4.4 Article

A brief intervention to standardize postanesthetic clinical handoff

Journal

NURSING & HEALTH SCIENCES
Volume 23, Issue 1, Pages 219-226

Publisher

WILEY
DOI: 10.1111/nhs.12803

Keywords

anesthesia recovery period; interdisciplinary communication; patient handoff; patient handover; patient safety; postanesthesia nursing

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This study explored the feasibility and acceptability of introducing a tool to standardize communication processes between anesthetists and postanesthesia nurses during patient handoff. Observations and interviews were conducted pre- and post-intervention, showing significant improvement in nurses' performance of patient safety behaviors but nonsignificant trends in interdisciplinary communication behaviors.
This naturalistic, pre- and post-design study explored the feasibility and acceptability of a brief patient safety intervention to introduce a tool to standardize interdisciplinary communication processes at patient handoff between anesthetists and postanesthesia nurses in the postanesthetic care unit. Observation and interview data were collected pre- and post-intervention from a convenience sample of 27 nurses and 23 anesthetists in a large tertiary hospital in Melbourne, Australia. Following the intervention, significant improvement was observed in nurses' performance of several patient safety behaviors, but trends in nurses' interdisciplinary communication behaviors such as asking questions and escalation of care were nonsignificant. This research provides evidence that tools to standardize clinical handoff communication may empower nurses to perform desired patient safety behaviors during interprofessional handoff. It underpins future research to explore strategies to empower nurses to advocate for patient safety during interdisciplinary communication, and provides a foundation for patient handoff improvement, education, and further research.

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