Martínez-Muñoz Irene, Díaz-Agea José Luis, Pastor-Rodríguez Jesús David
Health Sciences PhD Program, Universidad de Murcia, Campus de Espinardo of Murcia, 30100 Murcia, Spain.
Pediatric Intensive Care Unit, Hospital Clínico Virgen de la Arrixaca, 30120 Murcia, Spain.
Nurs Rep. 2024 Nov 28;14(4):3722-3736. doi: 10.3390/nursrep14040272.
Standardized transfer is an evidence-based framework designed to improve communication between healthcare professionals, reducing risks and ensuring safe, high-quality care. Despite its benefits, implementing this framework in clinical practice poses challenges. Nurses often do not use a systematic guide as a theoretical framework for handovers in daily practice.
To explore nurses' perceptions regarding the use of standardized transfers.
This exploratory qualitative cross-sectional study aimed to gain insight into nurses' experiences and perspectives on pediatric patient transfers. Using purposive sampling, nurses from the pediatric intensive care unit and hospital wards at the hospital institution hosting the study were interviewed. Data were collected through 21 in-depth individual interviews conducted between April and May 2023. The semi-structured interviews, lasting 16 to 28 min, focused on nurses' views on communication between units during patient transfers. The qualitative approach allowed for a comprehensive understanding of nurses' perceptions, particularly the barriers they face in practice. The study included 21 nurses: 9 from the pediatric intensive care unit and 12 from pediatric wards. To ensure diverse representation, nurses with varying levels of work experience were included, and at least one nurse from each hospital ward participated.
The data were classified into the following main categories: the current state of pediatric patient transfers, attitudes of healthcare professionals, barriers and challenges to implementation, nursing documentation, motivational aspects, and the child-family relationship. The findings revealed significant issues in the communication process during patient transfers, with no systematic guidelines in place. While nurses demonstrated a positive attitude toward the standardization of transfers, they identified numerous practical challenges, particularly those related to the hospital's nursing documentation system.
Nurses view standardized transfers favorably, but they face substantial barriers that limit their practical implementation.
标准化转诊是一个基于证据的框架，旨在改善医疗保健专业人员之间的沟通，降低风险并确保安全、高质量的护理。尽管有其益处，但在临床实践中实施这一框架仍面临挑战。护士在日常实践中进行交接班时，往往不使用系统指南作为理论框架。
探讨护士对使用标准化转诊的看法。
这项探索性定性横断面研究旨在深入了解护士在儿科患者转诊方面的经验和观点。采用目的抽样法，对开展该研究的医院机构的儿科重症监护病房和医院病房的护士进行访谈。2023年4月至5月期间进行了21次深入的个人访谈，收集数据。半结构化访谈持续16至28分钟，重点关注护士对患者转诊期间科室间沟通的看法。定性方法有助于全面了解护士的看法，特别是他们在实践中面临的障碍。该研究包括21名护士：9名来自儿科重症监护病房，12名来自儿科病房。为确保有不同的代表性，纳入了不同工作经验水平的护士，每个医院病房至少有一名护士参与。
数据分为以下主要类别：儿科患者转诊的现状、医疗保健专业人员的态度、实施的障碍和挑战、护理记录、激励因素以及儿童与家庭的关系。研究结果揭示了患者转诊过程中沟通方面的重大问题，且没有系统的指南。虽然护士对转诊标准化持积极态度，但他们也指出了许多实际挑战，特别是与医院护理记录系统相关的挑战。
护士对标准化转诊持积极看法，但他们面临着严重限制其实际实施的障碍。
