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한국형 환자참여 간호사 침상인계 프로토콜 개발 및 평가

Other Titles
 Development and Evaluation of a Protocol for Bedside Nursing Handoff with Patient Engagement in a Tertiary Hospital in South Korea 
 이태화  ;  지윤정  ;  장연수  ;  도현옥  ;  오경환  ;  김창경  ;  천자혜  ;  신혜경  ;  조미영  ;  배정임 
 Clinical Nursing Research (임상간호연구), Vol.26(1) : 117-130, 2020-04 
Journal Title
 Clinical Nursing Research (임상간호연구) 
Issue Date
Patient Engagement ; Patient Handoff ; Clinical Protocols
Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.
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3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Lee, Tae Wha(이태화) ORCID logo https://orcid.org/0000-0003-2568-3074
Jang, Yeon Soo(장연수) ORCID logo https://orcid.org/0000-0002-1898-025X
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