The Impact of Improving Clinical Patient Handover Interventions on Patient Outcomes and Handover Practices: A Complex Nursing Intervention Study

心理干预 移交 医学 护理部 标准化 干预(咨询) 患者安全 患者满意度 比例(比率) 背景(考古学) 医疗保健 量子力学 生物 经济增长 物理 古生物学 计算机科学 经济 计算机网络 法学 政治学
作者
Serap GÜNGÖR,Betül Tosun
出处
期刊:Journal of Evaluation in Clinical Practice [Wiley]
卷期号:31 (4)
标识
DOI:10.1111/jep.70087
摘要

ABSTRACT Background 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. Objective This study aims to assess the feasibility, implementation and impact of interventions designed to enhance the effectiveness of patient handovers among nurses. Methods 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. Results 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. Conclusion 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. Impact 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. Reporting Method The guidance for CReDECI 2 was followed throughout this study. Patient or Public Contribution 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. Trial Registration: NCT06468631.
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