School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia.
School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
J Clin Nurs. 2019 Mar;28(5-6):1010-1021. doi: 10.1111/jocn.14679. Epub 2018 Oct 23.
To examine nursing handover of vital signs during patient care transition from the emergency department (ED) to inpatient wards.
Communication failures are a leading cause of patient harm making communication through clinical handover an international healthcare priority. The transition of care from ED to ward settings is informed by nursing handover. Vital sign abnormalities in the ED are associated with clinical deterioration following hospital admission. Understanding the role and perceived value of vital sign content in clinical handover is important for patient safety.
An integrative design was used. A search of electronic databases was undertaken using MEDLINE, CINAHL, EMBASE, Cochrane, Web of Science and SCOPUS. Identified records were screened to elicit further studies for inclusion. A comprehensive peer-review screening process was performed. Studies were included that described the surrounding issues of handover, vital signs, ED, transition of care and ward.
Five studies were included in the final review, one specific to nursing and four specific to emergency medicine. Vital signs were perceived to be an important inclusion in clinical handover, and the communication of vital signs in handover was perceived to be indicators for patient safety and risk factors for future clinical deterioration. The ED environment had an influence on effective communication within handover.
Vital signs were an important inclusion for clinical handover. Deficiencies in vital sign content were perceived to be risk factors for patient adverse events following hospital admission. The quality of vital sign information in clinical handover may be important for accurate decision-making.
Vital signs are an important component of clinical handover and are perceived to be indicators for patient safety and risk of future adverse events.
研究患者从急诊科（ED）转入住院病房期间生命体征护理交接情况。
沟通失败是导致患者伤害的主要原因，这使得通过临床交接进行沟通成为国际医疗保健的重点。从 ED 到病房的护理交接由护理交接决定。ED 中生命体征异常与住院后临床恶化有关。了解生命体征内容在临床交接中的作用和感知价值对患者安全很重要。
采用综合设计。使用 MEDLINE、CINAHL、EMBASE、Cochrane、Web of Science 和 SCOPUS 对电子数据库进行了搜索。筛选出的记录被用来寻找进一步纳入的研究。进行了全面的同行评审筛选过程。纳入的研究描述了交接、生命体征、ED、护理交接和病房的周边问题。
最终综述纳入了 5 项研究，其中 1 项专门针对护理，4 项专门针对急诊医学。生命体征被认为是临床交接的重要内容，交接过程中生命体征的沟通被认为是患者安全的指标和未来临床恶化的危险因素。ED 环境对接手过程中的有效沟通有影响。
生命体征是临床交接的重要内容。生命体征内容的不足被认为是患者入院后不良事件的危险因素。临床交接中生命体征信息的质量对于准确决策可能很重要。
生命体征是临床交接的重要组成部分，被认为是患者安全和未来不良事件风险的指标。
