Givens Sarah E, Skully Cathy, Bromley Gail
J Psychosoc Nurs Ment Health Serv. 2016 Jul 1;54(7):33-7. doi: 10.3928/02793695-20160616-06.
Psychiatric inpatient unit nurses implemented a quality improvement project to explore strategies to enhance the effectiveness of the change of shift communication between nurses and patients and obtain goals of care information. Three nurses championed a 6-month project to implement more efficient, patient-centered communication; influence patient outcomes; and assess nurses' perceptions about patient satisfaction. A survey established the level of nurse satisfaction regarding the length of time spent at change of shift obtaining patient information. Following a literature review, nurses used a standardized approach for their change of shift report, which they called patient bedside handoff. Nurses reported increased satisfaction with the length of time spent with the patient bedside handoff from a pre-implementation average score of 5.7 (somewhat satisfied) to a post-implementation score of 8.3 (very satisfied). This nurse-led quality improvement project helped illuminate perceived barriers to the implementation of patient bedside handoff and the changes in nurses' perceptions over time. [Journal of Psychosocial Nursing and Mental Health Services, 54(7), 33-37.].
精神科住院部护士开展了一项质量改进项目，以探索提高护士与患者交接班沟通有效性及获取护理目标信息的策略。三名护士牵头开展了一个为期6个月的项目，旨在实施更高效、以患者为中心的沟通；影响患者预后；并评估护士对患者满意度的看法。一项调查确定了护士对交接班获取患者信息所花费时间的满意度水平。在进行文献综述后，护士们在交接班报告中采用了一种标准化方法，他们称之为患者床边交接。护士们报告说，对在患者床边交接所花费时间的满意度有所提高，实施前平均得分为5.7（有点满意），实施后得分为8.3（非常满意）。这个由护士主导的质量改进项目有助于揭示实施患者床边交接的感知障碍以及护士看法随时间的变化。[《心理社会护理与心理健康服务杂志》，54(7)，33 - 37。]
