

Penerapan Rekam Medis Elektronik terhadap Proses Serah Terima Pasien oleh Perawat

The purpose of this study was to compare the effectiveness of implementing electronic medical records in several countries when nurses hand over patients. The method used in this literature study is a type of systematic review. The author uses the inclusion criteria are journal publications in the 2018-2022 range, with the outcomes analyzed are electronic medical records and patient handovers of 10 journals, and the exclusion criteria are types of literature review research methods. The study results show that the benefits of using electronic medical records during the handover process are that they can improve professional relationships, improve the quality of care, improve patient continuity and communication, reduce negligence and misinformation, and improve patient safety. However, its use still needs to be positively felt by all parties because the role of technology in ensuring the quality of communication and feedback requires continuous evaluation. It has been argued that quality and efficiency can coexist if the organizational culture supports it.&#x0D; &#x0D; Keywords: Communication, Patient Safety, Electronic Medical Records, Nurse Handover

Association between time of day for rapid response team activation and mortality

PurposeTo evaluate the frequency of rapid response team (RRT) calls by time of day and their association with in-hospital mortality. Materials and methodsThis was a retrospective cohort study of all RRT calls at a tertiary teaching hospital in Porto Alegre, Brazil. Patients were categorized according to the time of initial RRT activation. Activations were classified as daytime (7:00–18:59) or nighttime (19:00–6:59). The primary outcome was in-hospital mortality rate. The secondary outcome was ICU admission within 48 h of RRT assessment. ResultsDuring the study period, 4522 patients were included in the final analysis. Cardiovascular and respiratory changes were more common causes of nighttime activation, whereas neurological and laboratory changes were more common during the daytime. The in-hospital mortality rate was 23.9% (1081/4522). Nighttime RRT calls were not associated with worse outcomes than daytime calls. However, a decrease in the number of calls was observed during nursing handover periods (7:00, 13:00 and 19:00). Two time periods were associated with increased adjusted odds for mortality: 12:00–13:00 (adjusted OR 2.277; 95% CI 1.392–3.725) and 19:00–20:00 (adjusted OR 1.873; CI 1.873; 95% 1.099–3.190). ConclusionWe found that nighttime RRT calls were not associated with worse outcomes than daytime RRT calls. However, a decrease in the number of calls and higher mortality was observed during nursing handover periods.

The Impact of Nursing Handover on Nurses’ Mood

Objective: To estimate the impact of nursing handover on nurses’ mood after the end of the nursing shift report. Methods: A cross-sectional, repeated-measures design study involving a diary questionnaire was conducted during November - December 2019. Data were collected from 125 nurses working in a public hospital in Northern Greece. 375 diaries were returned. Mood change was measured using the UWIST Mood Adjective Checklist instrument that describes three mood factors (Hedonic Tone, Tense Arousal and Energetic Arousal). Results: A significant change in nurses’ mood before and after the nursing handover was reported and more specifically, an increase in positive and a decrease in negative mood state was observed. A change in all mood groups - Hedonic Tone, Tense Arousal and Energetic Arousal was also identified. Nurses with many years of experience who work in internal medicine, increased their Hedonic Tone (P=0.001) and decreased their Tense Arousal (P=0.005). Conclusion: The benefits of nursing handover are long established and is suggested as the most appropriate period of time for nurses to achieve emotional change before leaving from work. Nurses are advised to use the nursing handover as an opportunity to psychologically disengage from work and increase their positive mood.

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study

BackgroundThe unprecedented increase in the nurses’ workload is one of the issues affecting the quality and safety of patient care in the Intensive Care Units (ICUs). The electronic nursing handover can share sufficient, relevant, and necessary data about patients with greater efficiency and accuracy and prevent their information from being deleted. Therefore, this study aimed to determine and compare the effect of the Electronic Nursing Handover System (ENHS) on patient safety in General ICU and COVID-19 ICU.MethodThis is a quasi-experimental study conducted during an 8-month period from 22 to 2021 to 26 June 2022 using a test-retest design. A total of 29 nurses working in the General and COVID-19 ICUs participated in this study. Data were collected using a five-part questionnaire consisting of demographic information, handover quality, handover efficiency, error reduction, and handover time. Data analysis was conducted in IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA) using the chi-squared test, paired t-test, and Analysis of Covariance (ANCOVA).ResultsThe results showed that the mean scores of handover quality and efficiency, reduction of clinical error, and handover time in the electronic handover were significantly higher than those obtained in the paper-based method. The results showed that the mean score of patient safety in the COVID-19 ICU was 177.40 ± 30.416 for the paper-based handover and 251.40 ± 29.049 for the electronic handover (p = .0001). Moreover, the mean score of patient safety in the general ICU was 209.21 ± 23.072 for the paper-based handover and 251.93 ± 23.381 for the electronic one (p = .0001).ConclusionThe use of ENHS significantly improved the quality and efficiency of shift handover, reduced the possibility of clinical error, saved handover time, and finally increased patient safety compared to the paper-based method. The results also showed the positive perspectives of ICU nurses toward the positive effect of ENHS on the patient safety improvement.

Nurses' perspectives on shift-to-shift handovers in relation to person-centred nursing home care.

The aim of this study was to gain insight into nurses' perspectives on the shift-to-shift handover in relation to providing Person-centred care (PCC) in nursing homes. PCC is perceived as the gold standard for nursing home care. To preserve the continuity of PCC, an adequate handover during the nurses' shift change is essential. There is, however, little empirical evidence for what constitutes best shift-to-shift nursing handover practices in nursing homes. An exploratory qualitative descriptive study. Nine nurses were selected purposively and through snowball sampling from five Dutch nursing homes. Semi-structured face-to-face and telephone interviews were conducted. Analysis relied on Braun and Clarke's thematic analysis. Four main themes were identified related to enabling PCC informed handovers: (1) knowing the resident to be enable to provide PCC was key, (2) the actual handover, (3) additional ways of information transfer and (4) nurses' knowledge of the resident prior to start shift. The shift-to-shift handover is one way that nurses become informed about residents. Knowing the resident is essential to enable PCC. The fundamental underlying question is to what extent nurses have to know the resident in order to enable PCC. Once that level of detail has been established, in-depth research is needed to determine the best method for conveying this information to all nurses. Only then can we start to rethink the role of the shift-to-shift handover in conveying PCC-driven information. No Patient or Public Contribution.

Using a simulation-based approach to promote structured and interactive nursing clinical handover: a pre- and post-evaluation pilot study in bilingual Hong Kong

Effective clinical nursing handover involves the transfer of responsibility and accountability for patient care between nurses, leading to better patient safety and continuity of care. Nurses in bilingual contexts, such as Hong Kong – where nurses are trained in English but communicate in Cantonese – may find it challenging to deliver a safe clinical handover. This article reports a pilot study in which a simulation-based approach is being developed to enhance nursing handover with structured and interactive interactions, using handover protocols such as ISBAR (introduction, situation, background, assessment, recommendation and readback) and CARE-team (connect, ask, respond, empathise) protocols in a bilingual context. The study has a pre‐ and post-evaluation design involving a questionnaire survey before and after a 4‐hour workshop. Fourteen selected bilingual nurses in Hong Kong were trained according to the ISBAR and CARE-team protocols, and their perceptions of complete and structured handovers were evaluated before and after training using the questionnaire. The nurses reported that they were more self-confident in their handover experiences, with a deeper understanding of ISBAR and CARE-team protocols after the simulation-based training intervention, leading to better (i.e., more structured and interactive) clinical handover between nurses. Overall, the staff perceived their handover communication to have improved using simulation-based training.

Under the chest pain center mechanism, whether the nursing handover affects the nursing efficiency and the outcomes of patients with STEMI in the emergency department? A retrospective study

BackgroundThe introduction of chest pain centers (CPC) in China has achieved great success in shortening the duration of nursing operations to significantly improve the treatment and outcomes of patients with ST-segment elevation myocardial infarction (STEMI). The nursing handover period is still considered the high incidence period of adverse events because of the distractibility of nurses’ attention, potential interruption, and unclear responsibilities. Under the CPC mechanism, the nursing efficiency and patients’ outcome, whether affected by the nursing handover, is still a knowledge gap in research. This is also the aim of this study.MethodsA retrospective study was conducted with data from STEMI patients from a tertiary hospital in the north of Sichuan Province from January 2018 to December 2019 through the Chinese CPC database. Patients are divided into handover and non-handover groups according to the time they presented in the Emergency Department. D2FMC, FMC2FE, FMC2BS, FMC2CBR, FMC2FAD, and D2W were selected to measure nursing efficiency. The occurrence of major adverse cardiovascular events, the highest troponin values within 72 h of hospitalization, and the length of hospitalization were selected to measure the patient outcomes. Continuous variables are summarized as mean ± SD, and t-tests of the data were performed. P-values < 0.05 (two-tailed) were considered statistically significant.ResultsA total of 231 cases were enrolled, of which 40 patients (17.3%) were divided into the handover period group, and 191 (82.6%) belonged to the non-handover period group. The results showed that the handover period group took significantly longer on items FMC2BS (P < 0.001) and FMC2FAD (P < 0.001). Still, there were no significant differences in D2FMC and FMC2FE, and others varied too little to be clinically meaningful, as well as the outcomes of patients.ConclusionThis study confirms that nursing handover impacts the nursing efficiency of STEMI patients, especially in FMC2BS and FMC2FAD. Hospitals should also reform the nursing handover rules after the construction of CPC and enhance the triage training of nurses to assure nursing efficiency so that CPC can play a better role.

NURSING HANDOVER PRACTICES AMONG STAFF NURSES OF INTENSIVE CARE UNIT AT SELECTED HOSPITAL GUWAHATI ASSAM: AN EVALUATIVE STUDY

The nursing handover is a key moment for guaranteeing the continuity of care and the patient's safety. Poor communication information is the main possible factor and related risk factor for sentinel events.1 To assess the Aims: nursing handover practices among the staff nurses of ICU at selected hospital Guwahati, Assam. Exploratory survey approach was Methodology: adopted to assess the nursing handover practices among 60 staff nurses of ICU by using purposive sampling technique. The study nding Results: reveals satisfactory handover practices among staff nurses in ICU as majority of the ndings showed 100%. The physical factors of the staff nurses also play an important role in the patient care. Regarding psychological factors, the present study also revealed that 91.97% of the staff nurses did not get rest at work place. Social factor also had an impact on the staff nurses. The nding related to the professional factor was satisfactory as majority of the aspects in it were fullled. Keeping in view with the Conclusion: ndings it is recommended that regular educational programs and training to the staff nurses for developing the nursing handover.

The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique.

This study aims to analyze the effect of using an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation (SBAR) communication technique. An intensive care unit point-of-care nursing handover checklist was designed based on the SBAR technique, and standard point-of-care nursing handover procedures and effect assessment indicators were established to compare the occurrence of adverse handover events and nursing risks with those previously observed. Before and after the application of the intensive care unit point-of-care SBAR checklist, the occurrence of missed items during the handover was 7.26 and 2.02%, inadequate preparation for handover was 28.33 and 5%, and nursing risks were 5 and 1.67%, respectively. Based on the SBAR technique, the application of an intensive care unit point-of-care nursing checklist reduced the occurrence of adverse handover events and nursing risks.

Effective nursing shift handover in critical care: A concept analysis.

To explore the concept of effective shift handover in critical care settings.Ineffective handover is one of the leading causes of adverse events in healthcare settings. Nursing shift handover in the intensive care unit (ICU) is more complex and detailed than in other in-patient wards due to the complexity of medical issues experienced by ICU patients. It is, therefore, critical that nurses be able to conduct handover effectively. Despite the importance of handover, the definition and attributes of effective handover are not clearly understood.Walker and Avant's eight-step approach to concept analysis.Effective handover in nursing is an interactive process between two nurses, resulting in the direct transfer of adequate patient-specific recent information in a manner that creates a shared understanding of information. Its defining attributes are (1) content-related and (2) process-related attributes. The antecedents of effective handover are organizational support, interpersonal relationship, and work environment. Its consequences include patient and nurse satisfaction, improved care, and continuity of care. Empirical referents include several tools developed to measure some of the effective handover attributes.The definition provides a connotative meaning and is the first step toward concept validation and instrument development to measure effective handover practice in the ICU.