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Effects of Handoff Education using Concept Mapping and PASS-BAR

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KMID : 0388320210280010001
±èÈñÁ¤ ( Kim Hee-Jung ) - Chilgok Kyungpook University Hospital

±Ç¼ÒÈñ ( Kwon So-Hi ) - Kyungpook National University College of Nursing

Abstract

Purpose: The purpose of this study was to identify effects of Handoff Education using Concept mapping and PASS-BAR (HECPAR) on clinical reasoning competence, self-efficacy for handoff, and handoff performance of new nurses.

Methods: Participants were randomly allocated into an experimental group (n=20) and control group (n=21). The experimental group received HECPAR which consisted of a one hour lecture, case based clinical practicum, and mentoring for a week. The control group received the usual informal handoffs education from senior nurses. Clinical reasoning competence, self-efficacy for handoff, and handoff performance were measured before and a week after HECPAR. Data were analyzed using Mann-Whitney U test, independent t-test, Fisher¡¯s exact test, and chi-sqaure test.
Results: The experimental group showed significant improvement in clinical reasoning competence (z=-2.29, p=.022), handoff performance (z=-2.23, p=.026), and self-efficacy of handoff (t=3.47, p=.001) compared to the control group.
Conclusion: The results indicate that HECPAR is effective in improving clinical reasoning competence, self-efficacy for handoff, and handoff performance by new nurses. In addition, integrating concept mapping, PASS-BAR, and mentoring proved beneficial for handoff education for new nurses.
KeyWords
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Education, Handoff, Nurses, Patient safety, Randomized controlled trial
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