Department of English, The City University of Hong Kong, Hong Kong SAR, China.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
J Clin Nurs. 2019 Aug;28(15-16):3001-3011. doi: 10.1111/jocn.14871. Epub 2019 Apr 25.
To evaluate (a) the perceived effects of the training provided to nurses under a standardised Connect, Ask, Respond and Empathise (CARE) protocol; (b) the ability to enhance the effectiveness of the ISBAR checklist; (c) any increase in nurses' spoken interactions and/or improved comprehension of the patient conditions upon the transfer of responsibility.
Nursing handover is a pivotal act of communication with effects on both patient safety and risk management. Previous studies of critical incidents have highlighted ineffective communication, including a lack of interaction and incomplete and unstructured handovers, as a major contributor to patient harm.
A pre- and post evaluation study involving a questionnaire survey before and after the 3-hours training.
Forty-nine randomly selected bilingual nurses with no previous professional development experience in handover communication were trained according to the CARE protocol, and their perceptions of nursing handovers were assessed before and after training using questionnaire. The STROBE checklist is used (See File S1).
Training of the CARE protocol improved key areas of the handover process. All participating nurses exhibited significant improvements in their perceptions of effective handover from before to after training. Particularly, improvements were observed in the interactive frequency and quality and completeness of the presented patient information per handover.
The nurses reported a deeper understanding of their perceptions of handover after a patient-centred intervention, a better quality of interactions (e.g., querying and checking by incoming nurses), a greater focus when managing handovers and a more complete and comprehensive transfer of information between nurses.
CARE protocol-based training yielded significant improvements in nursing handover practice.
（a）评估在标准化的连接、询问、回应和同理心（CARE）协议下对护士进行培训的感知效果；（b）提高 ISBAR 清单的有效性；（c）在责任转移时，增加护士的口语交流和/或对患者情况的理解。
护理交接班是沟通的关键行为，对患者安全和风险管理都有影响。之前对关键事件的研究强调了沟通的低效，包括互动不足、交接不完整和无结构，这些都是导致患者伤害的主要因素。
一项预前后评估研究，包括培训前和培训后 3 小时的问卷调查。
49 名随机选择的双语护士，之前没有交接班沟通方面的专业发展经验，按照 CARE 协议进行培训，并在培训前后使用问卷评估他们对护理交接班的看法。使用 STROBE 清单（见文件 S1）。
CARE 协议的培训改善了交接班过程的关键领域。所有参与培训的护士在培训前后对有效交接班的看法都有显著提高。特别是在交接班时的互动频率、呈现的患者信息的质量和完整性方面都有了提高。
护士们报告说，在以患者为中心的干预后，他们对交接班的看法有了更深入的理解，互动质量（例如，新护士的询问和核对）更好，在管理交接班时更专注，护士之间的信息传递更完整和全面。
基于 CARE 协议的培训显著改善了护理交接班的实践。
