Pun Jack
Department of English, City University of Hong Kong, 83 Tat Hong Avenue, Kowloon Tong, Hong Kong.
BMC Nurs. 2023 Feb 10;22(1):38. doi: 10.1186/s12912-023-01189-w.
Effective clinical nursing handover involves the transfer of responsibility and accountability for patient care between nurses, leading to better patient safety and continuity of care. Nurses in bilingual contexts, such as Hong Kong - where nurses are trained in English but communicate in Cantonese - may find it challenging to deliver a safe clinical handover. This article reports a pilot study in which a simulation-based approach is being developed to enhance nursing handover with structured and interactive interactions, using handover protocols such as ISBAR (introduction, situation, background, assessment, recommendation and readback) and CARE-team (connect, ask, respond, empathise) protocols in a bilingual context. The study has a pre- and post-evaluation design involving a questionnaire survey before and after a 4-hour workshop. Fourteen selected bilingual nurses in Hong Kong were trained according to the ISBAR and CARE-team protocols, and their perceptions of complete and structured handovers were evaluated before and after training using the questionnaire. The nurses reported that they were more self-confident in their handover experiences, with a deeper understanding of ISBAR and CARE-team protocols after the simulation-based training intervention, leading to better (i.e., more structured and interactive) clinical handover between nurses. Overall, the staff perceived their handover communication to have improved using simulation-based training.
有效的临床护理交接班涉及护士之间患者护理责任与问责的交接，从而实现更好的患者安全和护理连续性。在双语环境中的护士，比如在香港，护士接受英语培训但用粤语交流，可能会发现进行安全的临床交接班具有挑战性。本文报告了一项试点研究，该研究正在开发一种基于模拟的方法，以通过结构化和互动式交流来加强护理交接班，在双语环境中使用诸如ISBAR（介绍、情况、背景、评估、建议和复述）和CARE-team（联系、询问、回应、共情）等交接班协议。该研究采用前后评估设计，包括在一个4小时的工作坊前后进行问卷调查。香港14名选定的双语护士按照ISBAR和CARE-team协议接受培训，并在培训前后使用问卷评估他们对完整和结构化交接班的看法。护士们报告称，经过基于模拟的培训干预后，他们在交接班过程中更自信，对ISBAR和CARE-team协议有了更深入的理解，从而在护士之间实现了更好（即更结构化和互动式）的临床交接班。总体而言，工作人员认为基于模拟的培训改善了他们的交接班沟通。
