Staggers Nancy, Clark Lauren, Blaz Jacquelyn W, Kapsandoy Seraphine
School of Nursing, University of Maryland, Salt Lake City, UT 84108, USA.
West J Nurs Res. 2012 Mar;34(2):153-73. doi: 10.1177/0193945911407089. Epub 2011 May 3.
Little evidence is available about nurses' use of electronic tools during handoffs. This qualitative study explored information management and use of electronic tools during nursing handoffs. The sample included 93 handoffs by 26 nurses on 5 medical/surgical units in 2 western hospitals with a robust electronic health record (EHR). Data collection included audiotaping handoffs, semi-structured interviews, observations, and fieldnotes. The dataset was inductively coded into 33 categories and 5 themes: good nurse expectations for handoffs, paper forms are best, information at a glance, only pertinent information please, and information tools that work. Two-thirds of the nurses abandoned use of the leadership-endorsed electronic handoff form, preferring personal paper forms. The findings suggest effective electronic solutions will require extensive contextually-based information, information integrated across EHR modules and portable, electronic support throughout shifts. This is a call to action for leaders and informaticists as they select and design future electronic tools.
关于护士在交接班时使用电子工具的证据很少。这项定性研究探讨了护理交接班期间的信息管理和电子工具的使用情况。样本包括西部两家拥有完善电子健康记录（EHR）的医院5个内科/外科科室的26名护士进行的93次交接班。数据收集包括对交接班进行录音、半结构化访谈、观察和现场记录。数据集被归纳编码为33个类别和5个主题：护士对交接班的良好期望、纸质表格最好、一目了然的信息、请只提供相关信息以及有效的信息工具。三分之二的护士放弃使用领导认可的电子交接班表格，而更喜欢个人纸质表格。研究结果表明，有效的电子解决方案需要广泛的基于上下文的信息、跨EHR模块集成的信息以及整个班次的便携式电子支持。这是对领导者和信息专家的行动呼吁，因为他们要选择和设计未来的电子工具。
