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首页> 外文期刊>Journal of Nursing Education and Practice >Evaluation of a nursing handoff educational bundle to improve nursing student handoff communications: A pilot study
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Evaluation of a nursing handoff educational bundle to improve nursing student handoff communications: A pilot study

机译：评估护理切换教育捆绑包，以改善护理学生切换通信：试点研究

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Background: Inadequate handoff education in prelicensure nursing programs may pose a significant latent safety risk. This pilot study evaluates a Nursing Handoff Educational Bundle (NHEB) for a cohort of Accelerated Bachelor of Science (ABS) nursing students. The Evidence-Based Bundle consists of an educational workshop, a standardized handoff format, clinical faculty education, and structured, formative evaluation of student handoffs. This study was implemented during Adult Health clinical experiences conducted at four different University-affiliated? healthcare institutions in the Northeastern United States. Methods: A pre-test, post-test design was used with a convenience sample of 28 ABS nursing students.? Fourteen students who received the NHEB were compared to a similar group (n = 14) who were not exposed.? Student handoffs were observed and rated using the Handoff Clinical Examination (CEX) tool while providing and receiving handoffs during clinical experiences. Data was obtained at the beginning and the end of a 15-week time period. Results: The provider handoff scores in the intervention group improved significantly (M = 4.64, SD = 1.3) over the comparison group change scores (M = 1.5, SD 1.34) when measured by independent samples t-test (t = 7.33, p = .000). The handoff recipients’ scores in the intervention group also improved significantly (m = 5.5, SD = 1.01) compared to no improvement in the recipient control group (M = -0.36, SD = 1.39), (t = 12.7, p = .000). Conclusions: Without structured handoff education, nursing students are passive recipients during handoffs and do not engage in safety communication practices. Exposure to a NHEB improves student handoff communication skills and provides an opportunity to practice evidence-based handoff skills with structured support during clinical experiences. The NHEB could be considered for incorporation into prelicensure programs. Further study using a larger sample size is recommended based on these preliminary findings. Additionally, this intervention should be evaluated in novice nurse cohorts.
机译：背景：预测护理计划中的切换教育不足可能会带来显着的潜在安全风险。这项试点研究评估了一名护理换送教育捆绑（NHEB），了解科学（ABS）护理学生的加速学士学位。基于证据的捆绑包由教育研讨会，标准化的切换格式，临床教师教育和结构化的学生换算评估。本研究在成人健康临床经验期间实施，在四个不同的大学隶属？美国东北部的医疗机构。方法：预先测试，测试后设计与28 ABS护理学生的便利样本一起使用。收到NHEB的十四名学生与未暴露的类似组（n = 14）进行比较。使用切换临床检查（CEX）工具观察和评估学生切换，同时在临床经验期间提供和接收切换。数据在15周的时间段开始和结束时获得。结果：在通过独立样本T检验测量时，干预组中的提供商切换分数在比较组变化分数（M = 1.5，SD 1.34）上有显着改变（m = 4.64，sd = 1.3）（m = 1.5，sd 1.34）（t = 7.33，p = .000）。与收件人控制组（M = -0.36，SD = 1.39）的没有改进，干预组中的切换收件人的分数也显着提高（m = 5.5，sd = 1.01），（m = -0.36，sd = 1.39），（t = 12.7，p = .000 ）。结论：没有结构化的切换教育，护理学生在切换期间是被动接受者，并没有从事安全通信实践。接触NHEB改善了学生缩放沟通技巧，并提供了在临床经验中使用结构化支持的基于证据的切换技能的机会。可以考虑NHEB以纳入预订计划。基于这些初步发现，建议使用使用较大的样品大小进行进一步的研究。此外，应在新手护士队列中进行这种干预。

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