Enhancing Nurses' Handoff Practices Through Simulation-Based I-PASS Training: An Evidence-Based Study

Area of Science:

• Healthcare Education
• Patient Safety
• Nursing Practice

Background:

• Effective patient handoffs are critical for patient safety and error reduction in healthcare.
• Simulation-based training (SBT) using structured protocols like I-PASS is underutilized in Egyptian nursing education, creating a knowledge gap.

Purpose of the Study:

• To assess the impact of simulation-based I-PASS handoff training on ICU nurses' knowledge.
• To evaluate changes in nurses' perceptions of handoff communication and safety attitudes following the training.
• To explore correlations between socio-demographic characteristics and training outcomes.

Main Methods:

• A quasi-experimental design was used with 57 ICU nurses from June to December 2023.
• Data were collected using validated questionnaires assessing I-PASS knowledge, communication perception, and safety attitudes.
• Nurses underwent baseline assessments, participated in two I-PASS simulation scenarios, and completed post-intervention assessments.

Main Results:

• Significant improvements were observed in I-PASS knowledge, perception of handoff communication, and safety attitudes (p < 0.001).
• Nursing qualifications and place of residence showed significant correlations with improved perceptions of handoff communication and safety attitudes (p < 0.05).

Conclusions:

• Simulation-based I-PASS training effectively enhances ICU nurses' knowledge, communication perceptions, and safety attitudes.
• Targeted educational interventions are essential for improving handoff practices and patient safety in Egypt.
• Structured SBT, like I-PASS, can be integrated into nursing education to standardize handoffs and improve outcomes in intensive care.