Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic review

Background: Patient handover (handoff in America) is the transfer of information and accountability among nurses assigned to patient care. Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) is currently the most popular framework for framing handovers. However, research show...

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Main Author: Carlo Lazzari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Iranian Journal of Nursing and Midwifery Research
Subjects:
Online Access:http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2024;volume=29;issue=1;spage=23;epage=32;aulast=Lazzari
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author Carlo Lazzari
author_facet Carlo Lazzari
author_sort Carlo Lazzari
collection DOAJ
description Background: Patient handover (handoff in America) is the transfer of information and accountability among nurses assigned to patient care. Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) is currently the most popular framework for framing handovers. However, research shows that incomplete handovers and information transfers among healthcare providers and nurses exist and are responsible for adverse patient events. Materials and Methods: The current systematic review aims to view contemporary literature on handover, especially but not exclusively in psychiatric settings, and to extract current conditions from Electronic Patient Records (EPRs) using the ISBAR framework. A total of fifty-five scientific papers were selected to support the scoping review. Eligibility criteria included structured research to analyze outcomes, completed by reviewing policy papers and professional organization guidelines on I/SBAR handovers. Results: Our systematic review shows that the application of ISBAR increases interprofessional communication skills and confidence and the quality of the transfer of clinical information about patients, resulting in increased patient safety and quality of care. Conclusions: Implementing the knowledge and application of structured patient handover will respond to current recommendations for service improvement and quality of care. Furthermore, nurses who use ISBAR also reported its benefits as they feel they can deliver what is required for patient care information in a structured, fast, and efficient way. A further increase in the efficacy of handovers is reported by using EPR.
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spelling doaj.art-bfcc03f76ae846599fe027cd9d103e9d2024-02-22T14:57:02ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662024-01-01291233210.4103/ijnmr.ijnmr_24_23Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic reviewCarlo LazzariBackground: Patient handover (handoff in America) is the transfer of information and accountability among nurses assigned to patient care. Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) is currently the most popular framework for framing handovers. However, research shows that incomplete handovers and information transfers among healthcare providers and nurses exist and are responsible for adverse patient events. Materials and Methods: The current systematic review aims to view contemporary literature on handover, especially but not exclusively in psychiatric settings, and to extract current conditions from Electronic Patient Records (EPRs) using the ISBAR framework. A total of fifty-five scientific papers were selected to support the scoping review. Eligibility criteria included structured research to analyze outcomes, completed by reviewing policy papers and professional organization guidelines on I/SBAR handovers. Results: Our systematic review shows that the application of ISBAR increases interprofessional communication skills and confidence and the quality of the transfer of clinical information about patients, resulting in increased patient safety and quality of care. Conclusions: Implementing the knowledge and application of structured patient handover will respond to current recommendations for service improvement and quality of care. Furthermore, nurses who use ISBAR also reported its benefits as they feel they can deliver what is required for patient care information in a structured, fast, and efficient way. A further increase in the efficacy of handovers is reported by using EPR.http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2024;volume=29;issue=1;spage=23;epage=32;aulast=Lazzarimedicinenursingpatient handoffpatient handoverpsychiatric nursing
spellingShingle Carlo Lazzari
Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic review
Iranian Journal of Nursing and Midwifery Research
medicine
nursing
patient handoff
patient handover
psychiatric nursing
title Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic review
title_full Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic review
title_fullStr Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic review
title_full_unstemmed Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic review
title_short Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: A systematic review
title_sort implementing the verbal and electronic handover in general and psychiatric nursing using the introduction situation background assessment and recommendation framework a systematic review
topic medicine
nursing
patient handoff
patient handover
psychiatric nursing
url http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2024;volume=29;issue=1;spage=23;epage=32;aulast=Lazzari
work_keys_str_mv AT carlolazzari implementingtheverbalandelectronichandoveringeneralandpsychiatricnursingusingtheintroductionsituationbackgroundassessmentandrecommendationframeworkasystematicreview