일반간호사의 바람직한 교대근무 인수인계를 위한 전략 탐색: 포커스그룹인터뷰 연구
Exploring Clinical Nurses' Strategies For Desirable Shift Handoffs: A Focus Group Interview
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This qualitative study aimed to explore clinical nurses' experience with desirable handoffs, competencies, and strategies for desirable handoffs. Methods: Between March 4 and June 10, 2023, 13 nurses working shifts in general or tertiary hospitals were divided into two groups. Data were collected through focus group interviews and analyzed using conventional content analysis through coding and thematic identification. Results: Three themes emerged regarding the desired handoff experience: "handoff that allows accurate identification of patient status," "handoff with less time and effort," and "handoff that allows inspection to prevent patient safety accidents." Four competencies required for a desirable handoff were followed: "ability to identify key information," "information utilization," "logical information delivery ability," and "the attitude of trust and respect." Five themes were derived regarding desirable handoff strategies: "understanding standard treatment and nursing processes for each clinical case," "rehearsal and feedback for handoffs," "presenting standards for a desirable handoff," "continuous handoff education," and "ensuring uninterrupted time and space." Conclusion: This study identified desirable handoffs, competencies, and strategies for hospital nurses. This study is significant because it provides basic data for developing an effective handoff program for new nurses.
Abstract
Purpose: This qualitative study aimed to explore clinical nurses' experience with desirable handoffs, competencies, and strategies for desirable handoffs. Methods: Between March 4 and June 10, 2023, 13 nurses working shifts in general or tertiary hospitals were divided into two groups. Data were collected through focus group interviews and analyzed using conventional content analysis through coding and thematic identification. Results: Three themes emerged regarding the desired handoff experience: "handoff that allows accurate identification of patient status," "handoff with less time and effort," and "handoff that allows inspection to prevent patient safety accidents." Four competencies required for a desirable handoff were followed: "ability to identify key information," "information utilization," "logical information delivery ability," and "the attitude of trust and respect." Five themes were derived regarding desirable handoff strategies: "understanding standard treatment and nursing processes for each clinical case," "rehearsal and feedback for handoffs," "presenting standards for a desirable handoff," "continuous handoff education," and "ensuring uninterrupted time and space." Conclusion: This study identified desirable handoffs, competencies, and strategies for hospital nurses. This study is significant because it provides basic data for developing an effective handoff program for new nurses.
참고문헌 (26)
- Chung, J. Y. S., "Newly graduate nurse perception and experience of clinical handover", Nurse Education Today, 97, pp.104693~ (2021)[DOI]
- Curtis, K., "Identifying facilitators and barriers to develop implementation strategy for an ED to ward handover tool using behaviour change theory(EDWHAT)", Implementation Science Communications, 1, pp.71~ (2020)[DOI]
- Desmedt, M., "Clinical handover and handoff in healthcare : a systematic review of systematic reviews", International Journal for Quality in Health Care, 20, pp.mzaa170~ (2021)[DOI]
- Hospital survey on patient safety culture 2016user comparative database report, "Famolaro, T", Agency for Healthcare Research and Quality, ~ (2016)
- Ghosh, K., "Information tools for care coordination in patient handover : Is an electronic medical record enough to support nurses", Health Care Management Review, 47(2), pp.100~108 (2022)[DOI]
- Hsieh, H., "Three approaches to qualitative content analysis", Qualitative Health Research, 15(9), pp.1277~1288 (2005)[DOI]
- "Sentinel Event Alert 58: Inadequate handoff communication" (2017)[URL]
- Joshua, D., "Feedback and assessment tools for handoffs : A systematic review", Journal of Graduate Medical Education, 9(1), pp.18~32 (2017)[DOI]
- Kim, E. J., "Handover in nursing : A concept analysis", Research and Theory for Nursing Practice, 34(4), pp.297~320 (2020)[DOI]
- Kim, E. M., "Understanding perceptions of nursing handover among Korean nurses", Korean Public Health Research, 40(4), pp.41~49 (2014)
- Kim, E. M., "Development of nursing handoff practice guideline and standards for Korean hospital", Journal of Korean Clinical Nursing Research, 20(1), pp.1~14 (2014)
- Kim, J. H., "Educational need assessment and development of scenarios on simulation-based education of nursing handoffs for new nurses", The Journal of Learner-Centered Curriculum and Instruction, 17(17), pp.429~448 (2017)[DOI]
- Kim, M., "Education Programs for Newly Graduated Nurses in Hospitals : A Scoping Review", Korean Journal of Adult Nursing, 32(5), pp.440~454 (2020)[DOI]
- Krueger, R. A., "Focus groups : A practical guide for applied research" (2014), SAGE Publications
- Le, A., "Nursing handoff education : An integrative literature review", Nurse Education in Practice, 68, pp.103570~ (2023)[DOI]
- Lee, K., "Nurses' opinions of patient involvement in relation to patient-centered care during bedside handovers", Asian Nursing Research, 11(3), pp.216~222 (2017)[DOI]
- Malone, L., "Student participation in clinical handover an integrative review", Journal of Clinical Nursing, 25(5-6), pp.575~582 (2016)[DOI]
- Morgan, D. L., "Focus groups", Annual Review of Sociolgy, 22(1), pp.129~152 (1996)
- "Acute care toolkit 1: handover" (2011)[URL]
- Sahu, N., "Effectiveness of nursing handoff education programme on competencies of handing over among nursing students posted in selected hospital of Ambala, Haryana", Indian Journal of Forensic Medicine & Toxicology, 14(4), pp.342~348 (2020)[DOI]
- Sand-Jecklin, K., "A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation", Journal of Clinical Nursing, 23(19, pp.20) (2014), 2854~2863
- Smeulers, M., "Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients", Cochrane Database of Systematic Reviews, 6, pp.CD009979~ (2014)[DOI]
- Tacchini-Jacquier, N., "Evidence-based nursing handover standard for a multisite public hospital in Switzerland: Webbased, modified delphi study", JMIR Nursing, 3(1), pp.e17876~ (2020)[DOI]
- Tortosa-Alted, R., "Emergency handover of critical patients. A systematic review", International Emergency Nursing, 56, pp.100997~ (2021)[DOI]
- Yoon, J. H., "An exploration about current nursing handover practice In long term care hospital for patient safety", Korean Journal of Safety Culture, 17, pp.341~355 (2022)[DOI]
- Zakrison, T. L., "Lost information during the handover of critically injured trauma patients : a mixed-methods study", BMJ Quality & Safety, 25(12), pp.929~936 (2016)