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Sample Nursing Research Proposal

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Recommended: The importance of a good nurse handoff

Research Proposal:
A Proposal to Conduct a Research on the Nursing Handover Process
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Research Proposal:
A Proposal to Conduct a Research on the Nursing Handover Process
Introduction
Regarding the activities and operations within the healthcare sector, when a patient is transferred across particular administrative departments associated with the therapeutic treatment, and when the shifts of the healthcare professionals especially the nurses are changed, one can notice various stages through which the control and the duty regarding the patient gets transferred from one nursing assistant to other, and through which the essential data related to the patient is likewise transferred or shared. This is generally and widely known as the handover or handoff procedure. The communicative correspondence taking place amid the change of the …show more content…

Some of the key problems of handoff arise from disintegration of EGRs (Electronically Generated Records) during handoff and lack of structured formats for handoff communication. Despite the introduction of electronic health records, nurses continue to use verbal reports and non-digital reports to relay information during the handoff process including the use of scrap papers. One can easily find out that there are no standardized handoff procedures in a number of healthcare facilities across the globe. The lack of a standardized handoff procedure at this facility has been supported by a study by Alghenaimi (2012). Of the 20 nurses who were interviewed by the researcher, none reported the existent of a standard written handoff policy, with 71.35% of the 112 nurses from the hospital reporting that there was no actual handoff policy at the facility. Therefore, it can be generally stated that the current handoff procedures hardly succeed to meet the required international standards of handoff

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Bedside shift reporting is used in many health care facilities to promote a beneficial handoff for both patients and nurses. This type of reporting is an important process in clinical nursing practice because it allows staff to exchange necessary patient information to guarantee continuity of care and patient safety. “Moving the change-of-shift handoff to the patient’s bedside allows the oncoming nurse to visualize the patient as well as ask questions of the previous nurse and the patient” (Maxon, Derby, Wrobleski, & Foss, 2012). The standardization of shift handovers was identified as one of the 2009 National Client Safety Goals from The Joint Commission (TJC).

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Kerr (2002), reports that if there is a structured handover method the quality of care is promoted and nurses will have a full understanding and knowledge about the patients. Glen (1998) also discussed the importance of having a structured handover process stating that it will lead to an development in the quality of care delivered (K. Chung, 2011). The literature review reveals bedside theme emerged from nursing handover. The current research available may not be substantial but it does indicate support from the large amount of anecdotal evidence which claims that nursing bedside handover is an effective form of handover process.

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With the use of consistent handoff tools, there is likely not a missing piece of information that leaves the receiving nurse with gaps in any information. The inconsistency of use of different tools such as SBAR (Situation-Background-Assessment-Recommendation) or electronic handoff methods is where information gets lost. The use of SBAR is commonly used to maintain uniform communication. In example of the use of SBAR against the situation mention earlier, the known history of imprisonment with bloody sputum were not mentioned in the background or assessment piece of handoff. Not only did this impact patient safety but also the safety of nursing staff.

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