Division of Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Biostatistician, Research Methods Group, Centre for Healthcare Transformation, Queensland University of Technology (QUT).
Nurs Health Sci. 2021 Jun;23(2):466-476. doi: 10.1111/nhs.12836. Epub 2021 Apr 15.
Effective transfer of information during the nursing handover contributes to patient safety. This study aimed to translate the best practice nursing shift handover recommendations in an acute care setting using the Ottawa Model for Research Use and to explore its effect on patient adverse outcomes (falls, pressure injuries, and medication errors). Using a quasi-experimental design, the study was conducted in four internal medicine wards in a major tertiary hospital. A total of 88 nurses and 110 patients participated in 152 handover observations. The findings showed clinically important increases in percentages and odds of nurses' compliance with shift handover recommendations after the intervention. The patient adverse outcomes after the intervention were compared to the corresponding period of previous year. A reduction was observed for all adverse patient outcomes with incident rate ratios of 0.762 (p = 0.027) for falls, 0.624 for pressure injuries (p = 0.010), and 0.782 for medication errors (p = 0.023). Replicating this study's methodology across multiple clinical settings will increase the generalizability of findings and provide further evidence to inform nursing practice and policy.
有效的护理交接班信息传递有助于保障患者安全。本研究旨在使用渥太华研究实施模式将最佳实践护理交接班推荐意见翻译成简体中文，并探讨其对患者不良结局（跌倒、压疮和用药错误）的影响。采用准实验设计，研究在一家大型三级医院的四个内科病房进行。共有 88 名护士和 110 名患者参与了 152 次交接班观察。研究结果显示，干预后护士交接班建议的遵守率在百分比和优势比方面均有显著的临床意义增加。干预后与前一年同期相比，患者的不良结局有所减少，跌倒的发生率比为 0.762（p=0.027），压疮为 0.624（p=0.010），用药错误为 0.782（p=0.023）。在多个临床环境中复制本研究的方法将提高研究结果的可推广性，并为护理实践和政策提供更多证据。
