국내 병원에서 이루어지고 있는 인수인계 현황에 대한 조사연구
An Exploration about Current Nursing Handover Practice in Korean Hospitals
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참고문헌
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초록
Purpose: Examining current status of nursing intershift handover practice would provide opportunity to identify areas in need of improvement. The aim of this study was to describe nursing intershift handover practice in Korean hospitals. Methods: A cross-sectional survey using questionnaire was used to collect data. A total of 788nurses working in general hospitals had participated. Results: More than half of the nurses participated responded that they used kardex for verbal handover (51.8%). The average time took for handover was 40.2minutes (SD=14.7). Only 5.8% of nurses were satisfied with intershift handover practice. 72.9% of respondents did not have manuals for handover and 86% of nurses considered intershift handover manuals were necessary. Most nurses considered intershift handover pratice as an important component for patient safety (99.2%). The causes of handover error were interruption during handover, high work load, and stress/fatigue of nurses. Conclusion: The findings of this study indicated a need to develop handover practice guidelines which outline pertinent details. Intershift handover practice guidelines could provide consistency and structure to the information that is handed over.
Abstract
Purpose: Examining current status of nursing intershift handover practice would provide opportunity to identify areas in need of improvement. The aim of this study was to describe nursing intershift handover practice in Korean hospitals. Methods: A cross-sectional survey using questionnaire was used to collect data. A total of 788nurses working in general hospitals had participated. Results: More than half of the nurses participated responded that they used kardex for verbal handover (51.8%). The average time took for handover was 40.2minutes (SD=14.7). Only 5.8% of nurses were satisfied with intershift handover practice. 72.9% of respondents did not have manuals for handover and 86% of nurses considered intershift handover manuals were necessary. Most nurses considered intershift handover pratice as an important component for patient safety (99.2%). The causes of handover error were interruption during handover, high work load, and stress/fatigue of nurses. Conclusion: The findings of this study indicated a need to develop handover practice guidelines which outline pertinent details. Intershift handover practice guidelines could provide consistency and structure to the information that is handed over.
참고문헌 (30)
- Clinical handover and patient safety. Literature review report, "Australian Council for Safety", ~ (2005)
- Australian Institute of Health, "Sentinel Events in Australia public hospitals 2004-05", Australian Institute of Health, ~ (2007)
- Baker, S. J., "Bedside shift report improves patient safety and nurse accountability", Journal of Emergency Nursing, 36(4), pp.355~358 (2010)
- Benson, E., "Improving nursing shift-to-shift report", Journal of Nursing Care Quality, 22(1), pp.80~84 (2007)
- Blouin, A. S., "Improving hand-off communications : new solutions for nurses", Journal of Nursing Care Quality, 26(2), pp.97~100 (2011)
- Currie, J., "Improving the efficiency of patient handover", Emergency Nurse, 10(3), pp.24~27 (2002)
- Dowding, D., "Examining the effects that manipulating information given in the change of shift report has on nurses' care planning ability", Journal of Advanced Nursing, 33(6), pp.836~846 (2001)
- Elm, J., "Improving labor & delivery shift report", AWHONN Lifelines, 8(1), pp.54~59 (2004)
- Fenton, W., "Developing a guide to improve the quality of nurses' handover", Nursing Older People, 18(11), pp.32~36 (2006)
- Han, M. J., "The status of intraoperative handoff communication of operating room nurse", 석사, pp.2010
- Hwang, K. J., "Adjustment of proper shift hours by improving the nursing reporting system", Clinical Nursing Research, 7(1), pp.5~33 (2001)
- Johnson, M., "Exploring the structure and organization of information within nursing clinical handovers", International Journal of Nursing Practice, 18(5), pp.462~470 (2012)
- "Facts about the hand-off communications project" (2007)[URL]
- Jorm, C. M., "Clinical handover: Critical communications", Medical Journal of Australia, 190(11 Suppl), pp.S108~S109 (2009)
- Jung, Y. Y., "A time and satisfaction between oral and audiotaped handover", Paper presented at the meeting of the Korean Society for Quality in Health Care Autumn Conference (1998)
- Kerr, M. P., "A qualitative study of shift handover practice and function from a socio-technical perspective", Journal of Advanced Nursing, 37(2), pp.125~134 (2002)
- Kihlgren, M., "The content of the oral daily reports at a longterm ward before and after staff training in integrity promoting care", Scandinavian Journal of Caring Science, 6(2), pp.105~112 (1992)
- Lamond, D., "The information content of the nurse change of shift report : A comparative study", Journal of Advanced Nursing, 31(4), pp.794~804 (2000)
- Lee, H. J., "A study on change-of-shift report as a nursing ritual", Daebul University Bulletin, 7(1), pp.377~386 (2001)
- Matic, J., "Review : bringing patient safety to the forefront through structured computerisation during clinical handover", Journal of Clinical Nursing, 20(1-2), pp.184~189 (2010)
- Meissner, A., "Nurses' perception of shift handovers in Europe : Results from the European Nurses' Early Exit Study", Journal of Advanced Nursing, 57(5), pp.535~542 (2007)
- 박정호, "기준간호행위별 표준간호시간 측정 및 분석", 임상간호연구, 12(2), pp.17~29 (2006), 병원간호사회
- Pothier, D., "Pilot study to show the loss of important data in nursing handover", British Journal of Nursing, 14(20), pp.1090~1093 (2005)
- Raines, M., "Give it to me : The development of a tool for shift change report in a level I trauma center", Journal of Emergency Nursing, 33(4), pp.358~360 (2007)
- Rogers, A. E., "The working hours of hospital staff nurses and patient safety", Health Affairs, 23(4), pp.202~212 (2004)
- Sexton, A., "Nursing handovers: Do we really need them?", Journal of Nursing Management, 12(1), pp.37~42 (2004)
- Siemsen, I. M. D., "Factors that impact on the safety of patient handovers : An interview study", Scandinavian Journal of Public Health, 40(5), pp.439~448 (2012)
- Streitenberger, K., "Handoffs in care-can we make them safer?", The Pediatric Clinics of North America, 53(6), pp.1185~1195 (2006)
- Welsh, C. A., "Barriers and facilitators to nursing handoffs : Recommendations for redesign", Nursing Outlook, 58(3), pp.148~154 (2010)
- West, C. P., "Association of Resident Fatigue and Distress With Perceived Medical Errors", Journal of American Medical Association, 302(12), pp.1294~1300 (2009)