Faculty of Science and Health, School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Dubbo Campus, Dubbo, New South Wales, Australia.
Faculty of Science and Health, School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Bathurst Campus, Bathurst, New South Wales, Australia.
J Clin Nurs. 2024 Nov;33(11):4297-4313. doi: 10.1111/jocn.17430. Epub 2024 Sep 17.
There is increased interest in implementing structured clinical handover frameworks to improve clinical handover processes. Research postulates that structured clinical handover frameworks increase the quality of handovers; yet inconsistencies enacting these frameworks exist which has a potential to jeopardise the quality of communication during handovers thereby defeating the purpose of these frameworks.
This scoping review aims to analyse and synthesise what is currently known of the nurses' experiences and perceptions in implementing structured clinical handover frameworks and identify knowledge gaps in relation to this topic area.
A scoping review guided by the PRISMA-ScR checklist.
A systematic search of five electronic databases was undertaken to identify peer-reviewed primary research studies which met the predetermined eligibility criteria. In total, 301 studies were imported into COVIDENCE, screened and assessed for eligibility resulting in 23 studies remaining. From the eligible studies, data was extracted, collated, appraised, summarised and interpreted.
MEDLINE, CINHAL, ProQuest, EMCARE, Web of Science and Informit.
Twenty three studies were included in this review which yielded the following major themes: (1) quality and completeness of information transfer; (2) interprofessional collaboration; (3) challenges impacting the experience of implementing the structured clinical handover frameworks and (4) perceived impacts on quality, patient safety and health outcomes.
There are key benefits and issues experienced and perceived by nurses implementing structured clinical handover frameworks and this review identifies opportunities for further improvements. Future research should explore the perceived associations with patient outcomes.
This review highlights the importance of structured clinical handover frameworks, the nurses' experiences in implementing these frameworks and strategies to improve the effectiveness of these frameworks.
No Patient or Public Contributions as this study is a review of published primary evidence.
人们对实施结构化临床交接框架以改善临床交接流程越来越感兴趣。研究认为，结构化临床交接框架可以提高交接质量；然而，在实施这些框架时存在不一致性，这有可能危及交接过程中的沟通质量，从而使这些框架的目的落空。
本范围综述旨在分析和综合目前关于护士在实施结构化临床交接框架方面的经验和看法，并确定该主题领域的知识空白。
受 PRISMA-ScR 清单指导的范围综述。
对五个电子数据库进行了系统检索，以确定符合预定入选标准的同行评议原始研究。总共将 301 项研究导入 COVIDENCE，进行筛选和评估入选资格，最终有 23 项研究入选。从合格研究中提取、整理、评估、总结和解释数据。
MEDLINE、CINHAL、ProQuest、EMCARE、Web of Science 和 Informit。
本综述共纳入 23 项研究，得出以下主要主题：（1）信息传递的质量和完整性；（2）跨专业合作；（3）实施结构化临床交接框架所面临的挑战；以及（4）对质量、患者安全和健康结果的感知影响。
护士在实施结构化临床交接框架时，既体验到了关键的益处，也感受到了关键的问题，本综述确定了进一步改进的机会。未来的研究应探讨与患者结果的感知关联。
本综述强调了结构化临床交接框架的重要性、护士在实施这些框架方面的经验以及提高这些框架有效性的策略。
由于本研究是对已发表的原始证据的综述，因此没有患者或公众的贡献。
