Use of Theory in Quality Innovations: Shift Change Protocol in the Emergency Department.
J Nurs Care Qual
; 38(2): 114-119, 2023.
Article
em En
| MEDLINE
| ID: mdl-36731061
ABSTRACT
BACKGROUND:
Inconsistent and nonstandardized patient handoffs can increase the risk of adverse events. Using change theory may promote adoption of effective handoff processes. LOCALPROBLEM:
A Midwest emergency department (ED) had no standardized practice for shift change handoffs. Previous handoff quality improvement efforts had been unsuccessful.METHODS:
A pre/postintervention pilot project design was used. Nurses' compliance with the new handoff protocol was evaluated.INTERVENTIONS:
Using Diffusion of Innovation (DOI) theory, an evidence-based shift change protocol was designed and implemented, which included a comprehensive handoff tool specific to the ED.RESULTS:
Four elements in the new shift change process saw statistically significant improvements after implementation, including discussion of the patient's illness severity ( P = .001), synthesis of the patient's care ( P < .001), completing a bedside safety checklist ( P < .001), and providing a formal transition-of-care process ( P < .001).CONCLUSIONS:
Using DOI theory may improve the adoption of new shift change practices.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Serviço Hospitalar de Emergência
/
Transferência da Responsabilidade pelo Paciente
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article