Department of Nursing, Korea Nazarene University, Cheonan, South Korea (Dr Cho); Department of Nursing, Daejeon University, Daejeon, South Korea (Dr Lee); Department of Nursing, Samsung Medical Center, Seoul, South Korea (Dr K. S. Kim); and Department of Nursing Science, SunMoon University, Chungnam, South Korea (Dr E. M. Kim).
J Nurs Care Qual. 2022;37(1):E8-E14. doi: 10.1097/NCQ.0000000000000576.
Nursing handover is a real-time process in which patient-specific information is passed between nurses to ensure the continuity and safety of patient care.
The purpose of this study was to determine the effects of quality improvement (QI) projects in improving the intershift nursing handover process.
A computerized search was performed of electronic databases for articles published during 2009-2019 in English or Korean for which the full texts were available. The included studies involved QI projects, handover between nurses, and intershift handover. The QI-MQCS (Quality Improvement Minimum Quality Criteria Set) was used to appraise the quality of QI strategies.
The handover methods used in the 22 QI projects could be broadly divided into 2 types: (1) using a standardized communication tool; and (2) involving patient-participation bedside handover.
The published research on intershift handover-related QI projects employed standardized communication tools and the patient-participation bedside handover method to reduce adverse events and handover times and increase the satisfaction of patients and nurses. Future studies should measure the changes in patient safety-related outcomes.
护理交接班是一个实时的过程,在此过程中护士之间传递与患者相关的信息,以确保患者护理的连续性和安全性。
本研究旨在确定质量改进(QI)项目在改善交接班过程中的作用。
计算机检索了 2009 年至 2019 年期间以英文或韩文发表的全文可获取的有关 QI 项目、护士之间以及交接班之间的文章。纳入的研究涉及 QI 项目、护士之间的交接以及交接班。使用 QI-MQCS(质量改进最低质量标准集)评估 QI 策略的质量。
22 项 QI 项目中使用的交接方法大致可分为两类:(1)使用标准化的沟通工具;(2)涉及患者参与床边交接。
已发表的与交接班相关的 QI 项目研究采用了标准化的沟通工具和患者参与床边交接的方法,以减少不良事件和交接时间,并提高患者和护士的满意度。未来的研究应衡量与患者安全相关的结果的变化。