The Impact of Improving Clinical Patient Handover Interventions on Patient Outcomes and Handover Practices: A Complex Nursing Intervention Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 369
- 试验地点
- 1
- 主要终点
- Nursing handover quality
研究概览
简要总结
This study was planned in a quasi-experimental design, focusing on the feasibility, evaluation, and implementation of patient handover between nurses, and the effect of interventions to increase their effectiveness on the patient's satisfaction with care, trust in the nurse, and the quality of nurses' patient handover.The main question it aims to answer is:
Does the intervention implemented in nurses' patient handover increase patients' satisfaction with care, its effect on their trust in nurses, and the quality of nurses' patient handover?
详细描述
This research was conducted between January and September 2022 at Adana City Education and Training Center.
It was carried out in the Research Hospital General Surgery Intensive Care Clinic (Intensive Care Clinic), Internal Medicine Clinic (Internal Clinic), General Surgery Clinic (Surgical Clinic). The study was carried out in a quasi-experimental design, with the control and experimental groups being the same, before the intervention, in the short term after the intervention (2 weeks after the intervention) and in the long term after the intervention (8 weeks after the intervention).
Training prepared as an expert opinion on patient handover, starting to use the standard patient handover form for each patient, ensuring standardization in handover and supporting this improvement work by managers were expressed as interventions. Training offered; It includes the importance of patient handover, how to ensure standardization and why we should use the standard patient handover form. After the training content was prepared, expert opinions were obtained from 5 people, including clinicians and academicians. The trainings were held in the meeting room of each clinic in 3 different sessions, reaching all nurses in an average of 45 minutes. The trainings were conducted interactively using written, visual and video methods. After the training, the standard patient handover form, which nurses should use in writing and verbally for each patient, was applied by the researcher at the bedside and how to use it was explained. The presentation prepared for the training was shared with nurses.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Nurses using the standard patient handover form
- •Nurses involved in patient handover.
- •The patient over 18 years of age
- •The patient understand and speak Turkish
- •The patient have no hearing impairment
- •The patient have no psychiatric disorder that would reduce his or her ability to comprehend and understand,
- •The patient have no communication problems, have no contact isolation,
- •Patients and nurses agree to participate in the research.
排除标准
- •Nurses and patients no volunteer to participate in the research
- •Nurses who do not use standard patient handover forms
- •The patient under 18 years of age
结局指标
主要结局
Nursing handover quality
时间窗: 2 weeks and 8 weeks
Nurses carry out written and verbal handover procedures for each patient using the standard patient handover form. Handover quality is measured by the presence of observational transferred information and the Handoff CEX Scale.
次要结局
- Patient Trust in Nurses and Newcastle Nursing Care Satisfaction Scale Levels(2 weeks and 8 weeks)
研究者
SERAP GÜNGÖR
Lecturer
Kahramanmaras Sutcu Imam University
