| Primary Author: | Mary Ann Friesen, PhD, RN, CPHQ |
| Co-Principal Investigators/Collaborators: | Karen Speroni, PhD, RN, Anna Herbst, MSN, RN, Jeanine Turner, PhD, James Robinson, PhD, Jackie Wavelet, MSN, RN |
| Organization | Inova Health System |
Abstract
Purpose
Assess perceptions of the ISHAPED handoff report. Utilize findings from patient and family surveys and interviews to develop nursing education modules on patient centered handoffs.
Background
An analyses of a health system’s handoff procedures indicated variance in processes across the system. Inova responded by convening a quality-improvement team to develop a new strategy for conducting the change of shift handoff, one that standardizes procedures and incorporates a bedside component. Entitled “ISHAPED” (I=Introduce, S=Story, H=History, A=Assessment, P=Plan, E=Error Prevention, and D=Dialogue). The ISHAPED bedside handoff was recognized by the Picker Institute as an “Always Event” and the health system was awarded a Picker Institute Always Event ®grant to implement and study this process.
Materials & Methods
The ISHAPED model incorporates a standard template, customizable for different inpatient populations. The use of the ISHAPED model and templates helps assure that important information is conveyed and provides an opportunity for patients and their families to participate in the process. Patients and family members were surveyed regarding perceptions of the ISHAPED bedside handoff report. The survey consisted of 11 items with rating agreement (1=Strongly disagree thru 5=Strongly agree). Interviews were conducted on a subset of patients and family members by nurse researchers. This study received Institutional Review Board approval.
Results
A total of 107 surveys (Patients-93; Parents-14) were completed. Overall, agreement by patients regarding the ISHAPED process ranged from 3.7 to 4.4, with nine of the eleven survey questions 4 or above. The parent cohort scoring ranged form 3.19 to 4.81, with the same nine of the eleven survey questions 4 or above.
Twenty two interviews (Patients-16; Parents-6) were conducted.
Conclusion
Findings from the data support the use of ISHAPED bedside handoffs as one of the “Always Events”® in our hospital system. The findings obtained from surveys and interviews are being used in the development of handoff educational modules.
Bibliography
Frampton, S., Guastello, S., Brady, C. Hale, M. Horowitz, S. Bennett Smith, S. Stone, S. (2008) Patient-Centered Care Improvement Guide. Picker Institute. Camden, ME.
Friesen, M.A., White, S. V., & Byers, J.F. (2008). Handoffs: An overview: Implications for nurses. In R. Hughes (Ed.), Advances in patient safety and quality: An evidence-based handbook for nurses (AHRQ Publication No. 08-0043). Rockville, MD:
Agency forHealthcare Research and Quality. 2-285-2-332
http://www.ahrq.gov/qual/nurseshdbk/docs/FriesenM_HOIN.pdf
Riesenberg, L.A., Leitzsch, J., Cunningham, J.M. (2010) Nursing handoffs: a systematic review of the literature. American Journal of Nursing. 110 (4), 24-34.
Sorra J, Famolaro T, Dyer N, et al. Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report. Prepared by Westat, Rockville, MD, under Contract No. HHSA 290200710024C. AHRQ Publication No. 12-0017, January 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/hospsurvey12/index.html
© Improvement Science Research Network, 2012
The ISRN published this as received and with permission from the author(s).