Quality Improvement of Nursing Handover, Emergency Room, Uttaradit Hospital
Keywords:
Nursing Handover, Continued Quality Improvement, Uttaradit HospitalAbstract
Nursing handover is important for continuity quality and safety of patient care. The purpose of this study was to improve the quality of nursing handovers in emergency room, Uttaradit Hospital by using the FOCUS-PDCA continuous quality improvement process and SBAR method. The study population was 27 registered nurses. The research instruments were interview guidelines, the nursing handover observation checklist, the nursing handover incident recording form, the nursing handover satisfaction questionnaires, and the interview guidelines for obstacles of nursing handover. All instruments were validated for content by three experts and the inter-rater reliability of two data collectors using the same instruments, the same activity by the consistency of the observation of group handover in every activity was 0.89 and nursing Handover in Emergency Room in every activity was 0.88. Data were analyzed using descriptive statistics and content analysis.
The result showed that after the quality improvement of nursing handover, more than 90.00% of registered nurses can completely and correctly perform with the nursing handover protocol. There were no incidents regarding the nursing handover 45.45% and 36.36% of registered nurses satisfied with nursing handover at high to extremely high levels. The barrier of nursing handover was registered nurse cannot completely perform handover due to taking care of critical ill patients. Nursing administrators can apply this method to improve communication between nurses and doctors as well as nursing handover with other units.
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