Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Effect of Patient-Engaged Bedside Handoffs Protocol in Comprehensive Care Units

간호·간병통합서비스 병동에서의 환자참여 침상인계 프로토콜 적용 효과

  • Lee, Bo Young (Department of Nursing, Samsung Medical Center) ;
  • Park, Kyung Jin (Department of Nursing, Samsung Medical Center) ;
  • Im, Jae Hyun (Department of Nursing, Samsung Medical Center) ;
  • Song, A Reum (Department of Nursing, Samsung Medical Center) ;
  • Yeon, Mi Hyang (Department of Nursing, Samsung Medical Center) ;
  • Song, Hyun Ju (Department of Nursing, Samsung Medical Center) ;
  • Jeon, Do Jin (Department of Nursing, Samsung Medical Center) ;
  • Baek, Kyu Won (Department of Nursing, Samsung Medical Center) ;
  • Jang, Joo Young (Department of Nursing, Samsung Medical Center) ;
  • Choi, Su Jung (Graduate School of Clinical Nursing Science, Sungkyunkwan University)
  • Received : 2022.09.30
  • Accepted : 2022.10.24
  • Published : 2022.12.31
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Abstract

Purpose: The purpose of this study was to apply patient-engaged bedside handoffs in comprehensive care units, and to evaluate the effects of bedsides to nurses and patients. Methods: This study employed a cluster randomized cross-over design.Electrical Medical Record (EMR)-based handoffs and patient-engaged bedside handoffs were alternatively applied to 104 patients, who were assigned to a total of 30 clusters (nursing handoff teams) in 4 comprehensive care units at the S medical center in Seoul, and the patients evaluated each type of handoffs. A total of 139 nurses were also participated in the same units and evaluated each type of handoffs. Data were analyzed using t-test, Wilcoxon rank sum test, ANOVA, and Kruskal-Walls test. Results: The patient's satisfaction of the patient-engaged bedside handoffs was higher than that of the EMR-based handoffs (Z=-5.16, p<.001). On the other hand, the nurse's satisfaction of the patient-engaged bedside handoffs was significantly lower than that of the EMR-based handoffs (t=13.21, p<.001). There were no differences in length of the reporting time between two types of handoffs (t=-0.48, p=.634). Conclusion: Patient satisfaction with the patient-engaged bedside handoffs was higher than that of EMR-based handoffs, and nurses' satisfaction with the patient-engaged bedside handoffs was significantly lower than that of EMR-based handoffs. Future studies are needed regarding the impacts of patient-engaged bedside handoffs on the quality of healthcare by identifying the benefits of the handoffs.

Keywords

Acknowledgement

본 연구는 2021년 삼성서울병원 간호본부에서 연구비를 지원받아 진행한 연구임.

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