An interventional study of Education for improving handovers quality and Education for improving bedside handovers in General Surgery, sponsored by University of Eastern Piedmont. Completed at 1 site in Italy. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2019-04-16.
Sponsored by University of Eastern Piedmont · Not applicable, Interventional, and Health services research
Nursing handovers are performed 2-3 times a day for each patient, with an approximate average of 2 million nursing deliveries per year in a hospital of medium size. Nursing handovers are considered essential for the continuity and safety of care. If the relevant clinical information is not shared in a precise and timely manner, it may worsen the patients' outcomes with an increase in adverse events, delays or inappropriate treatment until the omission of procedures.
The modality of nursing delivery presents, therefore, a gap of vulnerability where vital information could not be considered and systematically shared.
Patients should be involved in their care to promote a patient-centred approach. The involvement of patients in handovers is effective compared to other delivery methods.
To date, however, the best mode to deliver handovers was still unclear due to a systematic lack of studies to identify the best practice of nursing handovers. The studies in the literature lack of sound methodologies due to not randomized designs.
Thus an intervention to improve quality of handovers and to implement bedside handovers in surgical wards will be performed.
The following hypotheses were made:
University of Eastern Piedmont is the lead sponsor of 3 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Education for improving handovers quality + Education for improving bedside handovers
Behavioral: Education for improving handovers quality · Behavioral: Education for improving bedside handovers
Education for improving handovers quality
Behavioral: Education for improving handovers quality
Specific education on the importance of handovers quality will be provided. The educational session will last 4 hours. The program will be divided into the following sections: 1) a structured survey on the perception of the participants on the handovers importance; 2) Key theoretical concepts on the relevance of handovers with case studies of errors related to this critical moment; 3) showing movie clips of nursing handovers to critically interpret the clips by the participants; 4) presentation of the SBAR method recommended by WHO; 5) general presentation of the nursing delivery assessment project of the Valduce Hospital.
In addition to the education for improving handovers quality, the following intervention will be implemented for nurses assigned to the study department. The course will be supplemented by a section of the duration of an hour, containing 1) information on the principles underlying bedside handovers; 2) how to handle information in front of the patient and on his / her direct involvement; 3) role-playing of the bedside handover will be performed, assigning the roles of nurse and patient among the participants to bring out impressions linked to the functions.
Change in handover quality
Handoff CEX (Clinical Examination) \[3-9 overall on 6 items about setting, organisation, communication, content, judgment, professionalism; 3 worst - 9 best\]
Time frame: Baseline, at 1 month after intervention, at 6 months after intervention
Handover length
Time x handover
Time frame: Baseline, at 1 month after intervention
Missed care / procedures / diagnostic tests
Number of missed care / procedures / diagnostic tests
Time frame: Baseline, at 1 month after intervention, at 6 months after intervention
Patients satisfaction
Visual Analogic Scale for satisfaction \[0-10; 0 worst - 10 best\]
Time frame: Baseline, at 1 month after intervention, at 6 months after intervention
Plan to share: No
Ran from Jul 2018 to primary completion in Nov 2018, 3 months.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
University of Eastern Piedmont