Maxson Pamela M, Derby Kelly M, Wrobleski Diane M, Foss Diane M
Surgical Intensive Care Unit, Mayo Clinic, Rochester, MN, USA.
Medsurg Nurs. 2012 May-Jun;21(3):140-4; quiz 145.
Nurse-to-nurse beside handoff allows the oncoming nurse to visualize the patient and ask questions of the previous nurse. It encourages pateints to be involved actively in their care and allows standardized communication between nursing shifts.
Patient handoff between nurses at shift change has been an important process in clinical nursing practice, allowing nurses to exchange necessary patient information to ensure continuity of care and patient safety. Bedside handoff allows the patient the ability to contribute to his or her plan of care. It also allows the oncoming nurse an opportunity to visualize the patient and ask questions. This is critical in meeting the Joint Commission's 2009 National Patient Safety Goals. It encourages patients to be involved actively in their care and it implements standardized handoff communication between nursing shifts. Bedside handoff promotes patient safety and allows an opportunity for patients to correct misconceptions.
A convenience sample of 60 patients was enrolled, 30 before the practice change and 30 after the change. All nursing staff were invited to participate. Both patients and staff were given self-designed surveys before and after the practice change.
Fifteen nurses with a mean of 2 years in the profession completed the pre- and post-survey. A majority of staff were not satisfied with the current shift change report, but statistical improvement was achieved after the practice change. Also, statistical improvement was achieved with patients' satisfaction with involvement in their plan of care.
Use of bedside nursing handoff promotes staff accountability, two-person IV medication reconciliation, and patient satisfaction.
护士间床边交接班能让接班护士见到患者并向交班护士提问。它鼓励患者积极参与自身护理，并能实现护理班次间的标准化沟通。
护士在交接班时进行患者交接一直是临床护理实践中的重要环节，能让护士交流必要的患者信息以确保护理的连续性和患者安全。床边交接班能让患者参与自身护理计划。它也让接班护士有机会见到患者并提问。这对于实现联合委员会2009年的全国患者安全目标至关重要。它鼓励患者积极参与自身护理，并在护理班次间实施标准化的交接班沟通。床边交接班能提高患者安全，并为患者提供纠正误解的机会。
选取60例患者的便利样本，实践改变前30例，改变后30例。邀请所有护理人员参与。在实践改变前后，患者和工作人员都接受了自行设计的调查。
15名平均从业2年的护士完成了调查前和调查后的问卷。大多数工作人员对当前的交接班报告不满意，但实践改变后有了统计学上的改善。患者对参与自身护理计划的满意度也有了统计学上的提高。
采用床边护理交接班可提高工作人员的责任感、双人静脉用药核对的准确性以及患者满意度。
