Spooner Amy J, Chaboyer Wendy, Corley Amanda, Hammond Naomi, Fraser John F
Critical Care Research Group, Adult Intensive Care Services, The Prince Charles Hospital and University of Queensland, Chermside, Queensland, Australia.
Int J Nurs Pract. 2013 Apr;19(2):214-20. doi: 10.1111/ijn.12058.
Clinical handover is critical to clinical decision-making and the provision of safe, high quality, continuing care. Incomplete and inaccurate transfer of information can result in poor outcomes. To assess the content and completeness of the intensive care unit nursing shift-to-shift handover, a prospective, observational study design was used. A semistructured observation sheet based on 10 key principles for handover was used to overtly observe 20 bedside nursing handovers. Descriptive statistics were used to analyse the data. Overall, the content handed over was consistent with the key principles of clinical handover. However, there were some key principles that were minimally addressed or absent from clinical handovers. Development and implementation of a handover tool specific to intensive care will assist in ensuring that all key principles are adhered to so that adverse events associated with miscommunication during clinical handover are reduced and a high standard of care is maintained.
临床交接班对于临床决策以及提供安全、高质量的持续护理至关重要。信息传递不完整和不准确可能导致不良后果。为评估重症监护病房护理班次间交接班的内容和完整性，采用了前瞻性观察性研究设计。基于10条交接班关键原则的半结构化观察表被用于公开观察20次床边护理交接班。采用描述性统计方法分析数据。总体而言，交接的内容与临床交接班的关键原则一致。然而，有些关键原则在临床交接班中很少被提及或根本没有涉及。开发和实施特定于重症监护的交接班工具将有助于确保所有关键原则都得到遵守，从而减少临床交接班期间与沟通不畅相关的不良事件，并维持高标准的护理。
