Effects of Nursing Patient Handover

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

This study was planned in a quasi-experimental design, focusing on the feasibility, evaluation, and implementation of patient handover between nurses, and the effect of interventions to increase their effectiveness on the patient's satisfaction with care, trust in the nurse, and the quality of nurses' patient handover.The main question it aims to answer is:

Does the intervention implemented in nurses' patient handover increase patients' satisfaction with care, its effect on their trust in nurses, and the quality of nurses' patient handover?

Study Overview

• Status: Completed
• Conditions: Patient Satisfaction; Nurse's Role
• Intervention / Treatment: Behavioral: Complex Nursing Intervention

Detailed Description

This research was conducted between January and September 2022 at Adana City Education and Training Center.

It was carried out in the Research Hospital General Surgery Intensive Care Clinic (Intensive Care Clinic), Internal Medicine Clinic (Internal Clinic), General Surgery Clinic (Surgical Clinic). The study was carried out in a quasi-experimental design, with the control and experimental groups being the same, before the intervention, in the short term after the intervention (2 weeks after the intervention) and in the long term after the intervention (8 weeks after the intervention).

Training prepared as an expert opinion on patient handover, starting to use the standard patient handover form for each patient, ensuring standardization in handover and supporting this improvement work by managers were expressed as interventions. Training offered; It includes the importance of patient handover, how to ensure standardization and why we should use the standard patient handover form. After the training content was prepared, expert opinions were obtained from 5 people, including clinicians and academicians. The trainings were held in the meeting room of each clinic in 3 different sessions, reaching all nurses in an average of 45 minutes. The trainings were conducted interactively using written, visual and video methods. After the training, the standard patient handover form, which nurses should use in writing and verbally for each patient, was applied by the researcher at the bedside and how to use it was explained. The presentation prepared for the training was shared with nurses.

• Study Type: Observational
• Enrollment (Actual): 369

Contacts and Locations

Study Locations

• Turkey
  • Adana, Turkey
    • Adana City Training and Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

It consists of inpatients and nurses working in the General Surgery Intensive Care Clinic, Internal Medicine Clinic and General Surgery Clinic of the training and research hospital determined between January and September 2022.

Description

Inclusion Criteria:

• Nurses using the standard patient handover form
• Nurses involved in patient handover.
• The patient over 18 years of age
• The patient understand and speak Turkish
• The patient have no hearing impairment
• The patient have no psychiatric disorder that would reduce his or her ability to comprehend and understand,
• The patient have no communication problems, have no contact isolation,
• Patients and nurses agree to participate in the research.

Exclusion Criteria:

• Nurses and patients no volunteer to participate in the research
• Nurses who do not use standard patient handover forms
• The patient under 18 years of age

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nursing handover quality	Nurses carry out written and verbal handover procedures for each patient using the standard patient handover form. Handover quality is measured by the presence of observational transferred information and the Handoff CEX Scale.	2 weeks and 8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient Trust in Nurses and Newcastle Nursing Care Satisfaction Scale Levels	Evaluation of patients' Trust in Nurses and Nursing Care Satisfaction after the patient handover intervention applied to nurses. The scale is a 5-point scale consisting of 24 items including nursing care. Newcastle nursing care satisfaction scale is a 5-point scale consisting of 24 items including nursing care. It is a Likert type scale. Score evaluation is made from 0 to 100 by adding the scores of all items marked on the scale and converting them to 100. It is done based on points. A total score of 100 is considered to indicate satisfaction with all aspects of nursing care. The total score of the trust in nurses scale (minimum 5 points - maximum 30 points) is measured by summing the scores of the answers given to the questions. A high score from the scale indicates a high level of trust in nurses.	2 weeks and 8 weeks

Collaborators and Investigators

• Sponsor: Kahramanmaras Sutcu Imam University

Study record dates

Study Major Dates

• Study Start (Actual): January 25, 2022
• Primary Completion (Actual): June 1, 2022
• Study Completion (Actual): September 8, 2022

Study Registration Dates

• First Submitted: June 15, 2024
• First Submitted That Met QC Criteria: June 15, 2024
• First Posted (Actual): June 21, 2024

Study Record Updates

• Last Update Posted (Actual): June 26, 2024
• Last Update Submitted That Met QC Criteria: June 24, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Keywords: handoff; handover; patient safety
• Other Study ID Numbers: Handover

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No