Nursing Inter-Shift Handover Process: Enhancing a Traditional Ritual Through Evidence-Based Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/243264
Category:
Full-text
Type:
Presentation
Title:
Nursing Inter-Shift Handover Process: Enhancing a Traditional Ritual Through Evidence-Based Practice
Author(s):
Parasuram, Rajni; Poh, Chee Lien
Lead Author STTI Affiliation:
Sigma Theta Tau, Upsilon Eta Chapter (Singapore)
Author Details:
Parasuram, Rajni, MEd, PGDipHE, BN, RMN, RN, Rajin_PARASURAM@imh.com.sg; Poh, Chee Lien, MHSc, (Education), BN, AdvDipNursing, (Gerontology), RN;
Abstract:
Aims. This project aims to 1) examine existing handover practices/process in the tertiary mental health institution; 2) determine the strengths and limitations of the existing handover practice / process; and 3) identify, implement and evaluate an evidence-based nursing inter-shift handover process to enhance patient safety and service delivery.

Methods. This project was conducted in three phases using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research Into Practice (GRIP) programs. It was implemented over a period of four months from end August 2011 to beginning December 2011Evidence-based strategies such as town hall meetings and education sessions that reinforce proper handover techniques and its importance were implemented to enhance the handover processes and practices in four acute admitting wards. Pre and post audit data were observed and recorded for each case handover during each inter-shift handover session in four acute admitting wards. 

Results. The handover processes for 317 cases for four acute admitting wards were observed using the 7 audit criteria. Post implementation audit findings show that compliance rate had improved significantly for the four criteria: an improvement of 49% compliance rate in the use of standardized documentation during shift handover session;  an increased of 74% compliance rate in proper identification of patient at the start of each case report; a 31% increased in proper handing over of significant patient's history; and  18% increased compliance in providing detailed observation of patients.

Conclusion. This project had shown that handover session can be made effective by translating evidence into practice through ongoing evidence-based audit. Continuous evidence-based evaluation, identification and implementation of nursing inter-shift handover process will enhance patient safety and service delivery.

 

Keywords:
Nursing inter-shift handover; Nursing handover; Communication tool
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleNursing Inter-Shift Handover Process: Enhancing a Traditional Ritual Through Evidence-Based Practiceen
dc.contributor.authorParasuram, Rajnien
dc.contributor.authorPoh, Chee Lienen
dc.contributor.departmentSigma Theta Tau, Upsilon Eta Chapter (Singapore)en
dc.author.detailsParasuram, Rajni, MEd, PGDipHE, BN, RMN, RN, Rajin_PARASURAM@imh.com.sg; Poh, Chee Lien, MHSc, (Education), BN, AdvDipNursing, (Gerontology), RN;en
dc.identifier.urihttp://hdl.handle.net/10755/243264-
dc.description.abstract<b>Aims.</b>&nbsp;<span id="_mce_start">&#65279;</span>Th<span id="_mce_start">&#65279;</span>i<span id="_mce_start">&#65279;</span>s<span id="_mce_start">&#65279;</span> project aims to 1) examine existing handover practices/process in the tertiary mental health institution; 2) determine the strengths and limitations of the existing handover practice / process; and 3) identify, implement and evaluate an evidence-based nursing inter-shift handover process to enhance patient safety and service delivery. <div></div><p><b>Methods. </b>This project was conducted in three phases using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research Into Practice (GRIP) programs. It was implemented over a period of four months from end August 2011 to beginning December 2011Evidence-based strategies such as town hall meetings and education sessions that reinforce proper handover techniques and its importance were implemented to enhance the handover processes and practices in four acute admitting wards. Pre and post audit data were observed and recorded for each case handover during each inter-shift handover session in four acute admitting wards.<b>&nbsp;</b><p><b>Results. </b>The handover processes for 317 cases for four acute admitting wards were observed using the 7 audit criteria. Post implementation audit findings show that compliance rate had improved significantly for the four criteria: an improvement of 49% compliance rate in the use of standardized documentation during shift handover session; &nbsp;an increased of 74% compliance rate in proper identification of patient at the start of each case report; a 31% increased in proper handing over of significant patient's history; and &nbsp;18% increased compliance in providing detailed observation of patients. <p><b>Conclusion. </b>This project had shown that <span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;<span id="_mce_start">&#65279;</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>handover session can be made effective by translating evidence into practice through ongoing evidence-based audit. Continuous evidence-based evaluation, identification and implementation of nursing inter-shift handover process will enhance patient safety and service delivery. <p><b>&nbsp;</b>en
dc.subjectNursing inter-shift handoveren
dc.subjectNursing handoveren
dc.subjectCommunication toolen
dc.date.available2012-09-12T09:19:49Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:19:49Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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