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Related Experiment Videos

Intershift report: oral communication using the nursing process.

V Kilpack1, S Dobson-Brassard

  • 1Dartmouth-Hitchcock Medical Center, Hanover, NH 03756.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|October 1, 1987
PubMed
Summary

Improve patient care communication with structured nursing reports. Using the patient problem list and Subjective Objective Assessment Plan (SOAP) format enhances intershift reporting quality.

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Area of Science:

  • Nursing Informatics
  • Healthcare Communication
  • Quality Improvement

Background:

  • Effective communication is vital for patient safety and quality care.
  • Traditional intershift reports can lack structure, leading to information gaps.
  • Standardized reporting tools are needed to improve data transfer.

Observation:

  • The patient's problem list provides a clinical context for care.
  • The Subjective Objective Assessment Plan (SOAP) format offers a systematic approach to data organization.
  • Integrating these elements into nursing reports can enhance clarity.

Findings:

  • A structured reporting format using the patient problem list and SOAP notes improves the organization of intershift reports.
  • This approach emphasizes nursing diagnoses, aligning reporting with the nursing process.

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  • Focusing on nursing care management within this structure enhances the quality of communicated data.

    • Implications:

    • This structured reporting method can lead to more accurate and comprehensive patient handoffs.
    • Adoption of this model may improve nursing workflow and reduce errors.
    • Enhanced communication quality supports better clinical decision-making and patient outcomes.