Consensus in anesthesia handoff reporting
View File(s)
PDF (1.192Mb)
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Anselm, Robin Lee Groves by View
Title | Page Views |
---|
Popular Works for Anselm, Robin Lee Groves by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Despite some improvement, no consensus exists to perfect quality in anesthesia handoff practice and policy. This quality improvement project was designed to assist a local anesthesia and perioperative workforce questioning the quality of its current handoff. Theories and models used to inform the project included the Inter-Professional Team Collaborative, Lewin’s change theory, the continuous quality improvement theory, and the knowledge to action model. The communication assessment tool (CAT) functioned as a needs assessment yielding a gap in handoff practice of 25 participants. The CAT also served as the post project evaluation survey. The situation, background, assessment, and recommendation (SBAR) tool was preferred. Participants received SBAR education, and clinical evaluation experience (CEX) survey training. The CEX described the quality indicators of participant handovers during four consecutive weeks. Descriptive and inferential statistics used to analyze data collections included means and standard deviations, examining trends in the continuous level variables. Reliability of the CAT variables was evaluated through Cronbach’s alpha test of internal consistency. Inferential analyses included independent sample t tests, Pearson correlations, and analyses of variance (ANOVAs). Statistical significance was evaluated at the conventional level, α = .05. The use of the SBAR handoff tool showed parity in communication competency. Quality indicators of overall handoff remained highly satisfactory. Recommendations include the consensual use of SBAR handoff and competency evaluation across the anesthesia community. Modification of handoff practices and policies will enable social change by promoting quality indicators in anesthesia collaborative communication.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10605761; ProQuest document ID: 1930695684. The author still retains copyright.
Repository Posting Date
2020-05-28T15:27:46Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | DNP Capstone Project |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Quality Improvement |
Research Approach | Quantitative Research |
Keywords | Patient Handoff; Anesthetized Patients; Quality of Care |
Degree Information
Grantor | Walden University |
Advisor | Nichols, Amelia A. |
Level | DNP |
Year | 2017 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Emergency department bedside handoff report for increased communication and patient experience: A quality improvement health program
Muller, MickeyBackground: With increased emphasis placed on patient experience scores within hospital emergency departments (ED), communication between clinicians and patients has been identified as an area for improvement. Described ... -
In the acute care setting what is the effect of bedside nursing report on patient safety when compared with traditional reporting methods: An evidence-based project
Rolling, Heather; Pauley, Jessica; Hoyt, Jaclyn (7/24/2015)The purpose of this evidence-based project was to examine the effect of bedside report on patient outcomes and nurse/patient satisfaction. Many key components to the report could be affected if report is done through ... -
Efficacy of pre-procedural ultrasound in facilitating neuraxial anesthetics: An integrative review
Brinser, Jonathan (2017-06-26)The purpose of this integrative review is to investigate the efficacy of pre-procedural ultrasound examination to facilitate neuraxial anesthesia techniques and its impact on first attempt success rates, number of attempts ... -
Bedside shift report and its effect on patient satisfaction with nursing communication
Reeves, Janna L.The problem identified was the lack of any formal policy in regards to patient handoff, causing inconsistencies in the methodology, implementation, and content given from nurse to nurse during report. This increases the ... -
Registered nurses' perceptions of being present for their patients
Kostovich, Carol Toliuszis; Collins, Eileen G.; Schmidt, Lee A. (2012-01-04)Evidence-Based Practice Session. The process of providing nursing care encompasses technical knowledge-based psychomotor skills as well as the interpersonal connection with patients. The Presence of Nursing Scale-RN version ...