Daicampi Chiara, Veronese Mayra, Cesaro Elisabetta
Department of Medicine, University of Padua, Padua, Italy.
Department of Health Professions, University Hospital of Padua, Padua, Italy.
J Nurs Manag. 2025 Jul 21;2025:3803491. doi: 10.1155/jonm/3803491. eCollection 2025.
Nursing handover is a critical component of healthcare, ensuring continuity of care and patient safety. Bedside handover, conducted at the patient's bedside during shift changes, has been proposed as a strategy to enhance communication among healthcare professionals, increase patient involvement, and optimize hospital efficiency. However, concerns persist regarding privacy, time constraints, and the quality of information exchanged. This systematic review aims to assess the impact of bedside handover on patient outcomes and hospital organizational performance, evaluating both its benefits and challenges. A systematic review was conducted following PRISMA guidelines. Quantitative and qualitative studies published between 2004 and 2024 were retrieved from PubMed, Scopus, and CINAHL. The methodological quality of the selected studies was assessed using the Joanna Briggs Institute (JBI) appraisal tools. Data were synthesized narratively. Out of 6396 initially identified records, 14 studies met the inclusion criteria, but one was excluded following quality appraisal due to low methodological quality. Therefore, 13 studies were included in the final review. Bedside handover was associated with significant benefits for patients, including improved perceived safety, satisfaction, reduced anxiety, and active involvement in their care. From an organizational perspective, bedside handover led to reduced handover duration, decreased shift overtime, and fewer nurse call requests, contributing to cost savings. However, concerns about patient privacy and variability in implementation practices were identified as potential barriers. Bedside handover represents a valuable opportunity to improve patient-centered care and hospital efficiency. Despite certain challenges, its advantages outweigh its drawbacks. Effective implementation requires addressing privacy concerns and providing adequate training for healthcare professionals to ensure consistency and adherence to best practices.
护理交接班是医疗保健的关键组成部分，可确保护理的连续性和患者安全。床边交接班是在轮班期间于患者床边进行的，已被提议作为一种增强医护人员之间沟通、提高患者参与度并优化医院效率的策略。然而，对于隐私、时间限制以及信息交换质量的担忧依然存在。本系统评价旨在评估床边交接班对患者结局和医院组织绩效的影响，同时评估其益处和挑战。按照PRISMA指南进行了一项系统评价。从PubMed、Scopus和CINAHL中检索了2004年至2024年发表的定量和定性研究。使用乔安娜·布里格斯研究所（JBI）评估工具对所选研究的方法学质量进行评估。对数据进行了叙述性综合分析。在最初识别出的6396条记录中，有14项研究符合纳入标准，但由于方法学质量较低，其中1项在质量评估后被排除。因此，最终评价纳入了13项研究。床边交接班对患者具有显著益处，包括提高安全感、满意度、减轻焦虑以及积极参与自身护理。从组织角度来看，床边交接班缩短了交接班时间，减少了轮班加班时间，护士呼叫请求也减少了，有助于节省成本。然而，对患者隐私的担忧以及实施做法的差异被确定为潜在障碍。床边交接班是改善以患者为中心的护理和医院效率的宝贵机会。尽管存在某些挑战，但其优点大于缺点。有效实施需要解决隐私问题，并为医护人员提供充分培训，以确保一致性并遵守最佳实践。
