Hemşirelerin Hasta Teslimi İle İlgili Uygulamaları ve Görüşleri

Year 2021, , 13 - 25, 31.01.2021

Emel Tuğrul , Muazzez Şahbaz

https://doi.org/10.46237/amusbfd.717408

Cited By: 2

Abstract

Amaç: Hasta teslimi hasta güvenliği çerçevesinde önemli bir yeri olan hemşirelik işlevlerinden biridir. Hasta teslimlerinin yanlış yapılandırılması advers (istenmeyen) olayların sıklığını artırmakta ve bakım kalitesini azaltmaktadır. Bu çalışma, hemşirelerin hasta teslimi ile ilgili uygulama ve görüşlerini belirlemek amacıyla yapılmıştır.
Yöntem: Analitik- kesitsel tipte olan araştırma, Aydın il merkezinde, Temmuz 2016 - Mart 2017 tarihleri arasında yataklı tedavi hizmeti veren dört hastanede hasta teslimi uygulanan kliniklerde çalışan 347 hemşire ile yapıldı. Çalışma verileri, hemşirelerin demografik ve mesleki bilgilerini, hasta teslimi ile ilgili uygulama ve görüşlerine yönelik soru formu ile toplandı. Araştırmanın verileri; sayı, yüzde, aritmetik ortalama ve standart sapma değerleri ile yapıldı.
Bulgular: Araştırmaya katılan hemşirelerin yaş ortalamasının 31.0±9.01 olduğu, %48.1’inin lisans mezunu olup, %61.1’inin 0-12 yıldır görev yaptığı belirlendi. Hemşirelerin %97.1’i hasta teslimlerinin yapılması gerektiğini, %47.8’i hasta tesliminin yatak başında sözel, %41.8’i yatak başında yazılı olması gerektiğini düşündüklerini ve %80.4’ü hasta teslimi sırasında hasta yakınlarının odada bulunmasından rahatsız olduklarını bildirdi. Hemşirelerin %64’ü hasta teslimlerini yatak başında sözel olarak yapıldığını, %79.3’ü günde iki kez hasta teslimi yapıldığını ve ortalama 27-34 dakika sürdüğünü, %66.9’u hasta teslimi için herhangi bir form kullanmadıklarını bildirdi. Hemşirelerin %69.5’i hasta teslimini engelleyen en önemli faktörün iş yoğunluğu olduğunu, %33.7’si hemşireler arasındaki iletişim eksikliğinin bu süreci etkilediğini ve %80.4’ü teslim sırasında hasta yakınlarının ortamda bulunmasından rahatsız olduklarını bildirdi. Hemşireler hasta tesliminde aktarılması gereken bilgilerin hastanın mevcut durumunun ve günlük olarak takip edilmesi gereken bulguları olduğunu düşünmektedir.
Sonuç: Araştırma sonucunda; hemşirelerin hasta tesliminin yapılması gerektiğini ve yatak başında yapılan hasta tesliminin en etkili hasta teslim biçimi olduğunu düşündükleri belirlenmiştir. Hasta teslimlerinin süresinin ve teslim biçimlerinin kliniklere göre farklılık gösterdiği ve hasta tesliminin kaydedildiği yapılandırılmış bir form olmadığı belirlenmiştir.  

Keywords

Hasta güvenliği, Hasta teslimi, Hemşire

Supporting Institution

yok

Project Number

yok

Thanks

yok

Nurses’ Practice and Opinions About Nursing Handover

Abstract

Objective: Nursing handover is one of the nursing functions that has an important role in patient safety. Misconfiguration of nursing handover increases the frequency of adverse events and reduces the quality of care. This study was carried out to determine nurses' practices and opinions about nursing handover.
Methods: This analytical-cross-sectional study was conducted with 347 nurses working in clinics where nursing handover was performed in four hospitals providing inpatient treatment services between July 2016 and March 2017 in Aydın city center. The study data were collected with a questionnaire regarding the demographic and professional information of nurses, their applications and opinions about patient delivery. The data of the research; number, percentage, arithmetic mean and standard deviation values were made.
Results: The mean age of the nurses participating in the study was 31.0 ± 9.01, 48.1% were university graduates and 61.1% had been working as nurses for 0-12 years. 97.1% of the nurses reported that nursing handover should be made, 47.8% thought that nursing handover should be verbal at the bedside, 41.8% thought that should be written at the bedside and 80.4% of the nurses reported that they were uncomfortable with patient’s relatives in the room during nursing handover. 64% of the nurses reported that nursing handover were made verbally at the bedside, 79.3% of the patients were delivered twice a day, and it took 27-34 minutes on average, and 66.9% did not use any form for nursing handover. 69.5% of the nurses reported that the most important factor preventing the nursing handover was the work intensity, 33.7% of them stated that the lack of communication between the nurses affected this process and 80.4% of the patients were disturbed by the presence of their relatives during the nursing handover. Nurses think that the information that should be conveyed in nursing handover is the current status of the patient and the findings that should be followed daily.
Conclusion: As a result of the research; It was determined that nurses think that nursing handover should be and the most effective nursing handover is bedside handover It was determined that the duration and forms of nursing handover differ according to clinics and there is no structured form in which nursing handover is recorded.

Keywords

Nursing, Nursing handover, Patient safety

Project Number

yok

References

• 1. Piekarski, F., Kaufmann, J., Laschat, M., Böhmer, A., & Engelhardt, T. (2015). Quality of handover in a pediatric postanesthesia care unit. Pediatric Anesthesia, 25(7), 746-752.
• 2. Nursing handover for adult patients guidelines. NHS Wales Informatics Service 2008. http://www.wales.nhs.uk/sitesplus/documents/ (Erişim tarihi: 15.10.2019).
• 3. McMurray, A., Chaboyer, W., Wallis, M., Johnson, J., & Gehrke, T. (2011). Patients’ perspectives of bedside nursing handover. Collegian, 18, 19–26.
• 4. Toeima, E., & Morris, E. (2013). Improving patients’ handover. Obstet Gynaecol Reprod Med, 23(7), 221-23.
• 5. Jagsi, R., Kitch, B.T., Weinstein, D.F., Campbell, E.G., Hutter, M., & Weissman, J.S. (2005). Residents report on adverse events and their causes. Arch Intern Med, 165(22), 2607-13.
• 6. Smeulers, M, Tellingen, IC., & Lucas, C. (2012). Effectiveness of Different Nursing Handover Styles For Ensuring Continuity Of İnformation İn Hospitalised Patients (Protocol). The Cochrane Library,7, 1-12.
• 7. Randell, R., Wilson, S., & Woodward, P. (2011). The importance of the verbal shift handover report: a multi-site case study. Int J Med Inform., 80 (11), 803-12.
• 8. Lockwood, C. (2016). What is the best nursing handover style to ensure continuity of information for hospital patients? Int J Nurs Stud., 58, 97–99.
• 9. Lupieri, G., Creatti, C., & Palese, A. (2016). Cardio-thoracic surgical patients' experience on bedside nursing handovers: Findings from a qualitative study. Intensive Crit Care Nurs., 35, 28-37.
• 10. Rifai, A., Afandi, A.T., & Hasanah, A. (2019). Bedside Nursing Handover: Patient’s Perspective. Nurseline Journal, 4(2), 123-130.
• 11. Pothier, D., Monteiro, P., Mooktiar, M., & Shaw, A. (2005). Pilot study to show the loss of important data in nursing handover. Br J Nurs., 14 (20), 1090-3.
• 12. Halterman, R.S., Gaber, M., Janjua, M.S.T., Hogan, G.T., & Cartwright, S.M.I. (2019). Use of a checklist for the Postanesthesia Care Unit Patient Handoff. J Perianesth Nurs, 34(4), 834-41.
• 13. Matic, J., Davidson, PM., & Salamonson, Y. (2011). Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin Nurs., 20 (1-2), 184-189.
• 14. Karasar, N. (2005). Bilimsel araştırma yöntemi: kavramlar, ilkeler, teknikler. Ankara: Nobel Yayın Dağıtım.
• 15. Johnson, M., Sanchez, P., & Zheng, C. (2015). The impact of an integrated nursing handover system on nurses' satisfaction and work practices. J Clin Nurs., 25, 257-68.
• 16. Joint commision report. (2020). Sentinel Event Alert 58:Inadequate hand-off communication. https://www.jointcommission.org/resources/patient-safety. Erişim tarihi: 15.02.2020.
• 17. Jeffs, L., Cardoso, R., Beswick, S., Acott, A., Simpson, E., Campbell, H., Lo, J., & Ferris, E. (2013). Enablers and barriers to implementing bedside reporting: insights from nurses. Nurs Leadersh, 26, 39–52.
• 18. Sherman, J., Sand-Jecklin, K., & Johnson, J. (2013). Investigating bedside nursing report: a synthesis of the literature. Medsurg Nurs., 22(5), 308-12, 318.
• 19. Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: patients’ opinions. Int J Nurs Pract., 20, 451–459.
• 20. Manser, T., & Foster, S. (2011). Effective Handover Communication: An Overview of Research and İmprovement. Efforts. Best Practice & Research Clinical Anaesthesiology, 25, 181–191.
• 21. Maxson, P.M., Derby,K.M., & Wrobleski, D.M. (2012). Bedside nurse-to-nurse handoff promotes patient safety. Medsurg Nurs., 21(3), 140-4.
• 22. Wakefield, D.S., Ragan, R., Brandt, J., & Tregnago, M. (2012). Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf., 38(6), 243-53.
• 23. Radtke, K., (2013). Improving patient satisfaction with nursing communication using bedside shift report. Clin Nurse Spec., 27(1), 19-25.
• 24. O’Connell B, & Penney W. (2001). Challenging the handover ritual: recommendations for research and practice. Collegian, 8(3):14-8.
• 25. Davies, S. & Priestley MJ. (2006). A reflective evaluation of patient handover practices. Nurs Stand., 20(21), 49-52.
• 26. Sağlık Bakanlığı Performans. Hastane hizmet kalite standartları 2011. https://dosyamerkez.saglik.gov.tr/Eklenti/2631,hkskitappdf.pdf?0 (Erişim Tarihi: 04.04.2020).
• 27. Tuğrul, E., & Khorshid, L., (2015). Hemşirelerin önemli işlevlerinden biri: hasta teslimi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 31(1), 95- 107.
• 28. Alvarado, K., Lee, R., Christoffersen, E., Fram, N., Boblin, S., Poole, N., & et al. (2006). Transfer of accountability: transforming shift handover to enhance patient safety. Healtcare Quarterly, 9, 75-9.
• 29. Mosher, C. & Bontomasi, R. (1996). How to improve your shift report. The American Journal of Nursing, 96(8), 32-4.
• 30. Sert, H., İlhan P., & Okçu, P. (2019). Erişkin yoğun bakımda çalışan hemşirlerin yatak başı hasta teslimlerinin incelenmesi: standardize edilmiş bir form gerekli mi? Hemşire görüşleri. Yoğun bakım hemşireliği dergisi, 23(3), 160-167.
• 31. Collins, S.A., Stein, D.M., Vawdrey, D.K., Stetson, P.D., & Bakken, S. (2011). Content overlap in nurse and physician handoff artifacts and the potential role of electronic health records: a systematic review. Journal of Biomedical Informatics, 44(4), 704-12.
• 32. Heidarizadeh, K., Rassouli, M., Manoochehri, H., Tafreshi, M.Z., & Ghorbanpour, R.K.(2017). Effect of electronic report writing on the quality of nursing report recording. Electron Physician, 9(10), 5439-5445.
• 33. Johnson, M., Jefferies, D., & Nicholls, D.(2012). Developing a minimum data set for electronic nursing handover. Journal of Clinical Nursing, 21(3- 4), 331-43.
• 34. Welsh, C.A., Flanagan, M.E., & Ebright, P. (2010). Barriers and facilitators to nursing handoffs: recommendations for redesign. Nursing Outlook, 58(3), 148-54.
• 35. ACSQHC, Australian Commission on Safety and Quality in Health Care. Ossie Guide to Clinical Handover 2009. http://www. safetyandquality.gov.au/our-work/clinical-communications/ clinicalhandover. Erişim Tarihi: 10.11.2019.