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LETTER TO EDITOR
Year : 2014  |  Volume : 19  |  Issue : 6  |  Page : 679

Nursing handover: Are its principles taught in universities during bachelor's degree?


1 Department of Nursing, College of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Nursing, College of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Date of Web Publication25-Oct-2017

Correspondence Address:
Dr. Raheleh SabetSarvestani
Department of Nursing, College of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz
Iran
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
SabetSarvestani R, Moattari M, NikbakhtNasrabadi A, Momennasab M, Yektatalab S. Nursing handover: Are its principles taught in universities during bachelor's degree?. Iranian J Nursing Midwifery Res 2014;19:679

How to cite this URL:
SabetSarvestani R, Moattari M, NikbakhtNasrabadi A, Momennasab M, Yektatalab S. Nursing handover: Are its principles taught in universities during bachelor's degree?. Iranian J Nursing Midwifery Res [serial online] 2014 [cited 2022 Dec 4];19:679. Available from: https://www.ijnmrjournal.net/text.asp?2014/19/6/679/146268

Dear Editor,

As a current PhD student working on my dissertation entitled "Developing a nursing handover process program in pediatric ward: An action research," I interviewed nurses and students and found that they had little knowledge about the ethical and legal principles of nursing handover and expressed their dissatisfaction about this process. One of the reasons for this problem, they expressed, was the failure of our bachelor's degree educational program which lacks a structured course on nursing handover, while nursing handover is a substantial part of a nurse's duty as each nurse should allocate 38% of his/her working hours in hospital wards every day. [1] Discussing this issue with my supervisors, we decided to further scrutinize the management course content of our bachelor's program. So, we reviewed the course plan of nursing management in different universities in the country (Iran) and found that although these courses have enough content about general skills for a manager, such as leadership, planning, organizing, and budgeting, they lack specific skills related to nursing handover principles. To highlight this problem, we decided to let curriculum committees/developers know about this issue. Many literature reports highlight the importance of nursing handover, which cannot be substituted by any other method since handover is the only place where different aspects of professional nursing care are identified. [2] But studies have shown that nurses expressed enormous fear and anxiety during handover. [3] This fear and anxiety may be related to their lack of preparation for being involved in handover. Such a preparation, we think, is necessary during undergraduate educational program and as part of in-service educational program in clinical setting as well, because handover is not a simple process and according to literature reports, it should be accurate, complete, specific, relevant, timely, up-to-date, subjective, and objective. Handover that is inaccurate, incomplete, and biased may lead to many errors, mislead nursing practices, and increase patient complications. [4],[5] As the Joint Commission on Accreditation of Health care Organizations (JCAHO) has established standardizing handover as a priority for improving patient safety from 2006, [6],[7] we suggest that the principles of nursing handover be taught in a specially designed nursing course or be integrated in the existing course on management during bachelor's degree, in order to decrease "reality shock" in novice nurses. Such education should become part of in-service education programs, and manuals and policies must be made in the wards to increase patient safety and the quality of providing care in hospitals. Moreover, handover as a very important competency should be considered as an evaluation criterion of nurses' competencies to enhance their capabilities in this regard. Thank you for allowing us to express our opinion.

 
  References Top

1.
Spanke MT, Thomas T. Nursing assistant walking report at change of shift. J Nurs Care Qual 2010;25:261-5.  Back to cited text no. 1
    
2.
Scovell S. Role of the nurse-to-nurse handover in patient care. Nurs Stand 2010;24:35-9.  Back to cited text no. 2
    
3.
Manias E, Street A. The handover: Uncovering the hidden practices of nurses. Intensive Crit Care Nurs 2000;16:373-83.  Back to cited text no. 3
    
4.
Rushton CH. Ethics of nursing shift report. AACN Adv Crit Care 2010;21:380-4.  Back to cited text no. 4
    
5.
Strople B, Ottani P. Can technology improve intershift report? what the research reveales. J Prof Nurs 2006;22:197-204.  Back to cited text no. 5
    
6.
Schroeder SJ. Picking up the PACE: A new template for shift report. Nursing 2006;36:22-3.  Back to cited text no. 6
    
7.
Chaboyer W. Clinical handover. 2011 Available from: http://www.health.qld.gov.au/psq/handover/docs/ch_presentation2.pdf. [Last accessed on 2012 Feb 13].  Back to cited text no. 7
    




 

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