Bakon Shannon, Millichamp Tracey
Queensland University of Technology Caboolture Campus, Cnr Manley and Tallon Street, Queensland Health Caboolture Hospital, McKean Street, Caboolture, Queensland 4510, Australia.
Queensland Health, Caboolture Hospital, McKean Street, Caboolture, Queensland 4510, Australia.
Australas Emerg Nurs J. 2017 Nov;20(4):147-152. doi: 10.1016/j.aenj.2017.10.001. Epub 2017 Oct 14.
The effective handover of patient health data from the emergency department to other hospital units is integral for the continuity of patient care. Yet no handover process has been identified as superior to others within this context.
This study within a regional Australian hospital employed mixed methods approach including focus groups and key stakeholder consultation to develop a handover form appropriate for patient transfer from the emergency department to a variety of clinical areas. Paper-based surveys and audits were then employed to evaluate the implementation and understand staff perceptions of the form.
The implementation of a patient handover form within the emergency setting was well received. Participants indicated that the form is clear, well designed and easy to navigate. It provided prompts to standardise their clinical handover and increased their accountability and responsibility within this process.
To deliver an optimal nursing handover from the emergency department to various wards handovers should be structured and provide standardised content. The positive reception and use of this form provides evidence that a structured handover process can ensure standardisation of emergency department to ward nursing handovers.
将患者健康数据从急诊科有效交接至医院其他科室，对患者护理的连续性至关重要。然而，在此背景下，尚未有交接流程被认定优于其他流程。
本研究在一家澳大利亚地区医院开展，采用混合方法，包括焦点小组和关键利益相关者咨询，以制定一份适合患者从急诊科转至各种临床科室的交接表。随后采用纸质调查问卷和审核来评估该表单的实施情况，并了解工作人员对该表单的看法。
在急诊科实施患者交接表受到广泛欢迎。参与者表示该表单清晰、设计良好且易于操作。它为规范临床交接提供了提示，并增强了他们在此过程中的责任感。
为实现从急诊科到各病房的最佳护理交接，交接应结构化并提供标准化内容。该表单的良好反响和使用提供了证据，表明结构化交接流程可确保急诊科到病房护理交接的标准化。
