Kerr Debra, Lu Sai, McKinlay Louise, Fuller Christine
Victoria University, St Albans, Victoria, Australia.
Int J Nurs Pract. 2011 Aug;17(4):342-50. doi: 10.1111/j.1440-172X.2011.01947.x.
Examining systems of nursing handover provides the opportunity to identify areas in need of improvement and modification. The aim of this study was to describe nursing handover practices for one organization and explore clinical nurses' opinions regarding the quality of the current shift-to-shift handover style. One hundred and fifty-three registered nurses employed in 23 wards in an acute tertiary hospital in Australia completed a survey. The survey collected information about demographic data, current methods and preferences for style of handover and opinions about the quality of nursing handover. This study found that existing handover practice is time-consuming, lacks patient involvement and essential information, and is varied in style. Only one ward (4.3%) conducted handover at the bedside. The majority (82%) expressed reluctance to change their current handover style. Modification of existing nursing handover is needed but might be challenging in view of the reluctance to change this ritual.
检查护理交接班制度提供了识别需要改进和调整领域的机会。本研究的目的是描述一个机构的护理交接班实践，并探讨临床护士对当前班次间交接班方式质量的看法。澳大利亚一家急性三级医院23个病房的153名注册护士完成了一项调查。该调查收集了有关人口统计学数据、当前交接班方式及偏好以及对护理交接班质量看法的信息。本研究发现，现有的交接班实践耗时、缺乏患者参与和基本信息，且方式多样。只有一个病房（4.3%）在床边进行交接班。大多数人（82%）表示不愿改变他们当前的交接班方式。现有的护理交接班需要修改，但鉴于不愿改变这种惯例，可能具有挑战性。
