Approaches to Improving Nursing Handoffs in Surgical Wards  

作　　者：Katherine S. Blondon Frederic Ehrler Sandrine Le Godais Jean-Yves Wojtasikiewicz Charline Couderc 

机构地区：[1]Medical Directorate, University Hospitals of Geneva, Geneva, Switzerland [2]Division of Medical Information Science, University Hospitals of Geneva, Geneva, Switzerland [3]Department of Surgery, University Hospitals of Geneva, Geneva, Switzerland

出　　处：《Open Journal of Nursing》2017年第9期1034-1043,共10页护理学期刊（英文）

摘　　要：Objective: To propose approaches to improve nursing handoffs for surgical patients, including standardization. Background: Handoffs, or the transfer of accountability and patient information, can generate potential risks for patient safety. Standardization has been proposed to help improve handoffs. Methods: After observing 333 nursing handoffs in the surgical wards of our institution, we conducted a thematic content analysis, comparing and contrasting the observations. Results: Handoff processes, including the use of support tools, varied among the observations. Common themes in the handoff content suggested possibilities of standardization. About half of the 51 interruptions occurring during the observed handoffs were by healthcare professionals. Conclusions: Standardization to improve handoffs should address both the content and the process. Interruptions were common and should be avoided whenever possible. Future studies should also consider the use of mobile applications to support handoffs and clinical documentation.Objective: To propose approaches to improve nursing handoffs for surgical patients, including standardization. Background: Handoffs, or the transfer of accountability and patient information, can generate potential risks for patient safety. Standardization has been proposed to help improve handoffs. Methods: After observing 333 nursing handoffs in the surgical wards of our institution, we conducted a thematic content analysis, comparing and contrasting the observations. Results: Handoff processes, including the use of support tools, varied among the observations. Common themes in the handoff content suggested possibilities of standardization. About half of the 51 interruptions occurring during the observed handoffs were by healthcare professionals. Conclusions: Standardization to improve handoffs should address both the content and the process. Interruptions were common and should be avoided whenever possible. Future studies should also consider the use of mobile applications to support handoffs and clinical documentation.

关 键 词：NURSING HANDOFFS HANDOVER NURSING Sign-Out Shift Report BEDSIDE HANDOFF 

分 类 号：R73[医药卫生—肿瘤]