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Use of the ISBAR-reporting Method among Nurses for Patient Handovers in the Emergency Department : A Literature Review

Kemppainen, Jenni (2023)

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Kemppainen, Jenni
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2023112030270
Tiivistelmä
During the patient handover, it is extremely important to provide accurate information about the patient and assign the accountability for maintaining care continuity in the emergency department setting, where various challenging factors arise. The handover can be assisted by using the SBAR/ISBAR-reporting method (I= Identify, S= Situation, B= Background, A= Assessment, and R= Recommendation).

The purpose of this thesis is to explore prior research and literature on nurses' usage of the ISBAR in the hectic emergency department setting for patient handovers. The thesis aims to describe how the structured reporting method is used and provide observations about its application. The research question for this thesis is “How ISBAR-reporting method is used in the emergency department for patient handovers among nurses?”

The research method used in this thesis is a descriptive literature review. Data were obtained from reliable databases including Finna.fi, ProQuest, EBSCOhost (CIHNAL) and Elsevier (Science Direct). Total of ten research articles were selected and reviewed in this thesis with the help of the chosen inclusion and exclusion criteria.

The findings in the reviewed articles were analyzed using the thematic method by categorizing the obtained material in three main themes which are 1. How structured reporting methods are used for patient handovers? 2. Cooperation in a multi-professional working group is affected by multiple factors and 3. Information consistency and clear transfer of the responsibility affects to the patient handover quality.

Limited only to the ten articles reviewed in this thesis, findings showed that ISBAR-reporting method use among nurses in the emergency department for patient handovers was basically non-existent and the implementation of the structured reporting method was affected by human factors and organizational differences for standardized procedures.

In future, the author advises researchers to adapt the ISBAR-reporting method for practical implementation in healthcare environments to study the real impact that structured reporting methods have for patient handover quality and safety.
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