Developing a Standardized Tool to Improve Patient Safety during Nursing Handover in pediatric wards
Background: A key component in patient safety and care quality is accurate communication during handover. The Joint Commission on Accreditation of Health care Organizations (JCAHO) has established standardizing handover as a priority for improving patient safety since 2006. So, the aim of this study was to develop a standardized tool to improve patient safety during nursing handover in pediatric wards.
Methods: This study conducted using a cooperative inquiry during 19 month in 2012-2013 in a pediatric ward in Shiraz in the South of Iran. The participants including 12 nurses, 2 diplomas, the head nurse and the academic researcher as a facilitator worked through two cycles of reflection and action for change. During the change program the participants designed and used a standard tool for nursing handover for about 6 months. This tool considered patient safety during nursing handover. Nurses’ satisfaction and patient safety was assessed after the program using a questionnaire.
Findings: Result of the study showed that patient safety and nurses’ satisfaction improved significantly. Reflection on actions in two cycles resulted in designing and implementing action plans for change and learning in both participants and facilitators.
Conclusion: This study resulted in designing a standardized tool for nursing handover for improving patient safety. Furthermore it resulted in a deep understanding of participant about principles of handover in real world and applicable knowledge through action for change and reflection on it. Finally nurses could establish the foundation of a safety nursing handover successfully.