Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 35 views

    Nursing Sciences English Department, Second Year

    Uploaded by

    mosto mosto
    1) Hospitals are looking to improve handover processes between nurses to better track patient care and meet accreditation standards. 2) A targeted handover format focuses the written information for each patient on a specific target or pertinent information from the last shift, organized according to a structure of Data, Actions, and Results (DAR). 3) An evaluation of the targeted handover format with 9 nurses found a relationship between improved patient conditions and the use of this direct, problem-oriented evaluation method, though more research is still needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Nursing Sciences English Department, Second Year

    Uploaded by

    mosto mosto
    35 views11 pages
    1) Hospitals are looking to improve handover processes between nurses to better track patient care and meet accreditation standards. 2) A targeted handover format focuses the written information for each patient on a specific target or pertinent information from the last shift, organized according to a structure of Data, Actions, and Results (DAR). 3) An evaluation of the targeted handover format with 9 nurses found a relationship between improved patient conditions and the use of this direct, problem-oriented evaluation method, though more research is still needed.

    Original Title

    Targeted transmission

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) Hospitals are looking to improve handover processes between nurses to better track patient care and meet accreditation standards. 2) A targeted handover format focuses the written information for each patient on a specific target or pertinent information from the last shift, organized according to a structure of Data, Actions, and Results (DAR). 3) An evaluation of the targeted handover format with 9 nurses found a relationship between improved patient conditions and the use of this direct, problem-oriented evaluation method, though more research is still needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views11 pages

    Nursing Sciences English Department, Second Year

    Uploaded by

    mosto mosto
    1) Hospitals are looking to improve handover processes between nurses to better track patient care and meet accreditation standards. 2) A targeted handover format focuses the written information for each patient on a specific target or pertinent information from the last shift, organized according to a structure of Data, Actions, and Results (DAR). 3) An evaluation of the targeted handover format with 9 nurses found a relationship between improved patient conditions and the use of this direct, problem-oriented evaluation method, though more research is still needed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 11

    Nursing sciences

    English department, second year


    Introduction
    — Many hospitals wish to meet accreditation criteria
    governing healthcare establishments.
    — The handover activity between nurses at change of
    shift is an approach to keep a trace of care provided .
    — These indicators are associated with a requirement of
    “increased efficiency “ in the context of reducing
    hospital costs and increase short term stays .
    Targeted handover
    — The purpose of the so-called targeted handover is to
    focus what is written about each patient on a target ,
    that is to say on pertinent information from the last
    shift , then to develop information concerning this
    target according to a formal structure .
    — This structure is based on three criteria : Data , actions
    carried out and results obtained .
    Targeted handover
    — The purpose of these new instructions was to ensure
    better and more accurate monitoring of patient’s
    condition in real time by selecting significant aspects
    of the development of the patient’s condition .
    — In this way , daily visible and traceable changes in a
    patient’s status could be monitored , thus reducing the
    risks as much as possible.
    Targeted handover
    — Nursing staff have a long practice of delivering
    handover information ; a question to be asked whether
    this new format suited the nurse’s real needs .
    — For the institution , the reason for this format seems to
    be two-folded: to provide written traceability of
    nursing care and to create a document that would help
    with writing up accurate handover notes.
    Definition
    — What is D.A.R?
    — It involves sorting information concerning a patient’s
    progress . This sorting requires choosing a target that
    corresponds to new and pertinent information
    concerning the patient and developing this target with
    clinical information concerning that patient .
    — This target is chosen by a nurse .
    Definition ( ctd)
    — Around a main theme called the target , information
    describing it must be classified according to three
    criteria : Data , actions, results.
    — Here is an example of the change between a normal
    handover and a targeted one;
    Definition ( ctd)
    — Before :
    — Date : 6/4/2013 at 20:00
    — Name :X
    — Was in pain at the beginning of the night , soothed by
    perfalgan , hardly slept.
    Now :
    Date : 6/4/2013 at 21:00
    Name :X
    Target : pain
    Data : intense abdominal pain , groaning.
    Action : injection of perfalgan .
    Result ; at 21:00 patient calmed no longer complaining.
    How do we choose a target ?
    — The criteria for choosing the target correspond to the
    occurrence of a physiological or psychological event
    that was not present and which changes the patient’s
    status .
    — The criteria are the pertinence and the newness of the
    information supplied as compared with the pathology
    and the expected prognosis for improvements in the
    patient’s health.
    Evaluation
    — A research was conducted to assess the ergonomic
    quality of the so-called targeted handover on 9 nurses
    taking care of 70 patients in a regular medical surgical
    unit .
    — The results showed a fair relationship between the
    patient’s improved condition and the use of this direct
    to the point, problem and evaluation .
    — This is one study and further studies should be
    conducted so that generalities can be built.
    Evaluation
    — From the operational point of view, it is not certain
    that this new format is actually more functional than
    the one used spontaneously by nurses .
    — The only addition is an “institutional “ standard of
    acceptability .
    — In conclusion , targeted transmissions aim towards
    improving the accuracy of clinical information , and
    the avoidance of repetition during handover.

    You might also like