Department of Nursing, Dongyang University, Yeongju, Republic of Korea.
College of Nursing, Korea University, Seoul, Republic of Korea
Res Theory Nurs Pract. 2020 Nov 1;34(4):297-320. doi: 10.1891/RTNP-D-19-00089.
The broad use of the term handover to describe any activity involving the transfer of professional responsibility from one person to another has led to an ambiguous understanding. Recently, handover has become a process central to the delivery of high-quality and safe patient care. The aim of this analysis was to clarify the concept of handover within the context of nursing practice.
Rodgers's evolutionary approach was used as the analysis method along with some aspects of the dimensional analysis guided by Caron and Bowers, to understand the perspectives of senders and receivers.
The analysis revealed four attributes of handover: transfer of information, interaction for disambiguation, process, and strategy. Handover is defined as a process for transferring responsibility from sender to receiver through communication through the transfer of information, the interaction for disambiguation, and the context-sensitive strategy for accomplishing the continuity and safety of patient care. The salient dimension of handover was process, and the sub-dimensions were transfer of information, interaction for disambiguation, and strategy. From the sender's perspectives, it is the process of transferring information organized by the sender, and from the receiver's perspective, handover is the process establishing care plan through interactive strategy.
The definition and identified attributes serve as a heuristic for designing strategies and further developing the construct of handover in nursing.
术语“交接”被广泛用于描述任何涉及专业责任从一个人转移到另一个人的活动，这导致了理解上的模糊。最近，交接已成为提供高质量和安全患者护理的核心过程。本分析旨在澄清护理实践中交接的概念。
采用罗杰斯的进化方法，并结合 Caron 和 Bowers 的维度分析的某些方面，从发送者和接收者的角度理解这一概念。
分析揭示了交接的四个属性：信息传递、消除歧义的交互、过程和策略。交接被定义为通过信息传递、消除歧义的交互以及上下文敏感的策略来实现患者护理的连续性和安全性，从而将责任从发送者转移到接收者的过程。交接的突出维度是过程，子维度是信息传递、消除歧义的交互和策略。从发送者的角度来看，它是由发送者组织的信息传递过程，而从接收者的角度来看，交接是通过互动策略制定护理计划的过程。
该定义和确定的属性为设计策略和进一步发展护理交接的构建提供了启发。
