Positive Impacts of Electronic hand-off systems designs on Nurses' communication effectiveness.

AIM Different designs of electronic hand-off systems might have different levels of effectiveness; this study validated the effectiveness of systems with an Identify, Situation, Background, Assessment and Recommendation (ISBAR) design to one without such a design. BACKGROUND Adverse consequences in hospital commonly occur when there are breakdowns in the transmission of information between team members. To ensure information accuracy and consistency, some Taiwan hospitals implemented electronic hand-off systems. However, the effectiveness of such systems was not investigated. METHODS A quasi-experiment was conducted to the nurses of two Taiwan case hospitals, one with ISBAR and the other with non-ISBAR design systems and 200 questionnaires were used to collect data. RESULTS The respondent rate was 72%. Using system with ISBAR design, nurses can enhance their communication effectiveness and further increase their individual benefits at hand-off. Using a non-ISBAR hand-off system, communication effectiveness depends solely on the nurses' individual cognitive and expressive ability. CONCLUSION System with ISBAR design can ensure effective information transmission among nurses for care continuity and prevention of adverse events. IMPLICATIONS FOR NURSING MANAGEMENT Ensuring the design of electronic systems is adequate, nursing managers can save nurses' time and effort while using the system to perform their regular work effectively and gain competitive advantage.

[1]  David A K Watters,et al.  Electronic medical handover : towards safer medical care , 2022 .

[2]  Mi Jung Rho,et al.  Information System Success Model for Customer Relationship Management System in Health Promotion Centers , 2013, Healthcare informatics research.

[3]  Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project , 2011, BMJ quality & safety.

[4]  R. D. de Vries,et al.  Leadership = Communication? The Relations of Leaders’ Communication Styles with Leadership Styles, Knowledge Sharing and Leadership Outcomes , 2009, Journal of business and psychology.

[5]  Effective communication with primary care providers. , 2014, Pediatric clinics of North America.

[6]  Dale M. Pfrimmer.  Teamwork and communication. , 2009, Journal of continuing education in nursing.

[7]  Susan Philpin,et al.  'Handing over': transmission of information between nurses in an intensive therapy unit. , 2006, Nursing in critical care.

[8]  M. Leonard,et al.  The human factor: the critical importance of effective teamwork and communication in providing safe care , 2004, Quality and Safety in Health Care.

[9]  Diane Lending,et al.  Perceived Quality Benefits Influenced by Usefulness and Documentation Accuracy of Information Systems , 2008, Computers, informatics, nursing : CIN.

[10]  Ephraim R. McLean,et al.  Information Systems Success: The Quest for the Dependent Variable , 1992, Inf. Syst. Res..

[11]  C. Denham.  Sbar for Patients , 2008 .

[12]  Richard J. Whiddett,et al.  Knowledge management systems success in healthcare: Leadership matters , 2017, Int. J. Medical Informatics.

[13]  Narasimhaiah Gorla,et al.  Organizational impact of system quality, information quality, and service quality , 2010, J. Strateg. Inf. Syst..

[14]  Bernadette Strople,et al.  Can technology improve intershift report? What the research reveals. , 2006, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[15]  Nicola T. Shaw,et al.  The impact of a Critical Care Information System (CCIS) on time spent charting and in direct patient care by staff in the ICU: A review of the literature , 2009, Int. J. Medical Informatics.

[16]  Claus Bossen,et al.  Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: Approach, results, and success factors , 2013, Int. J. Medical Informatics.

[17]  C. Weinert,et al.  A dramaturgical analysis of shift report patterns with cost implications: a case study. , 2006, Nursing economic$.

[18]  Ping Yu,et al.  The changes in caregivers' perceptions about the quality of information and benefits of nursing documentation associated with the introduction of an electronic documentation system in a nursing home , 2011, Int. J. Medical Informatics.

[19]  Daniel M. Johnson,et al.  Effective affective user interface design in games , 2003, Ergonomics.

[20]  Richard M Frankel,et al.  Lost in Translation: Challenges and Opportunities in Physician-to-Physician Communication During Patient Handoffs , 2005, Academic medicine : journal of the Association of American Medical Colleges.

[21]  K. Shojania,et al.  National Patient Safety Goals. , 2006, Bulletin of the American College of Surgeons.

[22]  Martin Friesl,et al.  Exploring cultural impacts on knowledge sharing behavior in project teams - results from a simulation study , 2007, J. Knowl. Manag..

[23]  A. Viveiros.  Nurse Perceptions of Electronic Handoff , 2016 .

[24]  John A Valenza,et al.  Factors influencing implementation and outcomes of a dental electronic patient record system. , 2009, Journal of dental education.

[25]  Brian Bjørn,et al.  Descriptions of verbal communication errors between staff. An analysis of 84 root cause analysis-reports from Danish hospitals , 2011, Quality and Safety in Health Care.

[26]  Barbara H Wixom,et al.  A Theoretical Integration of User Satisfaction and Technology Acceptance , 2005, Inf. Syst. Res..