Volume 20, Issue 2 (10-2023)
J Res Dev Nurs Midw 2023, 20(2): 1-4 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
omidi A, Rajabalipour M, arab S, Mokhtari Sorkhan T. Assessment of the I-PASS program on nursing shift handover in CCU and ICU wards: The use of a new approach in the nursing profession. J Res Dev Nurs Midw 2023; 20 (2) :1-4
URL: http://nmj.goums.ac.ir/article-1-1379-en.html
URL: http://nmj.goums.ac.ir/article-1-1379-en.html
1- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Student Research Committee, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran.
4- Nursing & Midwifery Faculty, Bam University of Medical Sciences, Bam, Iran. , arianmokhtari2@gmail.com
2- Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- Student Research Committee, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran.
4- Nursing & Midwifery Faculty, Bam University of Medical Sciences, Bam, Iran. , arianmokhtari2@gmail.com
Abstract: (480 Views)
Background: Shift handover is one of the critical tasks and major challenges among health care providers in hospitals. Most serious errors are caused by communication problems related to shift handover. Thus, it is essential to implement effective programs to overcome shift handover challenges in hospitals. This study aimed to evaluate the effects of the I-PASS (illness severity, patient summary, action list, situation awareness and contingency planning, and synthesis by receiver) program on nursing shift handover in hospital wards in southeastern Iran.
Methods: This study used a quasi-experimental design with a before-and-after method (without a control group) and was conducted in Pasteur Hospital in Bam City from January to March 2021. Sampling was performed using the census method. Participants included 47 nurses who work in critical care unit (CCU) and intensive care unit (ICU) wards. All nurses received shift-handover training based on the I-PASS program for 4 weeks (45-minute sessions weekly). The standardized I-PASS assessment tool was used in this study. Data were analyzed using SPSS version 25, along with the chi-square test, independent t test, and paired t test. P values less than 0.05 were considered statistically significant.
Results: Among the participants, 89.4% were female, and 68.1% worked in the ICU ward. The mean age of the nurses was 33.25 ± 5.00 years old, and the mean year of their work experience was 8.08 ± 5.27 years. There was a significant difference in the mean scores of nursing shift handover before and after the intervention in the CCU ward from 1.88 ± 0.32 to 3.62 ± 0.98 (P = 0.018) and in the ICU ward from 2.37 ± 0.84 to 2.93 ± 0.35 (P = 0.013). Also, the mean scores of the CCU ward were higher than those of the ICU ward after the intervention (P = 0.01).
Conclusion: The I-PASS program can overcome many challenges in nursing shift handover and workflow. Therefore, this method can be a suitable alternative to the common methods of shift handover and patient delivery in hospital wards.
Methods: This study used a quasi-experimental design with a before-and-after method (without a control group) and was conducted in Pasteur Hospital in Bam City from January to March 2021. Sampling was performed using the census method. Participants included 47 nurses who work in critical care unit (CCU) and intensive care unit (ICU) wards. All nurses received shift-handover training based on the I-PASS program for 4 weeks (45-minute sessions weekly). The standardized I-PASS assessment tool was used in this study. Data were analyzed using SPSS version 25, along with the chi-square test, independent t test, and paired t test. P values less than 0.05 were considered statistically significant.
Results: Among the participants, 89.4% were female, and 68.1% worked in the ICU ward. The mean age of the nurses was 33.25 ± 5.00 years old, and the mean year of their work experience was 8.08 ± 5.27 years. There was a significant difference in the mean scores of nursing shift handover before and after the intervention in the CCU ward from 1.88 ± 0.32 to 3.62 ± 0.98 (P = 0.018) and in the ICU ward from 2.37 ± 0.84 to 2.93 ± 0.35 (P = 0.013). Also, the mean scores of the CCU ward were higher than those of the ICU ward after the intervention (P = 0.01).
Conclusion: The I-PASS program can overcome many challenges in nursing shift handover and workflow. Therefore, this method can be a suitable alternative to the common methods of shift handover and patient delivery in hospital wards.
Type of Study: Original Article |
Subject:
Nursing
References
1. Starmer AJ, Schnock KO, Lyons A, Hehn RS, Graham DA, Keohane C, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-57. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. O'Rourke J, Abraham J, Riesenberg LA, Matson J, Lopez KD. A Delphi study to identify the core components of nurse to nurse handoff. J Adv Nurs. 2018;74(7):1659-71. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Blazin LJ, Sitthi-Amorn J, Hoffman JM, Burlison JD. Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. Pediatr Qual Saf. 2020;5(4):e323. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Ransom B, Winters K. The I-PASS mnemonic and the occurrence of handoff related errors in adult acute care hospitals: a systematic review protocol. JBI Database System Rev Implement Rep. 2018;16(1):21-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Duong JA, Jensen TP, Morduchowicz S, Mourad M, Harrison JD, Ranji SR. Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. J Gen Intern Med. 2017;32(6):654-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Lescinskas E, Stewart D, Shah C. Improving handoffs: implementing a training program for incoming internal medicine residents. J Grad Med Educ. 2018;10(6):698-701. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Saag HS, Chen J, Denson JL, Jones S, Horwitz L, Cocks PM. Warm handoffs: a novel strategy to improve End-of-Rotation care transitions. J Gen Intern Med. 2018;33(1):116-9. [View at Publisher] [DOI] [PMID] [Google Scholar]
8. Thompson JE, Collett LW, Langbart MJ, Purcell NJ, Boyd SM, Yuminaga Y, et al. Using the ISBAR handover tool in junior medical officer handover: a study in an Australian tertiary hospital. Postgrad Med J. 2011;87(1027):340-4. [View at Publisher] [DOI] [PMID] [Google Scholar]
9. Shahian DM, McEachern K, Rossi L, Chisari RG, Mort E. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual saf. 2017;26(9):760-70. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. Shahian D. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-74. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Simamora RH, Fathi A. The Influence of Training Handover based SBAR Communication for Improving Patients Safety. Indian J Public Health Res Dev. 2019;10(9):1280-5. [View at Publisher] [DOI] [PMID] [Google Scholar]
12. O'Toole JK, Starmer AJ, Calaman S, Campos M-L, Goldstein J, Hepps J, et al. I-PASS mentored implementation handoff curriculum: implementation guide and resources. MedEdPORTAL: the journal of teaching and learning resources. 2018;14:10736. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Hughes HK, Serwint JR, O'Toole JK, Spector ND, Ngo TL. I-PASS Adherence and Implications for Future Handoff Training. J Grad Med Educ. 2019;11(3):301-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. O'Toole JK, Starmer AJ, Calaman S, Campos M-L, Hepps J, Lopreiato JO, et al. I-PASS Mentored implementation handoff curriculum: champion training materials. MedEdPORTAL. 2019;15:10794. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. O'Toole JK, Hepps J, Starmer AJ, Patel SJ, Rosenbluth G, Calaman S, et al. I-PASS Mentored implementation handoff curriculum: frontline provider training materials. MedEdPORTAL. 2020;16:10912. [View at Publisher] [DOI] [PMID] [Google Scholar]
16. Abadi NE, Rahimzadeh M, Omidi A, Farahani F, Malekyan L, Jalayer F. The relationship between moral courage and quality of work life among nursing staff in Bam hospitals. J Adv Pharm Educ Res. 2020;10(S1). [View at Publisher] [Google Scholar]
17. Rosenbluth G, Destino LA, Starmer AJ, Landrigan CP, Spector ND, Sectish TC, et al. I-PASS handoff program: Use of a campaign to effect transformational change. Pediatr Qual Saf. 2018;3(4):e088. [View at Publisher] [DOI] [PMID] [Google Scholar]
18. Jorro Barón F, Pumara CD, Tittarelli MAJ, Raimondo A, Urtasun M, Valentini L. Improved handoff quality and reduction in adverse events following implementation of a Spanish-language version of the I-PASS bundle for pediatric hospitalized patients in Argentina. J Patient Safety and Risk Management. 2020;25(6):225-32. [View at Publisher] [DOI] [PMID] [Google Scholar]
19. Tufts LM, Damron CL, Flesher SL. Addition of CORES to the I-PASS handoff: a resident-led quality improvement study. Pediatr Qual Saf. 2020;5(1):e251. [View at Publisher] [DOI] [PMID] [Google Scholar]
20. Starmer AJ, Spector ND, Srivastava R, West DC, Rosenbluth G, Allen AD, et al. Changes in medical errors after implementation of a handoff program. N Engl J Med. 2014;371(19):1803-12. [View at Publisher] [DOI] [PMID] [Google Scholar]
21. Yahyapour Z, Jahanian F, Hosseini Nejad M, Asadi T, Montazer H, Pashaei M. Evaluating I-PASS System Implementation in Improvement of Handoff Process among Emergency Medicine Residents of Mazandaran University of Medical Sciences. Iran J Emerg Med. 2021;8(1):e10. [View at Publisher] [DOI] [Google Scholar]
22. Abdollahi L, Sheini-Jaberi P, Rokhafrooz D. The effect of using SBAR model in shift handover on patient and nurse satisfaction in the emergency department. J Health Admin. 2022;25(1):24-34. [View at Publisher] [DOI] [Google Scholar]
23. Suganandam DK. Handoff communication: Hallmark of nurses. Indian J Continuing Nursing Education. 2018;19(1):12-20. [View at Publisher] [Google Scholar]
24. Clements K. High-reliability and the I-PASS communication tool. Nurs Manage. 2017;48(3):12-3. [View at Publisher] [DOI] [PMID] [Google Scholar]
25. Starmer A, O'Toole J, Spector N, West D, Sectish T, Schnipper J, et al. Mentored implementation of the I-PASS handoff program in diverse clinical environments. BMJ Qual Saf. 2016;25(12):1009. [View at Publisher] [DOI] [Google Scholar]
26. Kulesa JT, Balsara SL, Ghebremariam ET, Colyer J. Designing a Process for Cardiology Patient Transfers: A Quality Improvement, Descriptive Study on Interprovider Communication and Resident Education. Pediatr Qual Saf. 2020;5(3):e300. [View at Publisher] [DOI] [PMID] [Google Scholar]
27. Fitzgerald KM, Banerjee TR, Starmer AJ, Caplan GH, Alkuwari M, Hillier DF, et al. Effect of a Multispecialty Faculty Handoff Initiative on Safety Culture and Handoff Quality. Pediatric quality & safety. 2022;7(2):e539. [View at Publisher] [DOI] [PMID] [Google Scholar]
28. Coffey M, Thomson K, Li S-A, Bismilla Z, Starmer AJ, O'Toole JK, et al. Resident experiences with implementation of the I-PASS handoff bundle. J Grad Med Educ. 2017;9(3):313-20. [View at Publisher] [DOI] [PMID] [Google Scholar]
29. Starmer AJ, Spector ND, West DC, Srivastava R, Sectish TC, Landrigan CP, et al. Integrating research, quality improvement, and medical education for better handoffs and safer care: disseminating, adapting, and implementing the I-PASS program. Jt Comm J Qual Patient Saf. 2017;43(7):319-29. [View at Publisher] [DOI] [PMID] [Google Scholar]
30. Davis R, Davis J, Berg K, Berg D, Morgan CJ, Russo S, et al. Patient handoff education: are medical schools catching up? Am J Med Qual. 2018;33(2):140-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
