Kim Jung Hee, Lee Jung Lim, Kim Eun Man
Department of Nursing Science, Shinsung University, Chungnam, South Korea.
Department of Nursing, Daejeon University, Daejeon, South Korea.
Int J Nurs Sci. 2020 Dec 16;8(1):58-64. doi: 10.1016/j.ijnss.2020.12.007. eCollection 2021 Jan 10.
This study was conducted to investigate the current status of handoffs, perception of patient safety culture, and degrees of handoff evaluation in small and medium-sized hospitals and identified factors that make a difference in handoff evaluation.
This is a descriptive study. 425 nurses who work at small and medium-sized hospitals in South Korea were included in our study. They completed a set of self-reporting questionnaires that evaluated demographic data, handoff-related characteristics, perception of patient safety culture, and handoff evaluation.
Results showed that the overall score of awareness of a patient safety culture was 3.65 ± 0.45, the level was moderate. The score of handoff evaluation was 5.24 ± 0.85. Most nurses experienced errors in handoff and most nurses had no guidelines and checklist in the ward. Handoff evaluation differed significantly according to the level of education, work patterns, duration of hospital employment, handoff method, degree of satisfaction with the current handoff method, errors occurring at the time of handoff, handoff guidelines, and appropriateness of handoff education time ( < 0.05).
For handoff improvement, guidelines and standards should be established. It is necessary to develop a structured handoff education system. And formal handoff education should be implemented to spread knowledge uniformly.
本研究旨在调查中小型医院交接班的现状、对患者安全文化的认知以及交接班评估的程度，并确定影响交接班评估的因素。
这是一项描述性研究。纳入了425名在韩国中小型医院工作的护士。他们完成了一套自我报告问卷，评估人口统计学数据、与交接班相关的特征、对患者安全文化的认知以及交接班评估。
结果显示，患者安全文化意识的总体得分为3.65±0.45，水平中等。交接班评估得分为5.24±0.85。大多数护士在交接班时经历过失误，且大多数护士所在病房没有指南和检查表。交接班评估在教育水平、工作模式、医院工作年限、交接班方式、对当前交接班方式的满意度、交接班时出现的失误、交接班指南以及交接班教育时间的适宜性方面存在显著差异（P<0.05）。
为改善交接班，应制定指南和标准。有必要建立结构化的交接班教育体系。并且应实施正式的交接班教育以统一传播知识。
