General Surgery Clinical Trial
Official title:
The Efficacy of Bedside Nursing Handovers in Improving Information Exchange Quality in Surgical Patients: a Randomised Controlled Trial
Nursing handovers are performed 2-3 times a day for each patient, with an approximate average
of 2 million nursing deliveries per year in a hospital of medium size. Nursing handovers are
considered essential for the continuity and safety of care. If the relevant clinical
information is not shared in a precise and timely manner, it may worsen the patients'
outcomes with an increase in adverse events, delays or inappropriate treatment until the
omission of procedures.
The modality of nursing delivery presents, therefore, a gap of vulnerability where vital
information could not be considered and systematically shared.
Patients should be involved in their care to promote a patient-centred approach. The
involvement of patients in handovers is effective compared to other delivery methods.
To date, however, the best mode to deliver handovers was still unclear due to a systematic
lack of studies to identify the best practice of nursing handovers. The studies in the
literature lack of sound methodologies due to not randomized designs.
Thus an intervention to improve quality of handovers and to implement bedside handovers in
surgical wards will be performed.
The following hypotheses were made:
- The introduction of nursing bedside handovers will improve the quality of the
information exchanged.
- The educational intervention training intervention will positively modify the nursing
handovers.
- There is a relationship between the qualitative level of nursing handovers and working
status (expert vs novice) of the nurses.
- There is a relationship between the qualitative level of nursing handovers and the
patients' characteristics.
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