Implementing structured model of clinical handover (SHARED): Its influence on nurses’ satisfaction

S. Mohammed, S. Safan
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Abstract

Objective: Clinical handover is acting an important role which nurses are usually involved numerous times in daily working for providing patient care. In spite of the importance of clinical handover, there is no standardized handover practice in our healthcare settings. This study aimed to explore the effect of implementing a structured model of clinical handover (SHARED), and its influence on nurses’ satisfaction.Methods: Design: The quasi-experimental design was utilized. Settings: Conducted at Menoufia University Hospitals at inpatient departments/units. Subjects: A convenient sample of 167 staff nurses who had at least a year of experience and accept to participate in this study. Tools: Tool I, Handover Knowledge Questionnaire; Tool II: clinical handover questionnaire; and Tool III, nurses’ satisfaction questionnaire.Results: Nurses’ levels of total knowledge regarding practices of the current clinical handover were poor at pre-implementation and improved after implementation of the structured model as SHARED. Additionally, there was an improvement of clinical handover attitude after implementation of a SHARED framework among studied subjects and had a good level of attitude than pre-implementation phases.Conclusions: There was the highest level of nurses’ satisfaction regarding clinical handover practice at the post-implementation of SHARD model than pre-implementation.Recommendations: Ongoing educational sessions for nurses and periodic refresher training courses should be provided in order to keep nurses updating knowledge and practice regarding structured and standardized handover models.
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实施结构化的临床交接模式(SHARED):对护士满意度的影响
目的:临床交接是护士在日常护理工作中多次涉及的重要环节。尽管临床交接很重要,但在我们的医疗环境中没有标准化的交接实践。本研究旨在探讨实施结构化临床交接模式(SHARED)的效果及其对护士满意度的影响。方法:设计:采用准实验设计。环境:在梅诺菲亚大学医院的住院部/单位进行。对象:167名有一年以上护理经验并同意参加本研究的护理人员。工具:工具一,交接知识问卷;工具二:临床交接问卷;工具三:护士满意度问卷。结果:护士对当前临床交接实践的总体知识水平在实施前较差,在实施SHARED结构化模型后有所提高。此外,研究对象在实施共享框架后的临床交接态度均有改善,且态度水平较实施前有所提高。结论:SHARD模式实施后护士对临床交接实践的满意度高于实施前。建议:为护士提供持续的教育课程和定期的进修培训课程,以保持护士对结构化和标准化交接模型的知识和实践的更新。
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