I-PASS-Structured Bedside Nursing Handovers: A Type-1 Effectiveness-Implementation Hybrid Pilot Study.

Area of Science:

• Healthcare quality improvement
• Nursing practice innovation
• Patient safety research

Background:

• Oral nursing handovers at shift changes present patient vulnerability.
• Transitioning handovers to patient bedsides aims to enhance quality.
• Challenges exist in the widespread implementation of bedside handovers.

Purpose of the Study:

• To assess the feasibility, acceptability, and effectiveness of I-PASS-structured bedside nursing handovers.
• To evaluate the impact on handover quality and patient trust in nurses.

Main Methods:

• A Type-1 effectiveness-implementation hybrid study design.
• Interrupted time series analysis to measure effectiveness before and after implementation.
• Multi-method approach for implementation exploration, including training and simulations.

Main Results:

• Significant improvements in handover quality observed post-implementation.
• Increased handover duration noted.
• Nurses identified implementation obstacles not fully addressed by training alone.

Conclusions:

• Bedside nursing handovers enhance quality and patient partnership.
• Patients reported feeling safer and more considered.
• Strategies are needed to ensure sustainable implementation across units.