Przysucha Mareike, Flemming Daniel, Schulte Georg, Hübner Ursula
Health Informatics Research Group, University AS Osnabrück, Germany.
Katholische Stiftungsfachhochschule Munich, Germany.
Stud Health Technol Inform. 2017;243:117-121.
Patient handovers are cognitively demanding, crucial for information continuity and patient safety, but error prone. This study investigated the effect of an electronic handover tool, i.e. the handoverEHR, on the memory and care planning performance of nurse students (n=32) in a randomised, controlled cross-over design with the factors handover task and handover role. On a descriptive level, handover recipients could improve their memory performance with electronic support, handover givers their performance of writing care plans. Statistically meaningful differences occurred, however, only when the participants were givers. Without handover experience and with low fluency to word problems, givers performed badly in the most demanding of the handover tasks. Final recommendations, however, can only be made after replicating this study in a clinical setting with mixed groups.
患者交接对认知要求较高，对信息连续性和患者安全至关重要，但容易出错。本研究采用随机对照交叉设计，以交接任务和交接角色为因素，调查了一种电子交接工具即交接电子健康记录（handoverEHR）对护生（n = 32）记忆和护理计划执行情况的影响。在描述层面上，接收交接信息者借助电子支持可提高记忆表现，而进行交接信息者则能提升书写护理计划的能力。然而，只有当参与者是进行交接信息者时，才出现了具有统计学意义的差异。由于缺乏交接经验且对文字问题的流畅性较低，进行交接信息者在最具挑战性的交接任务中表现不佳。不过，只有在临床环境中对混合群体重复本研究后，才能提出最终建议。
