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Shift change handovers between nurses in Critical Care Units.

C Morán-Pozo1, P Luna-Castaño2

  • 1Responsable de Investigación de Enfermería, Hospital Central Cruz Roja, Madrid, Spain.

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|March 18, 2023
PubMed
Summary

Spanish Critical Care Unit nurses lack standardized shift handovers, often performing them individually and using informal channels for missing information. This highlights a critical gap in patient care continuity and safety.

Keywords:
CommunicationComunicaciónCritical careCuidados críticosPase de guardiaPatient handoffPatient safetyPatient transferSeguridad del pacienteTransferencia de pacientes

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Area of Science:

  • Nursing Science
  • Patient Safety
  • Healthcare Management

Background:

  • Effective nurse handovers are crucial for patient safety and continuity of care in critical care settings.
  • Current practices in Spain's Critical Care Units (CCUs) may lack standardization, potentially impacting care quality.

Purpose of the Study:

  • To characterize the shift handover process performed by nurses in Spanish Critical Care Units.
  • To identify challenges and areas for improvement in CCU nurse handovers.

Main Methods:

  • A descriptive, cross-sectional study involving 420 nurses from Spanish CCUs.
  • Data collected via an online ad hoc questionnaire assessing handover characteristics, training, information gaps, and patient care impact.
  • Statistical analysis included descriptive statistics and ANOVA using R software.

Main Results:

  • The majority of nurses (79.5%) reported individual, nurse-to-nurse handovers.
  • Interdisciplinary handovers were infrequent.
  • Nearly 30% of nurses contacted their unit for omitted information within the last month, with WhatsApp being a primary communication tool.

Conclusions:

  • Significant lack of standardization exists in CCU nurse shift handovers regarding physical space, structured tools, professional involvement, and communication methods for omitted information.
  • Shift change is vital for care continuity and patient safety, necessitating further research and improved handover protocols.