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NURSES’ HANDOVER EFFECTIVENESS AND RELATED VARIABLES

Year 2018, Issue: 4, 432 - 437, 01.12.2018

Abstract

Objectives: Handover is a fundamental component of clinical practice and is essential to ensure safe patient care. For the maintenance of continuity of care and improvment in quality of care, effective inter-shift information communication is necessary. Any handover error can endanger patient safety. In this descriptive study it was the aim to determine handover effectiveness and the factors that effect it in nursing.Methods: The study was conducted with 222 nurses working in a public hospital and at different units in Istanbul between January and March 2017. Descriptive information form and Handover Evaluation Scale were used to collect the data of the study. The data were analyzed by using IBM SPSS Statistics 22.0 statistical software. Approvals from participants, managers of institutions, and ethics committees were obtained for the study.Results: As a result of the research, it was found that the effectiveness of the nurses’ handover was above the median value, and the highest score was in the “quality of information” sub-dimension. According to personal and occupational characteristics, there was a statistically significant difference only in terms of gender with the nursing handover efficiency of nurses p

References

  • Malekzadeh J, Mazluom SR, Etezadi T, Tasseri A. A Standardized Shift Handover Protocol: Improving Nurses’ Safe Practce in İntensive Care Unit. JCS 2013; 2: 177-85. [CrossRef]
  • Patterson ES, Wears RL. Patient Handoffs: Standardized and Reliable Measurement Tools Remain Elusive. Jt Comm J Qual Saf 2010;36:52–61.
  • Nelson BA, Massey R. Implementing an Electronic Change-of-Shift Report Using Transforming Care at the Bedside Processes and Methods. J Nurs Admin 2010; 40: 162–8. [CrossRef]
  • Riesenberg LA, Leisch J, Cunningham J. Nursing Handoffs: a Systematic Review of the Literature. Am J Nurs 2010; 110: 24–34. [CrossRef]
  • Department of Health. Building foundations to support patient safety: annual report of the 2009–10 sentinel event program. State of Victoria, Department of Health, Melbourne, 2009. https://www2. health.vic.gov.au/Api/downloadmedia/%7B193C54F4-56C7-43D7- B316-1B6ADDA03ED1%7D Erişim tarihi: 20.03.2017 Erişim tarihi: 12.10.2018
  • Federal Ministry of Health. Best practices in patient safety, 2nd Global ministerial summit on patient safety. World Health Organization, Germany, 2017. https://www.bundesgesundheitsministerium. de/fileadmin/Dateien/3_Downloads/P/Patientensicherheit/ Best-Practice_Patient_Safety_Web_plusWHO.pdf Erişim tarihi: 12.10.2018
  • Nadzam DM. Nurses’ role in communication and patient safety. J Nurs Care Qual 2009; 24: 184–8. [CrossRef]
  • World Health Organization. Nine Patient Safety Solutions, 2007. http://www.who.int/patientsafety/events/07/02_05_2007/en/ Erişim tarihi: 12.10.2018
  • Australian Council for Safety and Quality in Health Care. Clinical Handover and Patient Safety: Literature Review Report. Australian Council for Safety and Quality in Health Care, Canberra, 2005. https:// www.safetyandquality.gov.au/wp-content/uploads/2012/01/ clinhovrlitrev.pdf Erişim tarihi 09.10.2018
  • Hoonhout LHF, De Bruijne MC, Wagner C, Zegers M, Waaijman R, Spreeuwenberg P, et al. Direct Medical Costs of Adverse Events in Dutch Hospitals. BMC Health Serv Res 2009;9:27. [CrossRef]
  • Reader TW, Flin R, Cuthbertson BH. Communication Skills and Error in the intensive Care Unit. Curr Opin Crit Care 2007; 13: 732-6. [CrossRef]
  • Hansten R. Streamline Change-of-shift Report. Nurs Manage 2003;34:58-9.
  • Matic J, Davidson PM, Salamonson Y. Review: Bringing Patient Safety to the forefront Through Structured Computerisation During Clinical Handover. J Clin Nurs 2011; 20: 184–9. [CrossRef]
  • O’Connell B, Ockerby C, Hawkins M. Construct Validity and Reliability of the Handover Evaluation Scale. Journal of Clinical Nursing 2014;23:560-70. [CrossRef]
  • Tuna R, Dallı B. The Turkish version of handover evaluation scale: A validity and reliability study. Int J Nurs Pract 2018. (Baskıda)
  • Pessalacia JD, Silva LM, Jesus LF, Silveira RC, Otoni A. Atuação da Equipe de Enfermagem em UTI Pediátrica: um Enfoque na Humanização. Rev Enferm Cent O Min. 2012;2:410-8.
  • Alves EF. O Cuidador de Enfermagem e o Cuidar em uma Unidade de Terapia İntensiva. Rev Cient Ciênc Biol Saşde. 2013;15:115-22.
  • Padilha KG, Kitahara PH, Gonçalves CC, Sanches AL. Ocorrências İatrogênicas Com Medicação em Unidade de Terapia İntensiva: Condutas Adotadas e Sentimentos Expressos Pelos Enfermeiros. Rev Escola Enferm USP. 2010;36:50-7. [CrossRef]
  • Dal SG, Barra DC, Paese F, Almeida SR, Rios GC, Marinho MM, Debétio MG. Processo de enfermagem İnformatizado: Metodologia Para Associação da Avaliação Clínica, Diagnósticos, İntervenções e Resultados. Rev Esc Enferm USP. 2013;47:242-9. [CrossRef]
  • Joint Commission International-JCI 2014. https://www. jointcommissioninternational.org/assets/3/7/Hospital-5E- Standards-Only-Mar2014.pdf Erişim tarihi: 09.10.2018
  • Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for İntensive-Care-Unit-to-Ward Patient Transfers. Am J Med 2011;124:860–7. [CrossRef]
  • Thomas L, Donohue-Porter P. Blending Evidence and innovation: İmproving İntershift Handoffs in a Multihospital Setting. J Nurs Care Qual 2012;27:116-24. [CrossRef]
  • Roberts M, Putnam J, Raup GH. The İnterdepartmental Ticket (IT) Factor: Enhancing Communication to İmprove Quality. J Nurs Care Qual 2012;27:247–52. [CrossRef]
  • Yorulmaz Ç, Kaya A. Tıbbi Malpraktisin Uzmanlık Alanlarına Dağılımı ve Karşılaşılan Nedenler. 2012; 78: 9 - 21. http://www.ctf.edu.tr/stek/ pdfs/78/7801.pdf
  • Öztürk, K. Hasta güvenliği ve iletişim. SNASTD 2010; 7: 14-5.
  • Akalın E, Çakmakçı M. Hemşirelikte Hasta Güvenliği. Hasta Güvenliği: Türkiye ve Dünya Füsun Sayek TTB Raporları / kitapları. 1.baskı. Ankara Türk Tabipler Birliği Yayınları, 2011: 36-42. https://www. ttb.org.tr/kutuphane/fsayek10_hastaguvenlik.pdf Erişim tarihi 09.10.2018
  • Riesenberg L. Systematic Review of Handoff Mnemonics Literature. AJMQ 2009; 24: 196-204. [CrossRef]
  • Haig KM, Sutton S, Whittington J. SBAR: A shared Mental Model for improving Communication Between Clinicians. Jt Comm J Qual Patient Saf 2006; 32: 167-75.
  • Levinson DR. Adverse events in hospitals: national ıncidence among medicare beneficiaries. Office of the Inspector General, Department of Health and Human Services, Washington DC, 2010. https://oig. hhs.gov/oei/reports/oei-06-09-00090.pdf Erişim tarihi: 09.10.2018
  • Ehsani JP, Jackson T, Duckett SJ. The İncidence and Cost of Adverse Events in Victorian Hospitals 2003– 2004. Med J 2006;184:551–5.
  • Hemşire Nöbet Devir Teslim Talimatı. Sağlık Bakanlığı Orhaneli İlçe Devlet Hastanesi, Bursa, 2014. http://www.orhanelidh.gov.tr/kalite/ kalite/yonetim-hizmetleri/tal/27.pdf Erişim tarihi: 12.10.2018

Hemşirelerin Nöbet Devir Teslim Etkinliği ve İlişkili Değişkenler

Year 2018, Issue: 4, 432 - 437, 01.12.2018

Abstract

Amaç: Nöbet devir teslimi klinik uygulamanın temel bir birleşeni olup, güvenli hasta bakımının sürdürülmesi için gereklidir. Bakımın devamlığının sağlanması ve sunulan bakımın niteliğinin artırılması için vardiyalar arası etkin bir bilgi transferinin sağlanması gereklidir. Herhangi bir nöbet devir teslim hatası hastanın güvenliğini tehlikeye sokabilir. Bu çalışma hemşirelerin nöbet devir teslim etkinliği ile bunu etkileyen faktörlerin belirlenmesi amacıyla, tanımlayıcı araştırma tasarımında gerçekleştirildi.Yöntem: Çalışma, İstanbul’da bir kamu hastanesinde ve farklı birimlerde çalışan 222 hemşire ile gerçekleştirildi. Araştırmanın verilerinin toplanmasında tanıtıcı bilgi formu ve Nöbet Devir Teslim Değerlendirme Ölçeği kullanıldı. Veriler IBM SPSS Statistics 22.0 istatistik programı kullanılarak analiz edildi. Çalışma için katılımcılardan, kurum yöneticilerinden ve etik kuruldan izin alındı.Bulgular: Araştırma sonucunda hemşirelerinin nöbet devir teslimi etkinliğinin orta değerin üzerinde olduğu, “bilginin niteliği” alt boyutunda ise en yüksek puanı aldıkları belirlenmiştir. Kişisel ve mesleki özelliklere göre ise hemşirelerinin nöbet devir teslim etkinliği ile sadece cinsiyet açısından istatiksel olarak anlamlı bir fark bulunmuştur p

References

  • Malekzadeh J, Mazluom SR, Etezadi T, Tasseri A. A Standardized Shift Handover Protocol: Improving Nurses’ Safe Practce in İntensive Care Unit. JCS 2013; 2: 177-85. [CrossRef]
  • Patterson ES, Wears RL. Patient Handoffs: Standardized and Reliable Measurement Tools Remain Elusive. Jt Comm J Qual Saf 2010;36:52–61.
  • Nelson BA, Massey R. Implementing an Electronic Change-of-Shift Report Using Transforming Care at the Bedside Processes and Methods. J Nurs Admin 2010; 40: 162–8. [CrossRef]
  • Riesenberg LA, Leisch J, Cunningham J. Nursing Handoffs: a Systematic Review of the Literature. Am J Nurs 2010; 110: 24–34. [CrossRef]
  • Department of Health. Building foundations to support patient safety: annual report of the 2009–10 sentinel event program. State of Victoria, Department of Health, Melbourne, 2009. https://www2. health.vic.gov.au/Api/downloadmedia/%7B193C54F4-56C7-43D7- B316-1B6ADDA03ED1%7D Erişim tarihi: 20.03.2017 Erişim tarihi: 12.10.2018
  • Federal Ministry of Health. Best practices in patient safety, 2nd Global ministerial summit on patient safety. World Health Organization, Germany, 2017. https://www.bundesgesundheitsministerium. de/fileadmin/Dateien/3_Downloads/P/Patientensicherheit/ Best-Practice_Patient_Safety_Web_plusWHO.pdf Erişim tarihi: 12.10.2018
  • Nadzam DM. Nurses’ role in communication and patient safety. J Nurs Care Qual 2009; 24: 184–8. [CrossRef]
  • World Health Organization. Nine Patient Safety Solutions, 2007. http://www.who.int/patientsafety/events/07/02_05_2007/en/ Erişim tarihi: 12.10.2018
  • Australian Council for Safety and Quality in Health Care. Clinical Handover and Patient Safety: Literature Review Report. Australian Council for Safety and Quality in Health Care, Canberra, 2005. https:// www.safetyandquality.gov.au/wp-content/uploads/2012/01/ clinhovrlitrev.pdf Erişim tarihi 09.10.2018
  • Hoonhout LHF, De Bruijne MC, Wagner C, Zegers M, Waaijman R, Spreeuwenberg P, et al. Direct Medical Costs of Adverse Events in Dutch Hospitals. BMC Health Serv Res 2009;9:27. [CrossRef]
  • Reader TW, Flin R, Cuthbertson BH. Communication Skills and Error in the intensive Care Unit. Curr Opin Crit Care 2007; 13: 732-6. [CrossRef]
  • Hansten R. Streamline Change-of-shift Report. Nurs Manage 2003;34:58-9.
  • Matic J, Davidson PM, Salamonson Y. Review: Bringing Patient Safety to the forefront Through Structured Computerisation During Clinical Handover. J Clin Nurs 2011; 20: 184–9. [CrossRef]
  • O’Connell B, Ockerby C, Hawkins M. Construct Validity and Reliability of the Handover Evaluation Scale. Journal of Clinical Nursing 2014;23:560-70. [CrossRef]
  • Tuna R, Dallı B. The Turkish version of handover evaluation scale: A validity and reliability study. Int J Nurs Pract 2018. (Baskıda)
  • Pessalacia JD, Silva LM, Jesus LF, Silveira RC, Otoni A. Atuação da Equipe de Enfermagem em UTI Pediátrica: um Enfoque na Humanização. Rev Enferm Cent O Min. 2012;2:410-8.
  • Alves EF. O Cuidador de Enfermagem e o Cuidar em uma Unidade de Terapia İntensiva. Rev Cient Ciênc Biol Saşde. 2013;15:115-22.
  • Padilha KG, Kitahara PH, Gonçalves CC, Sanches AL. Ocorrências İatrogênicas Com Medicação em Unidade de Terapia İntensiva: Condutas Adotadas e Sentimentos Expressos Pelos Enfermeiros. Rev Escola Enferm USP. 2010;36:50-7. [CrossRef]
  • Dal SG, Barra DC, Paese F, Almeida SR, Rios GC, Marinho MM, Debétio MG. Processo de enfermagem İnformatizado: Metodologia Para Associação da Avaliação Clínica, Diagnósticos, İntervenções e Resultados. Rev Esc Enferm USP. 2013;47:242-9. [CrossRef]
  • Joint Commission International-JCI 2014. https://www. jointcommissioninternational.org/assets/3/7/Hospital-5E- Standards-Only-Mar2014.pdf Erişim tarihi: 09.10.2018
  • Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for İntensive-Care-Unit-to-Ward Patient Transfers. Am J Med 2011;124:860–7. [CrossRef]
  • Thomas L, Donohue-Porter P. Blending Evidence and innovation: İmproving İntershift Handoffs in a Multihospital Setting. J Nurs Care Qual 2012;27:116-24. [CrossRef]
  • Roberts M, Putnam J, Raup GH. The İnterdepartmental Ticket (IT) Factor: Enhancing Communication to İmprove Quality. J Nurs Care Qual 2012;27:247–52. [CrossRef]
  • Yorulmaz Ç, Kaya A. Tıbbi Malpraktisin Uzmanlık Alanlarına Dağılımı ve Karşılaşılan Nedenler. 2012; 78: 9 - 21. http://www.ctf.edu.tr/stek/ pdfs/78/7801.pdf
  • Öztürk, K. Hasta güvenliği ve iletişim. SNASTD 2010; 7: 14-5.
  • Akalın E, Çakmakçı M. Hemşirelikte Hasta Güvenliği. Hasta Güvenliği: Türkiye ve Dünya Füsun Sayek TTB Raporları / kitapları. 1.baskı. Ankara Türk Tabipler Birliği Yayınları, 2011: 36-42. https://www. ttb.org.tr/kutuphane/fsayek10_hastaguvenlik.pdf Erişim tarihi 09.10.2018
  • Riesenberg L. Systematic Review of Handoff Mnemonics Literature. AJMQ 2009; 24: 196-204. [CrossRef]
  • Haig KM, Sutton S, Whittington J. SBAR: A shared Mental Model for improving Communication Between Clinicians. Jt Comm J Qual Patient Saf 2006; 32: 167-75.
  • Levinson DR. Adverse events in hospitals: national ıncidence among medicare beneficiaries. Office of the Inspector General, Department of Health and Human Services, Washington DC, 2010. https://oig. hhs.gov/oei/reports/oei-06-09-00090.pdf Erişim tarihi: 09.10.2018
  • Ehsani JP, Jackson T, Duckett SJ. The İncidence and Cost of Adverse Events in Victorian Hospitals 2003– 2004. Med J 2006;184:551–5.
  • Hemşire Nöbet Devir Teslim Talimatı. Sağlık Bakanlığı Orhaneli İlçe Devlet Hastanesi, Bursa, 2014. http://www.orhanelidh.gov.tr/kalite/ kalite/yonetim-hizmetleri/tal/27.pdf Erişim tarihi: 12.10.2018
There are 31 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Rujnan Tuna

Birşen Dallı

Publication Date December 1, 2018
Published in Issue Year 2018Issue: 4

Cite

EndNote Tuna R, Dallı B (December 1, 2018) Hemşirelerin Nöbet Devir Teslim Etkinliği ve İlişkili Değişkenler. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 4 432–437.