Perception of Pediatric Nurses on the Use of Standardized Nursing Handover Process in Intra-Hospital Patients Transfer: Attitudes, Barriers, and Practical Challenges.

IF 2.4 Q1 NURSING
Irene Martínez-Muñoz, José Luis Díaz-Agea, Jesús David Pastor-Rodríguez
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引用次数: 0

Abstract

Standardized transfer is an evidence-based framework designed to improve communication between healthcare professionals, reducing risks and ensuring safe, high-quality care. Despite its benefits, implementing this framework in clinical practice poses challenges. Nurses often do not use a systematic guide as a theoretical framework for handovers in daily practice.

Objective: To explore nurses' perceptions regarding the use of standardized transfers.

Methodology: This exploratory qualitative cross-sectional study aimed to gain insight into nurses' experiences and perspectives on pediatric patient transfers. Using purposive sampling, nurses from the pediatric intensive care unit and hospital wards at the hospital institution hosting the study were interviewed. Data were collected through 21 in-depth individual interviews conducted between April and May 2023. The semi-structured interviews, lasting 16 to 28 min, focused on nurses' views on communication between units during patient transfers. The qualitative approach allowed for a comprehensive understanding of nurses' perceptions, particularly the barriers they face in practice. The study included 21 nurses: 9 from the pediatric intensive care unit and 12 from pediatric wards. To ensure diverse representation, nurses with varying levels of work experience were included, and at least one nurse from each hospital ward participated.

Results: The data were classified into the following main categories: the current state of pediatric patient transfers, attitudes of healthcare professionals, barriers and challenges to implementation, nursing documentation, motivational aspects, and the child-family relationship. The findings revealed significant issues in the communication process during patient transfers, with no systematic guidelines in place. While nurses demonstrated a positive attitude toward the standardization of transfers, they identified numerous practical challenges, particularly those related to the hospital's nursing documentation system.

Conclusions: Nurses view standardized transfers favorably, but they face substantial barriers that limit their practical implementation.

儿科护士对院内病人转院中使用标准化护理交接流程的看法:态度、障碍和实际挑战。
标准化转诊是一个以证据为基础的框架,旨在改善医疗保健专业人员之间的沟通,降低风险并确保安全、高质量的护理。尽管有好处,但在临床实践中实施这一框架仍面临挑战。护士通常不使用一个系统的指导作为理论框架,在日常实践交接。目的:探讨护士对使用标准化转院的看法。方法:本探索性定性横断面研究旨在深入了解护士对儿科患者转移的经验和观点。使用有目的的抽样,来自儿科重症监护病房和医院病房的护士在医院机构主办的研究进行了采访。数据是通过在2023年4月至5月期间进行的21次深度个人访谈收集的。半结构化访谈,持续16至28分钟,重点关注护士对患者转院期间各单位之间沟通的看法。定性方法允许全面了解护士的看法,特别是他们在实践中面临的障碍。该研究包括21名护士:9名来自儿科重症监护病房,12名来自儿科病房。为了确保多样化的代表性,包括不同工作经验水平的护士,每个医院病房至少有一名护士参与。结果:数据被分为以下主要类别:儿科患者转院的现状、医护人员的态度、实施的障碍和挑战、护理文件、动机方面和儿童-家庭关系。调查结果显示,在没有系统的指导方针的情况下,患者转移期间的沟通过程中存在重大问题。虽然护士们对转院的标准化表现出积极的态度,但他们发现了许多实际的挑战,特别是与医院护理文件系统有关的挑战。结论:护士认为标准化转院是有利的,但他们面临着限制其实际实施的实质性障碍。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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