Bedside Nursing Handovers in the Surgical Context

NCT ID: NCT03465839

Last Updated: 2019-04-16

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 318 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-07-26
• Study Completion Date: 2019-01-31

Brief Summary

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.

Conditions

General Surgery

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

Bedside handover

Education for improving handovers quality + Education for improving bedside handovers

Group Type: EXPERIMENTAL

Education for improving handovers quality

Intervention Type: BEHAVIORAL

Specific education on the importance of handovers quality will be provided. The educational session will last 4 hours. The program will be divided into the following sections: 1) a structured survey on the perception of the participants on the handovers importance; 2) Key theoretical concepts on the relevance of handovers with case studies of errors related to this critical moment; 3) showing movie clips of nursing handovers to critically interpret the clips by the participants; 4) presentation of the SBAR method recommended by WHO; 5) general presentation of the nursing delivery assessment project of the Valduce Hospital.

Education for improving bedside handovers

Intervention Type: BEHAVIORAL

In addition to the education for improving handovers quality, the following intervention will be implemented for nurses assigned to the study department. The course will be supplemented by a section of the duration of an hour, containing 1) information on the principles underlying bedside handovers; 2) how to handle information in front of the patient and on his / her direct involvement; 3) role-playing of the bedside handover will be performed, assigning the roles of nurse and patient among the participants to bring out impressions linked to the functions.

Control

Education for improving handovers quality

Group Type: ACTIVE_COMPARATOR

Education for improving handovers quality

Intervention Type: BEHAVIORAL

Specific education on the importance of handovers quality will be provided. The educational session will last 4 hours. The program will be divided into the following sections: 1) a structured survey on the perception of the participants on the handovers importance; 2) Key theoretical concepts on the relevance of handovers with case studies of errors related to this critical moment; 3) showing movie clips of nursing handovers to critically interpret the clips by the participants; 4) presentation of the SBAR method recommended by WHO; 5) general presentation of the nursing delivery assessment project of the Valduce Hospital.

Interventions

Education for improving handovers quality

Specific education on the importance of handovers quality will be provided. The educational session will last 4 hours. The program will be divided into the following sections: 1) a structured survey on the perception of the participants on the handovers importance; 2) Key theoretical concepts on the relevance of handovers with case studies of errors related to this critical moment; 3) showing movie clips of nursing handovers to critically interpret the clips by the participants; 4) presentation of the SBAR method recommended by WHO; 5) general presentation of the nursing delivery assessment project of the Valduce Hospital.

Intervention Type: BEHAVIORAL

Education for improving bedside handovers

In addition to the education for improving handovers quality, the following intervention will be implemented for nurses assigned to the study department. The course will be supplemented by a section of the duration of an hour, containing 1) information on the principles underlying bedside handovers; 2) how to handle information in front of the patient and on his / her direct involvement; 3) role-playing of the bedside handover will be performed, assigning the roles of nurse and patient among the participants to bring out impressions linked to the functions.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Surgical patients
• All nurses working with surgical patients who attended the educational intervention

Exclusion Criteria

• Nurses who did not participate in the educational intervention
• Nursed who did not operate stably in the surgical wards included in the study
• New hired nurses

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 99 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Valduce Hospital

OTHER

Sponsor Role: collaborator

University of Eastern Piedmont

OTHER

Sponsor Role: lead

Responsible Party

Marco Clari

Adjunct professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Marco Clari, RN, PhD s

Role: PRINCIPAL_INVESTIGATOR

University of Eastern Piedmont

Locations

Valuduce Hospital

Como, , Italy

Countries

Italy

References

Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database Syst Rev. 2014 Jun 24;2014(6):CD009979. doi: 10.1002/14651858.CD009979.pub2.

Reference Type: BACKGROUND

PMID: 24957503 (View on PubMed)

Abraham J, Kannampallil T, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. J Am Med Inform Assoc. 2014 Jan-Feb;21(1):154-62. doi: 10.1136/amiajnl-2012-001351. Epub 2013 May 23.

Reference Type: BACKGROUND

PMID: 23703824 (View on PubMed)

Clemow R. Care plans as the main focus of nursing handover: information exchange model. J Clin Nurs. 2006 Nov;15(11):1463-5. doi: 10.1111/j.1365-2702.2006.01524.x. No abstract available.

Reference Type: BACKGROUND

PMID: 17038108 (View on PubMed)

Chaboyer W, McMurray A, Johnson J, Hardy L, Wallis M, Sylvia Chu FY. Bedside handover: quality improvement strategy to "transform care at the bedside". J Nurs Care Qual. 2009 Apr-Jun;24(2):136-42. doi: 10.1097/01.NCQ.0000347450.90676.d9.

Reference Type: BACKGROUND

PMID: 19287252 (View on PubMed)

Other Identifiers

UPO1

Identifier Type: -

Identifier Source: org_study_id