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Vol - 24, Issue - 03
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[This article belongs to Volume - 24, Issue - 03]
International Medical Journal
Journal ID
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IMJ-19-11-2019-33
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792
Title
:
Compliance with structured bedside clinical handover and contributing factors in intensive care units: An observational study
Abstract
: Background: Handover is a daily nursing tasks aims to transfer of the responsibility of the care. The insufficiencies in this task are associated with increasing adverse outcome and influence patient safety. Particularly, in countries do not have standardized handover protocol. Objective: To determine the compliance rate with standardized bedside clinical handover and to identify factors contributing to inadequate nursing bedside handover in intensive care units in Jordan. Methods: An observational study design was used two months after implementing a training program. A total of 140 registered nurses participated. A total of 60 observations with checklist were conducted by two observers, in morning and afternoon nursing shifts. Results: Average compliance rate with the structured content protocol during bedside handovers was high (85.18±10.39). Items that were most often omitted included the health education for patients / family, proposed treatment plan and next step, reason for admittance, and discharge date. On average, the duration of a bedside handover was 291±58.61 seconds. Factors related to hospital standards and work environment influence process of bedside clinical handover among nurses in intensive care units. Conclusions: Compliance with standardized handover is high and feasible to be applied for other registered nurses. In addition, nursing handover is a critical daily task influenced by organizational and environmental factors.
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