Development and Evaluation of a Nursing Handoff Protocol for Intensive Care Units

중환자실 간호 인수인계 프로토콜의 개발 및 평가

  • Cho, Young Shin (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • Kwon, Sun Ju (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • Yun, Mi Young (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • Lee, Mi Hwa (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • An, So Hee (Surgical Intensive Care Unit, Kosin University Gospel Hospital) ;
  • Kong, Yu Jeong (Surgical Intensive Care Unit, Kosin University Gospel Hospital)
  • 조영신 (고신대학교 복음병원 외과계 중환자실) ;
  • 권선주 (고신대학교 복음병원 외과계 중환자실) ;
  • 윤미영 (고신대학교 복음병원 외과계 중환자실) ;
  • 이미화 (고신대학교 복음병원 외과계 중환자실) ;
  • 안소희 (고신대학교 복음병원 외과계 중환자실) ;
  • 공유정 (고신대학교 복음병원 외과계 중환자실)
  • Received : 2016.07.14
  • Accepted : 2016.09.22
  • Published : 2016.12.31

Abstract

Purpose: This study aimed to develop a nursing handoff protocol for intensive care units and test its relevance. Methods: This is a methodological research to develop a protocol. A preliminary protocol was developed by composing items and testing content validity through literature review and experts' review. We revised and complemented the preliminary protocol following practical relevance assessment of 38 intensive care unit nurses at a university hospital to test content validity and to assess practical relevance of the final protocol. Results: On the basis of the content validity test for the final protocol, 40 items were adopted. The scores for the practical relevance of the final protocol increased significantly for items such as accuracy of handoff, reduction of handoff-related errors, convenience in using the protocol, reduction in handoff time, and simplification of handoff. Conclusions: The nursing handoff protocol for intensive care units in this study is expected to improve nursing performance with a standardized handoff in intensive care units, promote patient safety, and improve communication among the medical staff.

References

  1. Agarwal, H. S., Saville, B. R., Slayton, J. M., Donahue, B. S., Daves, S., Christian, K. G., et al. (2012). Standardized postoperative handover process improves outcomes in the intensive care unit; A model for operational sustainability and improved team performance. Critical Care Medicine, 40(7), 2109-2115. https://doi.org/10.1097/CCM.0b013e3182514bab
  2. Currie, J. (2002). Improving the efficiency of patient handover. Emergency Nurse, 10(3), 24-27. https://doi.org/10.7748/en2002.06.10.3.24.c1064
  3. Fenton, W. (2006). Developing a guide to improve the quality of nurses' handover. Nursing Older People. 18(11), 32-36.
  4. Halm, M. A. (2013). Nursing handoffs: Ensuring safe passage for patients. American Journal of Critical Care, 22(2), 158-162. https://doi.org/10.4037/ajcc2013454
  5. Han, M. J. (2010). The status of intraoperative hand-off communication of operating room nurse. Unpublished master's thesis, Kyungpook National University, Daegu.
  6. Hatten-Masterson, S. J., & Griffiths, M. L. (2009). SHARED maternity care: enhancing clinical communication in a private maternity hospital setting. Medical Journal of Australia, 190(11), S150-S151.
  7. Hwang, K. J., Lee, K. S., Kim, S. H., Lee, J. S., Lee, K. O., You, S. M., et al. (2001). Adjustment of proper shift hours by improving the nursing report system. Clinical Nursing Research, 7(1), 5-33.
  8. Hyeong, J. J. (2014). Development and evaluation of a standardized protocol for nursing handover. Unpublished master's thesis, Seoul National University, Seoul.
  9. Johnson, M., Jefferies, D., & Nicholls, D. (2012). Exploring the structure and organization of information within nursing clinical handovers. International Journal of Nursing Practice, 18, 462-470. https://doi.org/10.1111/j.1440-172X.2012.02059.x
  10. Joint Commission Center for Transforming Healthcare. (2010). Facts about the hand-off communications project. Retrieved December 5, 2015, from http://www.centerfortransfor-minghealthcare.org/projects/about_handoff_communication.aspx.
  11. Joint Commission on Accreditation of Healthcare Organizations. (2006). Joint Commission 2006 National Patient Safety Goals Implementation Expectations. Retrieved December 10, 2015, from http://www.jointcommission.org/assets/1/6/2006_Annual_Report.pdf.
  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., Yu, M., Lee, H. Y., Ko, J. W., Cho E. Y., & Kim, E. S. (2014). Development of nursing handoff practice guideline and standards for Korean hospital.Journal of Korean Clinical Nursing Research, 20(1), 1-14. https://doi.org/10.22650/JKCNR.2014.20.1.1
  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. Klee, K., Latta, L., Davis-Kirsch, S., & Pecchia, M. (2012). Using continuous process improvement methodology to standardize nursing handoff communication. Journal of Pediatric Nursing, 27, 168-173. https://doi.org/10.1016/j.pedn.2011.08.005
  16. Lee, H. J., & Paik, S .B. (2001). A study on change-of-shift report as a nursing ritual. Daebul University Bulletin, 7(1), 377-386.
  17. Matic, J., Davidson, P. M., & Salamonson, Y. (2010). Reveiw: Bringing patient safety to the forefront through structured computerisation during clinical handover. Journal of Clinical Nursing, 20, 184-189.
  18. Mayor, E., Bangerter, A., & Aribot, M. (2012). Task uncertainty and communication during nursing shift handovers. Journal of Advanced Nursing, 68(9), 1956-1966. https://doi.org/10.1111/j.1365-2648.2011.05880.x
  19. 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
  20. Schroeder, S. J. (2006). Picking up the PACE: A new template for shift report. Nursing, 36(10), 22-23. https://doi.org/10.1097/00152193-200610000-00016
  21. Spooner, A. J., Chaboyer, W., Corley, A., Hammond, N., & Fraser, J. (2013). Understanding current intensive care unit nursing handover practices. International Journal of Nursing Practice, 19, 214-220. https://doi.org/10.1111/ijn.12058
  22. Starmer, A. J., Spector, N. D., Srivastava, R., West, D. C., Rosenbluth, G., Allen, A. D., et al. (2014). Changes in medical errors after implementation of a handoff program. The New England Journal of Medicine, 371(19), 1803-1812. https://doi.org/10.1056/NEJMsa1405556
  23. Tucker, A., & Fox, P. (2014). Evaluating nursing handover: the REED model. Nursing Standard, 28(20), 44-48. https://doi.org/10.7748/ns2014.01.28.20.44.e7992
  24. Vergales, J., Addison, N., Vendittelli, A., Nicholson, E., Carver, D. J., Stemland, C., et al. (2014). Face-to-Face handoff: Improving transfer to the pediatric intensive care unit after cardiac surgery. American Journal of Medical Quality, online 17: 1-4.
  25. 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
  26. Wilson, R. (2011). Improving clinical handover in emergency departments. Emergency Nurse, 19(1), 22-26. https://doi.org/10.7748/en2011.04.19.1.22.c8446