Dissertation/Thesis Abstract

When is Perception Everything? Examining Nurse Perception of Shift-to-Shift Hand-off Report
by Rossell, Melinda S., D.N.P., Carlow University, 2018, 76; 10812598
Abstract (Summary)

Despite concerted efforts to improve the process of shift-to-shift hand-off report (SHR), challenges and barriers continue to threaten the integrity of information shared between nurses. Research studies have demonstrated that vulnerabilities in SHR have been associated with clinical practice demographic factors, lack of a standardized process and tools, and differences in perceived value of SHR.

A quantitative, descriptive, cross-sectional study was conducted to identify nurse perception of SHR processes, factors that influence nurse perception of SHR, and nurse perception of bedside shift report (BSR) versus alternative SHR methods. Participants included a convenience sample of registered nursing students (n=49) enrolled in RN-BSN or MSN programs at a private southwestern Pennsylvania university. Descriptive statistics, ANOVA, and two independent t-Tests were used to analyze data collected from the Handover Evaluation Scale.

Study results revealed there was no statistically significant difference between nurse perception of SHR processes, demographic factors that influence SHR, and the locality of SHR (BSR). In addition, the majority of nurses identified a reluctance to change current practice of conducting the SHR process. There was no identified association between nurse perception of the quality of information (p=.22), interaction and support (p=.96), or efficiency (p=.17) of SHR.

As nurses are key stakeholders in the transfer of crucial up-to-date patient care information, nurse perception of the SHR needs to be further examined and evaluated to improve patient care outcomes. Quality assurance measures are the hallmark of standardized processes to ensure the delivery of safe and effective care.

Indexing (document details)
Advisor: Kozlina-Peretic, Diana
Commitee: Egyud, Amber
School: Carlow University
Department: Nursing Practice
School Location: United States -- Pennsylvania
Source: DAI-B 79/09(E), Dissertation Abstracts International
Subjects: Nursing, Health education, Health care management
Keywords: Bedside shift report, Hand-off, Hand-off communication, Handover, Nurse communication, Shift to shift hand-off
Publication Number: 10812598
ISBN: 9780355944235
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