College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
Research Institute of Nursing Science, College of Nursing, Seoul National University, Seoul, Korea.
J Clin Nurs. 2018 Apr;27(7-8):e1442-e1450. doi: 10.1111/jocn.14260.
To examine nursing handoff, identify causes of handoff errors, evaluate current methods of handoff and determine the factors associated with handoff evaluation in delivery rooms and neonatal units of hospitals in South Korea.
Handoff is a critical communication process in clinical settings. Less attention has been paid to the handoff practice to assure safe perinatal care in hospitals.
This is a cross-sectional descriptive study.
A total of 291 nurses participated in the study. They completed a set of self-reporting questionnaires containing five instruments that evaluated demographic data and current handoff strategies, experience of handoff error, causes of handoff error, perception of patient safety culture and handoff evaluation. The responses were analysed using descriptive statistics and stepwise regression modelling.
Perception of patient safety culture was positively related to handoff evaluation, while experience and causes of handoff error were negatively related to handoff evaluation. A regression analysis showed that degree of cooperation among departments and units, reasonable communication and processes, and frequency of reported medical errors were positively related to handoff evaluation and the lack of documented guidelines or checklists was negatively associated with handoff evaluation.
This study suggests that hospitals should develop a standardised handoff checklist according to documented guidelines, promote cooperation among hospital units and departments, enhance communication and clarify work processes to achieve safer care to create an affirmative culture that encourages reporting of errors to keep patients safe.
This study highlights the importance of standardising handoff process and systems, promoting communication and cooperating with each other to foster patient safety culture in perinatal care units.
检查护理交接班，确定交接班错误的原因，评估当前的交接班方法，并确定与韩国医院产房和新生儿病房交接班评估相关的因素。
交接班是临床环境中至关重要的沟通过程。在医院中，确保围产期安全护理的交接班实践受到的关注较少。
这是一项横断面描述性研究。
共有 291 名护士参与了这项研究。他们完成了一套自我报告问卷，其中包含评估人口统计学数据和当前交接班策略、交接班错误经历、交接班错误原因、患者安全文化感知以及交接班评估的五个工具。使用描述性统计和逐步回归建模对结果进行分析。
患者安全文化感知与交接班评估呈正相关，而交接班错误经历和原因与交接班评估呈负相关。回归分析显示，部门和单位之间的合作程度、合理的沟通和流程以及报告医疗错误的频率与交接班评估呈正相关，而缺乏书面指南或检查表与交接班评估呈负相关。
这项研究表明，医院应根据书面指南制定标准化的交接班清单，促进医院单位和部门之间的合作，加强沟通并明确工作流程，以实现更安全的护理，营造鼓励报告错误以保障患者安全的积极文化。
这项研究强调了标准化交接班流程和系统、促进沟通以及相互合作的重要性，以培养围产期护理单位的患者安全文化。
