HEMŞİRELERİN HASTA DEVİR TESLİM SÜRECİ
Yıl 2023,
Cilt: 6 Sayı: 2, 118 - 126, 30.12.2023
Serap Güngör
,
Betül Tosun
Öz
Hastaya verilen önlenebilir zararlar, birçok ülkede hastalık yükünün önde gelen nedenlerinden biridir. Bu nedenle, hasta güvenliği küresel olarak sağlık hizmetleri için önemli bir konudur. Hasta güvenliğinin sağlanması için hedefler oluşturularak iyileştirmeler yapılmaktadır. Ulusal ve uluslararası olarak hasta güvenliğinin sağlanmasında, bakımın kalitesinin arttırılmasında hasta devir teslim esnasındaki iletişimin önemi vurgulanmaktadır. Hasta devir teslimi bilgileri açık, anlaşılır ve gerekli olmalıdır. Hastalara sürekli bakım sunan hemşirelerin rutin uygulamalarının anahtarı hasta devir teslimidir. Hasta devir teslimi bir hemşirenin hastayla ilgili bilgileri, sorumluluğu ve karar verme sürecini diğer hemşireye devretmesidir. Hasta devir tesliminin başarılı olması için hemşireler uygun bir iletişim aracı kullanarak standardizasyon sağlamalıdır. Hasta devir teslimi yatak başında, hasta katılımıyla gerçekleştirilmelidir. Standardizasyon içerisinde gerçekleştirilen devir teslimin hasta bakımının kalitesini, hasta memnuniyetinin ve hastanın hemşireye güvenini arttırdığı bilinmektedir. Bu derlemenin amacı hasta güvenliği ve hemşirelik bakımı için önemli olan hasta devir teslim sürecinin öneminin vurgulanması ve güncel bilgilerin paylaşılmasını sağlayarak hasta devir tesliminin kalitesinin arttırılmasını sağlamaktır.
Etik Beyan
Bu çalışma derleme makalesi olduğu için etik kurul kararı alınmasına gerek yoktur. Çalışma boyunca Helsinki Deklarasyonu’na uygun davranılmıştır.
Kaynakça
- [1] Choi, E. Y., Pyo, J., Park, Y. K., Ock, M., & Kim, S. (2023). Development of the Korean patient safety ıncidents code classification system. Journal of Patient Safety, 19(1), 8. https://doi.org/10.1097/PTS.0000000000001083.
- [2] Raeisi, A., Rarani, M. A., & Soltani, F. (2019). Challenges of patient handover process in healthcare services: A systematic review. Journal of Education and Health Promotion, 8, 1-6. https://doi.org/10.4103/jehp.jehp-460-18.
- [3] T.C. Ministry of Health National Patient Safety Goals. (2022). Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite, Akreditasyon ve Çalışan Hakları Dairesi Başkanlığı. https://shgmkalitedb.saglik.gov.tr/TR-94080/ulusal-hasta-guvenligi-hedefleri-hakkinda.html.
- [4] The Joint Commission. (2017). National Patient Safety Goals Slide Presentation. https://www.jointcommission.org/npsg_presentation/, Erişim Tarihi: 02.08.2023.
- [5] Ghosh, S., Ramamoorthy, L., & Pottakat, B. (2021). Impact of structured clinical handover protocol on communication and patient satisfaction. Journal of Patient Experience, 8, 2374373521997733. https://doi.org/10.1177/2374373521997733.
- [6] Chien, L. J., Slade, D., Dahm, M. R., Brady, B., Roberts, E., Goncharov, L., ... & Thornton, A. (2022). Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. Journal of Advanced Nursing, 78(5), 1413-1430. https://doi.org/10.1111/jan.15110.
- [7] Cho, S., Lee, J. L., Kim, K. S., & Kim, E. M. (2022). Systematic review of quality improvement projects related to intershift nursing handover. Journal of Nursing Care Quality, 37(1), E8-E14. https://doi.org/10.1097/NCQ.0000000000000576.
- [8] Abo Seada, A. I., Abo Habieb, E. T. E., Salameh, B. S., El-Wkeel, N. S., & Abdelkader Reshia, F. A. (2022). Developing nursing standards for maintaining shift handover in the ıntensive care unit: A methodological and cross-sectional study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 59, 00469580221144078. https://doi.org/10.1177/00469580221144078.
- [9] Nyikuri, M. (2020). Handover among nurses working in selected newborn units in Kenya; its purpose and structure. Heliyon, 6(2). https://doi.org/10.1016/j.heliyon.2020.e03500.
- [10] Lee, D. H., & Lim, E. J. (2021). Effect of a simulation-based handover education program for nursing students: A quasi-experimental design. International Journal of Environmental Research and Public Health, 18(11), 5821. https://doi.org/10.3390/ijerph18115821.
- [11] Tacchini-Jacquier, N., De Waele, E., Urben, P., Turini, P., & Verloo, H. (2020). Developing an evidence-based nursing handover standard for a multi-site public hospital in Switzerland: Protocol for a web-based, modified Delphi study. JMIR Research Protocols, 9(1), e15910. https://doi.org/10.2196/15910.
- [12] O'Rourke, J., Abraham, J., Riesenberg, L. A., Matson, J., & Lopez, K. D. (2018). A Delphi study to identify the core components of nurse to nurse handoff. Journal of Advanced Nursing, 74(7), 1659-1671. https://doi.org/10.1111/jan.13565.
- [13] Tuğrul, E., & Şahbaz, M. (2021). Hemşirelerin hasta teslimi ile ilgili uygulamaları ve görüşleri. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 5(1), 13-25. https://doi.org/10.46237/amusbfd.717408.
- [14] Wang, L., Ma, Y. J., Chen, X. T., Zhang, J., & Liu, T. (2022). The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique. Frontiers in Public Health, 10, 1029573. https://doi.org/10.3389/fpubh.2022.1029573.
- [15] The Joint Commission. (2017). Sentinel Event Alert 58: Inadequate hand-off communication. https://www.jointcommission.org/resources/sentinel-event/sentinel-event-alert-newsletters/sentinel-event-alert-58-inadequate-hand-off-communication/, Erişim Tarihi:10.09.2023.
- [16] Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20. https://doi.org/10.1097/01.NUMA.0000533770.12758.44.
- [17] Bakon, S., Wirihana, L., Christensen, M., & Craft, J. (2017). Nursing handovers: An integrative review of the different models and processes available. International Journal of Nursing Practice, 23(2), e12520. https://doi.org/10.1111/ijn.12520.
- [18] Taşkıran, N., & Sarı, D. (2017). An important problem for patient safety: Nursing handover. Hemşirelikte Eğitim ve Araştırma Dergisi,14,93–97. https://doi.org/10.5222/head.2017.093.
- [19] Zou, X. J., & Zhang, Y. P. (2016). Rates of nursing errors and handoffs-related errors in a medical unit following implementation of a standardized nursing handoff form. Journal of Nursing Care Quality, 31(1), 61-67. https://doi.org/10.1097/NCQ.0000000000000133.
- [20] Tobiano, G., Bucknall, T., Sladdin, I., Whitty, J. A., & Chaboyer, W. (2018). Patient participation in nursing bedside handover: A systematic mixed-methods review. International Journal of Nursing Studies, 77, 243-258. https://doi.org/10.1016/j.ijnurstu.2017.10.014.
- [21] Tobiano, G., Whitty, J. A., Bucknall, T., & Chaboyer, W. (2017). Nurses’ perceived barriers to bedside handover and their implication for clinical practice. Worldviews on Evidence‐Based Nursing, 14(5), 343-349. https://doi.org/10.1111/wvn.12241.
- [22] Jimmerson, J., Wright, P., Cowan, P. A., King‐Jones, T., Beverly, C. J., & Curran, G. (2021). Bedside shift report: Nurses opinions based on their experiences. Nursing Open, 8(3), 1393-1405. https://doi.org/10.1002/nop2.755.
- [23] Demiray, A., Keçeci, A., İlaslan, N., & Açıl, A. (2020). Effectiveness of patient handovers performed by nurses patient handovers performed by nurses. British Journal Of Medical and Health Research, 2, 380–388.
- [24] Nagammal, S., Nashwan, A. J., Nair, S. L., & Susmitha, A. (2016). Nurses’ perceptions regarding using the SBAR tool for handoff communication in a tertiary cancer center in Qatar. Journal of Nursing Education and Practice, 7(4), 103-10. https://doi.org/10.5430/jnep.v7n4p103.
- [25] Sert, H., İlhan, P., & Okçu, P. (2019). Erişkin yoğun bakımlarda çalışan hemşirelerin yatak başı hasta teslimlerinin incelenmesi. standardize edilmiş form gerekli mi? Hemşire görüşleri. Yoğun Bakım Hemşireliği Dergisi, 23(3), 160-167.
- [26] Ayaad, O., Haroun, A., Yaseen, R., Thiab, F., Al-Rawashdeh, K., Mohammad, I., ... & Nairat, A. (2019). Improving nurses’ hand-off process on oncology setting using lean management principles. Asian Pacific Journal of Cancer Prevention, 20(5), 1563. https://doi.org/10.31557/APJCP.2019.20.5.1563.
[27] McAllen Jr, E. R., Kimberly Stephens, D. N. P., Kimberly Kerr, M. S. N., & Kimberly Whiteman, D. N. P. (2018). Moving shift report to the bedside: An evidence-based quality improvement project. Online Journal of Issues in Nursing, 23(2), 1-12. https://doi.org/10.3912/OJIN.Vol23No02PPT22.
- [28] Möhler, R., Köpke, S., & Meyer, G. (2015). Criteria for reporting the development and evaluation of complex interventions in healthcare: Revised guideline (CReDECI 2). Trials, 16(1), 1-9. https://doi.org/10.1186/s13063-015-0709-y.
[29] Koenig, C. J., Maguen, S., Daley, A., Cohen, G., & Seal, K. H. (2013). Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. Journal of General İnternal Medicine, 28, 41-50. https://doi.org/10.1007/s11606-012-2167-5.
- [30] Burgess, A., van Diggele, C., Roberts, C., & Mellis, C. (2020). Teaching clinical handover with ISBAR. BMC Medical Education, 20(2), 1-8. https://doi.org/10.1186/s12909-020-02285-0.
- [31] Starmer, A. J., Spector, N. D., Srivastava, R., Allen, A. D., Landrigan, C. P., Sectish, T. C., & I-PASS Study Group. (2012). I-PASS, a mnemonic to standardize verbal handoffs. Pediatrics, 129(2), 201-204. https://doi.org/10.1542/peds.2011-2966.
- [32] Tucker, A., & Fox, P. (2014). Evaluating nursing handover: The REED model. Nursing Standard, 28(20). https://doi.org/10.7748/ns2014.01.28.20.44.e7992.
- [33] Dehlman, J., & Wood, S.L. (2007). Pass the baton or NUTS for safer handoff. Healthcare Risk Management, 115–117.
- [34] 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.
- [35] Johnson, M., Jefferies, D., & Nicholls, D. (2012). Exploring the structure and organization of information within nursing clinical handovers. International Journal of Nursing Practice, 18(5), 462-470. https://doi.org/10.1111/j.1440-172X.2012.02059.x.
- [36] Smeulers, M., Dolman, C. D., Atema, D., van Dieren, S., Maaskant, J. M., & Vermeulen, H. (2016). Safe and effective nursing shift handover with NURSEPASS: An interrupted time series. Applied Nursing Research, 32, 199-205. https://doi.org/10.1016/J.APNR.2016.07.010.
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PATIENT HANDOVER PROCESS OF NURSES
Yıl 2023,
Cilt: 6 Sayı: 2, 118 - 126, 30.12.2023
Serap Güngör
,
Betül Tosun
Öz
In many nations, one of the main causes of the burden of disease is avoidable damage to the patient. Patient safety is therefore a crucial concern for the global healthcare system. Goals that guarantee patient safety lead to improvements. Nationally and internationally, emphasis is placed on the importance of communication in ensuring patient safety and improving the quality of care during patient handover. Patient handover information must be clear, understandable and necessary. For nurses who provide patients continuous care, patient handover is essential to daily practice. Patient handover is the process by which one nurse gives another nurse access to information, responsibility, and decision-making regarding the patient. Nurses must use a suitable communication tool to achieve standardization in order for patient handover to be successful. Patient satisfaction, patient's trust in the nurse and the quality of patient care are known to rise when handover is done within the framework of standardization.At the patient's bedside, patient handover should take place with their involvement. In addition to highlighting the value of the patient handover procedure for nursing care and patient safety, this evaluation aims to improve patient handover quality by disseminating current knowledge.
Kaynakça
- [1] Choi, E. Y., Pyo, J., Park, Y. K., Ock, M., & Kim, S. (2023). Development of the Korean patient safety ıncidents code classification system. Journal of Patient Safety, 19(1), 8. https://doi.org/10.1097/PTS.0000000000001083.
- [2] Raeisi, A., Rarani, M. A., & Soltani, F. (2019). Challenges of patient handover process in healthcare services: A systematic review. Journal of Education and Health Promotion, 8, 1-6. https://doi.org/10.4103/jehp.jehp-460-18.
- [3] T.C. Ministry of Health National Patient Safety Goals. (2022). Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite, Akreditasyon ve Çalışan Hakları Dairesi Başkanlığı. https://shgmkalitedb.saglik.gov.tr/TR-94080/ulusal-hasta-guvenligi-hedefleri-hakkinda.html.
- [4] The Joint Commission. (2017). National Patient Safety Goals Slide Presentation. https://www.jointcommission.org/npsg_presentation/, Erişim Tarihi: 02.08.2023.
- [5] Ghosh, S., Ramamoorthy, L., & Pottakat, B. (2021). Impact of structured clinical handover protocol on communication and patient satisfaction. Journal of Patient Experience, 8, 2374373521997733. https://doi.org/10.1177/2374373521997733.
- [6] Chien, L. J., Slade, D., Dahm, M. R., Brady, B., Roberts, E., Goncharov, L., ... & Thornton, A. (2022). Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. Journal of Advanced Nursing, 78(5), 1413-1430. https://doi.org/10.1111/jan.15110.
- [7] Cho, S., Lee, J. L., Kim, K. S., & Kim, E. M. (2022). Systematic review of quality improvement projects related to intershift nursing handover. Journal of Nursing Care Quality, 37(1), E8-E14. https://doi.org/10.1097/NCQ.0000000000000576.
- [8] Abo Seada, A. I., Abo Habieb, E. T. E., Salameh, B. S., El-Wkeel, N. S., & Abdelkader Reshia, F. A. (2022). Developing nursing standards for maintaining shift handover in the ıntensive care unit: A methodological and cross-sectional study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 59, 00469580221144078. https://doi.org/10.1177/00469580221144078.
- [9] Nyikuri, M. (2020). Handover among nurses working in selected newborn units in Kenya; its purpose and structure. Heliyon, 6(2). https://doi.org/10.1016/j.heliyon.2020.e03500.
- [10] Lee, D. H., & Lim, E. J. (2021). Effect of a simulation-based handover education program for nursing students: A quasi-experimental design. International Journal of Environmental Research and Public Health, 18(11), 5821. https://doi.org/10.3390/ijerph18115821.
- [11] Tacchini-Jacquier, N., De Waele, E., Urben, P., Turini, P., & Verloo, H. (2020). Developing an evidence-based nursing handover standard for a multi-site public hospital in Switzerland: Protocol for a web-based, modified Delphi study. JMIR Research Protocols, 9(1), e15910. https://doi.org/10.2196/15910.
- [12] O'Rourke, J., Abraham, J., Riesenberg, L. A., Matson, J., & Lopez, K. D. (2018). A Delphi study to identify the core components of nurse to nurse handoff. Journal of Advanced Nursing, 74(7), 1659-1671. https://doi.org/10.1111/jan.13565.
- [13] Tuğrul, E., & Şahbaz, M. (2021). Hemşirelerin hasta teslimi ile ilgili uygulamaları ve görüşleri. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 5(1), 13-25. https://doi.org/10.46237/amusbfd.717408.
- [14] Wang, L., Ma, Y. J., Chen, X. T., Zhang, J., & Liu, T. (2022). The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique. Frontiers in Public Health, 10, 1029573. https://doi.org/10.3389/fpubh.2022.1029573.
- [15] The Joint Commission. (2017). Sentinel Event Alert 58: Inadequate hand-off communication. https://www.jointcommission.org/resources/sentinel-event/sentinel-event-alert-newsletters/sentinel-event-alert-58-inadequate-hand-off-communication/, Erişim Tarihi:10.09.2023.
- [16] Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20. https://doi.org/10.1097/01.NUMA.0000533770.12758.44.
- [17] Bakon, S., Wirihana, L., Christensen, M., & Craft, J. (2017). Nursing handovers: An integrative review of the different models and processes available. International Journal of Nursing Practice, 23(2), e12520. https://doi.org/10.1111/ijn.12520.
- [18] Taşkıran, N., & Sarı, D. (2017). An important problem for patient safety: Nursing handover. Hemşirelikte Eğitim ve Araştırma Dergisi,14,93–97. https://doi.org/10.5222/head.2017.093.
- [19] Zou, X. J., & Zhang, Y. P. (2016). Rates of nursing errors and handoffs-related errors in a medical unit following implementation of a standardized nursing handoff form. Journal of Nursing Care Quality, 31(1), 61-67. https://doi.org/10.1097/NCQ.0000000000000133.
- [20] Tobiano, G., Bucknall, T., Sladdin, I., Whitty, J. A., & Chaboyer, W. (2018). Patient participation in nursing bedside handover: A systematic mixed-methods review. International Journal of Nursing Studies, 77, 243-258. https://doi.org/10.1016/j.ijnurstu.2017.10.014.
- [21] Tobiano, G., Whitty, J. A., Bucknall, T., & Chaboyer, W. (2017). Nurses’ perceived barriers to bedside handover and their implication for clinical practice. Worldviews on Evidence‐Based Nursing, 14(5), 343-349. https://doi.org/10.1111/wvn.12241.
- [22] Jimmerson, J., Wright, P., Cowan, P. A., King‐Jones, T., Beverly, C. J., & Curran, G. (2021). Bedside shift report: Nurses opinions based on their experiences. Nursing Open, 8(3), 1393-1405. https://doi.org/10.1002/nop2.755.
- [23] Demiray, A., Keçeci, A., İlaslan, N., & Açıl, A. (2020). Effectiveness of patient handovers performed by nurses patient handovers performed by nurses. British Journal Of Medical and Health Research, 2, 380–388.
- [24] Nagammal, S., Nashwan, A. J., Nair, S. L., & Susmitha, A. (2016). Nurses’ perceptions regarding using the SBAR tool for handoff communication in a tertiary cancer center in Qatar. Journal of Nursing Education and Practice, 7(4), 103-10. https://doi.org/10.5430/jnep.v7n4p103.
- [25] Sert, H., İlhan, P., & Okçu, P. (2019). Erişkin yoğun bakımlarda çalışan hemşirelerin yatak başı hasta teslimlerinin incelenmesi. standardize edilmiş form gerekli mi? Hemşire görüşleri. Yoğun Bakım Hemşireliği Dergisi, 23(3), 160-167.
- [26] Ayaad, O., Haroun, A., Yaseen, R., Thiab, F., Al-Rawashdeh, K., Mohammad, I., ... & Nairat, A. (2019). Improving nurses’ hand-off process on oncology setting using lean management principles. Asian Pacific Journal of Cancer Prevention, 20(5), 1563. https://doi.org/10.31557/APJCP.2019.20.5.1563.
[27] McAllen Jr, E. R., Kimberly Stephens, D. N. P., Kimberly Kerr, M. S. N., & Kimberly Whiteman, D. N. P. (2018). Moving shift report to the bedside: An evidence-based quality improvement project. Online Journal of Issues in Nursing, 23(2), 1-12. https://doi.org/10.3912/OJIN.Vol23No02PPT22.
- [28] Möhler, R., Köpke, S., & Meyer, G. (2015). Criteria for reporting the development and evaluation of complex interventions in healthcare: Revised guideline (CReDECI 2). Trials, 16(1), 1-9. https://doi.org/10.1186/s13063-015-0709-y.
[29] Koenig, C. J., Maguen, S., Daley, A., Cohen, G., & Seal, K. H. (2013). Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. Journal of General İnternal Medicine, 28, 41-50. https://doi.org/10.1007/s11606-012-2167-5.
- [30] Burgess, A., van Diggele, C., Roberts, C., & Mellis, C. (2020). Teaching clinical handover with ISBAR. BMC Medical Education, 20(2), 1-8. https://doi.org/10.1186/s12909-020-02285-0.
- [31] Starmer, A. J., Spector, N. D., Srivastava, R., Allen, A. D., Landrigan, C. P., Sectish, T. C., & I-PASS Study Group. (2012). I-PASS, a mnemonic to standardize verbal handoffs. Pediatrics, 129(2), 201-204. https://doi.org/10.1542/peds.2011-2966.
- [32] Tucker, A., & Fox, P. (2014). Evaluating nursing handover: The REED model. Nursing Standard, 28(20). https://doi.org/10.7748/ns2014.01.28.20.44.e7992.
- [33] Dehlman, J., & Wood, S.L. (2007). Pass the baton or NUTS for safer handoff. Healthcare Risk Management, 115–117.
- [34] 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.
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