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Impact of a modified nursing handover model for improving nursing care and documentation in the emergency department: A pre- and post-implementation study

Version 2 2024-06-04, 09:46
Version 1 2016-11-28, 09:48
journal contribution
posted on 2024-06-04, 09:46 authored by Debra KerrDebra Kerr, S Klim, AM Kelly, T Mccann
The aim of this study was to evaluate whether implementation of a new nursing handover model led to improved completion of nursing care activities and documentation. A pre- and post-implementation study, using a survey and document audit, was conducted in a hospital ED in Melbourne. A convenience sample of nurses completed the survey at baseline (n = 67) and post-intervention (n = 59), and the audit was completed at both time points. Results showed significant improvements in several processes: handover in front of the patient (P < 0.001), patients contributed and/or listened to handover discussions (P < 0.001), and provision of adequate information about all patients in the department (P < 0.001). Nurses also reported a reduction in omission of vital signs (P = 0.022) during handover. Three hundred sixty-eight medical records were audited in the two study periods: 173 (pre-intervention) and 195 (post-intervention). Statistically significant improvements in the completion of two nursing care tasks and three documentation items were identified. The findings suggest that implementation of a new handover model improved completion of nursing care activities and documentation, and transfer of important information to nurses on oncoming shifts.

History

Journal

International Journal of Nursing Practice

Volume

22

Pagination

89-97

Location

Australia

ISSN

1322-7114

eISSN

1440-172X

Language

English

Publication classification

C Journal article, C1.1 Refereed article in a scholarly journal

Copyright notice

2014, Wiley

Issue

1

Publisher

WILEY