Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지

Status and Perception of Nursing Handover among Korean Nurses in Intensive Care Units

중환자실에서 이루어지는 간호사 인수인계 실태 및 인수인계에 대한 평가

  • Kim, Chun Mi (Department of Nursing Science, Sunmoon University) ;
  • Kim, Eun Man (Department of Nursing Science, Sunmoon University) ;
  • Ko, Ji Woon (Department of Nursing Science, Sunmoon University)
  • Received : 2015.11.22
  • Accepted : 2015.12.17
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study identified the current status and perception of intensive care unit nurses' handover. Methods: A cross sectional descriptive survey was employed. The population included nurse managers and staff nurses who worked in intensive care units in hospitals with more than 500 beds and excluded nursing homes, psychiatric hospitals, and military hospitals. Results: Of the nurses, 61.7% were satisfied with the current handover method, 68.36% had no handover-related guidelines, and 83.2% of them perceived that the handover was important for patients' safety. The most frequent cause for errors related to handover was that the "nursing workload is heavy." The nurses perceived that their handover was informative ($5.62{\pm}0.79$) and efficient ($5.04{\pm}0.98$). The variables associated with their perception of the handover were the level of satisfaction with the current handover method, existence of handover guidelines, and importance of handover for patient safety. Conclusion: The development of standardized handover guidelines, especially for intensive care units, is necessary to reduce handover time and errors and to improve handover quality for patients'safety and high standards of nursing care.

Keywords

References

  1. Australian Commission on Safety and Quality in Health Care. (2010). Proposed national safety and quality framework-consultation report. Retrieved October 10, 2015, from http://www.safetyandquality.gov.au/internet/safety/publishing.nsf/Content/07A80B80FE13E8F5CA257759001329F7/File/31827-Consultreport-ProposedNSQFramework-May2010.PDF
  2. Baldwin, L., & McGinnis, C. (1994). A computer-generated shift report. Nursing Management, 25 (9), 61-65.
  3. Barker, L. M., & Nussbaum, M. A. (2011). Fatigue, performance and the work environment: A survey of registered nurses. Journal of Advanced Nursing, 67(6), 1370-1382. https://doi.org/10.1111/j.1365-2648.2010.05597.x
  4. Blouin, A. S. (2011). Improving hand-off communications: New solutions for nurses. Journal of Nursing Care Quality, 26(2), 97-100. https://doi.org/10.1097/NCQ.0b013e31820d4f57
  5. Chaboyer, W., McMurray, A., & Wallis, M. (2008). Bedside nursing handover and multidisciplinary whiteboard assisted communication (Public Report on Pilot Study as part of National Clinical Handover Initiative). Brisbane: Griffith University.
  6. Currie, J. (2002). Improving the efficiency of patient handover. Emergency Nurse, 10 , 24-27.
  7. Gage, W. (2013). Evaluating handover practice in an acute NHS trust. Nursing Standard, 31(7)43-50.
  8. Gu, X., Andersen, H. B., Madsen, M. D., Itoh, K., & Siemsen, I. M. (2012). Nurses'view of patient handoffs in Japanese hospitals. Journal of Nursing Care Quality, 27, 372-380. https://doi.org/10.1097/NCQ.0b013e3182573736
  9. Halm, M. A. (2013). Nursing handoffs: Ensuring safe passage for patients. American Journal of Critical Care, 22, 158-162. https://doi.org/10.4037/ajcc2013454
  10. Han, M. J. (2010). The status of intraoperative handoff communication of operating room nurse. Unpublished master's thesis, Kyungpook National University, Daegu.
  11. Hyeong, J. J. (2014). Development and evaluation of a standardized protocol for nursing handover. Unpublished doctoral dissertation, Seoul National University, Seoul.
  12. Jukkala, A. M., James, D., Autrey, P., Azuero, A., & Miltner, R. (2012). Developing a standardized tool to improve nurse communication during shift report. Journal of Nursing Care Quality, 27(3), 240-246. https://doi.org/10.1097/NCQ.0b013e31824ebbd7
  13. Kim, E. M., Kim, S. H. & Lee, H. Y. (2014). Understanding perception of nursing handover among Korean nurses. Korean Public Health Research, 40(4), 41-49.
  14. Kim, S. H., Kim, E. M., Choi, Y. K., Lee, H. Y., Park, M. M., Cho, E. Y., et al. (2013). An exploration about current nursing handover practice in Korean hospitals. Journal of Korean Clinical Nursing Research, 19(2), 181-194. https://doi.org/10.22650/JKCNR.2013.19.2.181
  15. Klim, S., Kelly, A. M., Kerr, D., Wood, S., & McCann, T. (2013). Developing a framework for nursing handover in the emergency department: An individualized and systematic approach. Journal of Clinical Nursing, 22 , 2233-2243. https://doi.org/10.1111/jocn.12274
  16. Kowitlawakul, Y., Leong, B. S. H., Lua, A., Aroos, R., Wong, J. J., Koh, N., et al. (2015). Observation of handover process in an intensive care unit(ICU): Barriers and quality improvement strategy. International Journal of Quality in Health Care, 27(2), 99-104. https://doi.org/10.1093/intqhc/mzv002
  17. Li, P., Stelfox, H. T., & Ghali, W. A. (2011). A prospective observational study of physicial handoff for intensive care unit to ward patient transfers. The American Journal of Medicine, 124. 860-867. https://doi.org/10.1016/j.amjmed.2011.04.027
  18. Malekzadeh, J., Mazluom, S. R., Etezadi, T., & Tasseri, A. (2013). A standardized shift handover protocol: Improving nurses'safe practice in intensive care units. Journal of Caring Sciences, 2(3), 177-185.
  19. McElroy, L M., Macapagal, K. R., Collins, K. M., Abecassis, M. M., Holl, J. L., Ladner, D. P., et al. (2015). Clinician perception of operating room to intensive care unit handoffs and implications for patient safety: A qualitative study. The American Journal of Surgery, 210(4), 629-635. https://doi.org/10.1016/j.amjsurg.2015.05.008
  20. McKenna, L. G. (1997). Improving the nursing handover report. Professional Nurse, 12(9), 637-639.
  21. MeiBner, A., Hasselhorn, H. M., Estryn-Behar, M., Nezet, O., Pokorski, J., & Gould, D. (2007). Nurses'perception of shift handovers in Europe-results from the European Nurses' Early Exit Study. Journal of Advanced Nursing, 57(5), 535-542. https://doi.org/10.1111/j.1365-2648.2006.04144.x
  22. O'Connell, B., Macdonald, K., & Kelly, C. (2008). Nursing handover: It's time for a change. Contemporary Nurse, 30(1), 2-11. https://doi.org/10.5172/conu.673.30.1.2
  23. O'Connell, B., Ockerby, C., & Hawkins, M. (2014). Construct validity and reliability of the handover evaluation scale. Journal of Clinical Nursing, 23(3-4), 560-570. https://doi.org/10.1111/jocn.12189
  24. Riesenberg, L. A., Leitzsch, J., & Cunningham, J. M. (2010). Nursing handoffs: A systematic review of the literature. American Journal of Nursing, 110(4), 24-34. https://doi.org/10.1097/01.NAJ.0000370154.79857.09
  25. Rothschild, J. M., Landrigan, C. P., Cronin, J. W., Kaushal, R., Lockley, S. W., Burdick, E., et al. (2005). The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care. Critical Care Medicine, 33(8), 1694-1700. https://doi.org/10.1097/01.CCM.0000171609.91035.BD
  26. Spooner, A. J., Chaboyer, W., Corley, A., Hammond, N., & Fraser, J. F. (2013). Understanding current intensive care unit nursing handover practices. International Journal of Nursing Practice, 19, 214-220. https://doi.org/10.1111/ijn.12058
  27. Street, M., Eustace, P., Livingston, P. M., Craike, M. J., Kent, B., & Patterson, D. (2011). Communication at the bedside to enhance patient care: A survey of nurses'experience and perspective of handover. International Journal of Nursing Practice, 17, 133-140. https://doi.org/10.1111/j.1440-172X.2011.01918.x
  28. Welsh, C. A., Flanagan, M. E., & Ebright, P. (2010). Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nursing Outlook, 58(3), 148-154. https://doi.org/10.1016/j.outlook.2009.10.005
  29. Won, Y. H., & Kang, J. Y. (2014). Intensive care unit nurse's communication experience. Korean Journal of Adult Nursing, 26(3), 352-361. https://doi.org/10.7475/kjan.2014.26.3.352