Chaboyer Wendy, McMurray Anne, Wallis Marianne
Research Centre for Clinical and Community Practice Innovation, Griffith University, Gold Coast, Queensland 4222, Australia.
Int J Nurs Pract. 2010 Feb;16(1):27-34. doi: 10.1111/j.1440-172X.2009.01809.x.
A case study of six wards in two hospitals was undertaken to describe the structures, processes and perceptions of outcomes of bedside handover in nursing. A total of 532 bedside handovers were observed and 34 interviews with nurses were conducted. Important structural elements related to the staff, patients, the handover sheet and the bedside chart. A number of processes before, during and after the handover were implemented. They included processes for managing patients and their visitors, sensitive information, and the flow of communication for variable shift starting times. Other key processes identified were the implementation of a safety scan and medication check. The situation, background, assessment and recommendations approach was used only in specific circumstances. Perceived outcomes were categorized as improving accuracy and service delivery, and promoting patient-centred care. Although the move to bedside handover is not the norm, it reflects a patient-centred approach.
对两家医院的六个病房进行了一项案例研究，以描述护理床边交接班的结构、流程和对结果的看法。共观察了532次床边交接班，并对护士进行了34次访谈。重要的结构要素涉及工作人员、患者、交接班表和床边图表。在交接班前、交接班期间和交接班后实施了一些流程。这些流程包括管理患者及其访客、敏感信息以及不同班次开始时间的沟通流程。确定的其他关键流程是进行安全检查和药物检查。情况、背景、评估和建议方法仅在特定情况下使用。感知到的结果分为提高准确性和服务质量以及促进以患者为中心的护理。虽然转向床边交接班并非惯例，但它反映了一种以患者为中心的方法。
