Translating an Evidence-Based Protocol for Nurse-to-Nurse Shift Handoffs

ABSTRACT Purpose: Ineffective communication is the most frequently reported cause of sentinel events in U.S. hospitals. Examining hospital processes and systems of communication, and standardizing communication practices can reduce the risks to patients in the acute care environment. The purpose of...

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Veröffentlicht in:Worldviews on evidence-based nursing 2010-06, Vol.7 (2), p.59-75
Hauptverfasser: Dufault, Marlene, Duquette, Cathy E., Ehmann, Jeanne, Hehl, Rose, Lavin, Mary, Martin, Valerie, Moore, Mary Ann, Sargent, Shirley, Stout, Patricia, Willey, Cynthia
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container_issue 2
container_start_page 59
container_title Worldviews on evidence-based nursing
container_volume 7
creator Dufault, Marlene
Duquette, Cathy E.
Ehmann, Jeanne
Hehl, Rose
Lavin, Mary
Martin, Valerie
Moore, Mary Ann
Sargent, Shirley
Stout, Patricia
Willey, Cynthia
description ABSTRACT Purpose: Ineffective communication is the most frequently reported cause of sentinel events in U.S. hospitals. Examining hospital processes and systems of communication, and standardizing communication practices can reduce the risks to patients in the acute care environment. The purpose of this paper is to describe the use of an innovative, translating‐research‐into‐practice model to generate and test a cost‐effective, easy to use, best‐practice protocol for nurse‐to‐nurse shift handoffs in a medium‐sized magnet‐designated community hospital in the United States. Theoretical Framework: Roger's Diffusion of Innovations Theory was used as the overall framework for the translational model with Orlando's theory providing theoretical evidence for the best practice protocol. Approach: Using the first three steps of the model, methods included: (1) identifying clinical problems related to shift handoffs; (2) appraising and systematically evaluating the strength of theoretical, empirical, and clinical evidence; and (3) translating this evidence into a best‐practice patient‐centered, standardized protocol for nurse‐to‐nurse shift handoffs. Conclusions/Implications: Meaningful clinician participation in the development of a standardized, evidence‐based, patient‐centered approach to nurses' change‐of‐shift handoffs was achieved. Using the Collaborative Research Utilization Model can facilitate the integration of new knowledge both in the clinical and academic community.
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Examining hospital processes and systems of communication, and standardizing communication practices can reduce the risks to patients in the acute care environment. The purpose of this paper is to describe the use of an innovative, translating‐research‐into‐practice model to generate and test a cost‐effective, easy to use, best‐practice protocol for nurse‐to‐nurse shift handoffs in a medium‐sized magnet‐designated community hospital in the United States. Theoretical Framework: Roger's Diffusion of Innovations Theory was used as the overall framework for the translational model with Orlando's theory providing theoretical evidence for the best practice protocol. Approach: Using the first three steps of the model, methods included: (1) identifying clinical problems related to shift handoffs; (2) appraising and systematically evaluating the strength of theoretical, empirical, and clinical evidence; and (3) translating this evidence into a best‐practice patient‐centered, standardized protocol for nurse‐to‐nurse shift handoffs. Conclusions/Implications: Meaningful clinician participation in the development of a standardized, evidence‐based, patient‐centered approach to nurses' change‐of‐shift handoffs was achieved. 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subjects bedside shift report
Clinical Competence - standards
collaborative research utilization model
computerized report
Continuity of Patient Care - organization & administration
Continuity of Patient Care - standards
end-of-shift report
evidence-based clinical policy
Evidence-Based Nursing - methods
Evidence-Based Nursing - standards
handoffs
Hospitals, Community - organization & administration
Hospitals, Community - standards
Humans
Interprofessional Relations
nurse-to-nurse report
nurse-to-nurse shift handoffs
Nursing
Nursing Evaluation Research
Nursing Staff, Hospital - organization & administration
Nursing Staff, Hospital - standards
Nursing Theory
Quality of Health Care
shift report
translational research
title Translating an Evidence-Based Protocol for Nurse-to-Nurse Shift Handoffs
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