Gungor Serap, Tosun Betul
Vocational School of Health Services, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Faculty of Nursing, Hacettepe University, Ankara, Turkey.
J Eval Clin Pract. 2025 Jun;31(4):e70087. doi: 10.1111/jep.70087.
In the context of patient handovers, there is a consensus on the importance of utilizing standardized forms, yet comprehensive evidence on the effectiveness of complex nursing interventions in post-use evaluations is lacking, especially regarding their impact on short-term, long-term and patient outcomes.
This study aims to assess the feasibility, implementation and impact of interventions designed to enhance the effectiveness of patient handovers among nurses.
This quasi-experimental, complex nursing intervention development study investigated patient handover practices in general surgery intensive care units, internal medicine and general surgery clinics. The study utilized the Handoff CEX, standard patient handover form to categorize effectiveness, Newcastle Satisfaction with Nursing Care Scale and Trust in Nurses Scale.
Analysis of the Handoff CEX total and Newcastle Nursing Care Satisfaction Scale and the Trust in Nurses Scale mean scores, showed a statistically significant increase.
Nurses and educators can adopt complex nursing intervention practices for patient handovers in both current practice and future research. Standardizing patient handovers will contribute to increased patient safety and satisfaction.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: From a professional standpoint, this study emphasizes how crucial it is to use standardized interventions during patient handovers since they've the ability to improve patient outcomes, nursing practices and serve as guidelines for future research.
It is widely acknowledged that the establishment of standardization is crucial for attaining improvement in patient handover. The results of this study revealed that non-standardized handovers lead to limited transfer of information. The research findings show the use of intricate nursing interventions during patient turnover can augment the efficacy of permanent handover, so causing better patient outcomes.
The guidance for CReDECI 2 was followed throughout this study.
While nurses work in the clinics where the research was conducted, patients receive treatment and care at the same places. Patients and nurses who have the inclusion criteria were included in the study.
NCT06468631.
在患者交接的背景下，对于使用标准化表格的重要性已达成共识，但在使用后评估中，关于复杂护理干预措施有效性的全面证据仍然缺乏，尤其是其对短期、长期和患者结局的影响。
本研究旨在评估旨在提高护士之间患者交接有效性的干预措施的可行性、实施情况和影响。
这项准实验性、复杂护理干预措施开发研究调查了普通外科重症监护病房、内科和普通外科诊所的患者交接实践。该研究使用了交接CEX（标准患者交接表格）来对有效性进行分类，以及纽卡斯尔护理满意度量表和对护士的信任量表。
对交接CEX总分以及纽卡斯尔护理满意度量表和对护士的信任量表的平均分进行分析，结果显示有统计学意义的增加。
护士和教育工作者可以在当前实践和未来研究中采用复杂护理干预措施进行患者交接。标准化患者交接将有助于提高患者安全性和满意度。
对专业和/或患者护理的启示：从专业角度来看，本研究强调了在患者交接期间使用标准化干预措施的至关重要性，因为它们有能力改善患者结局、护理实践，并为未来研究提供指导。
人们普遍认识到建立标准化对于改善患者交接至关重要。本研究结果表明，非标准化交接导致信息传递有限。研究结果显示，在患者周转期间使用复杂护理干预措施可以提高永久交接的效果，从而带来更好的患者结局。
本研究自始至终遵循CReDECI 2的指导原则。
护士在进行研究的诊所工作，患者在同一地点接受治疗和护理。符合纳入标准的患者和护士被纳入研究。
NCT06468631
