Written Implementation Plan: Review of the Research Literature

Literature Evaluation Table
Student Name:
Change Topic (2-3 sentences): Perioperative nurses have very small checklists to capture patient information and facilitate nurse-to-nurse handoff communication. This literature evaluation table provides an analysis of pieces of literature to answer the PICOT question: in the perioperative setting (P), what is the impact of a standardized handoff protocol (I) among perioperative nurses compared to the current handoff (C) on nurse communication and patient safety (O) within six weeks (T)?
Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Rickel, Gisick, Griggs, Simonson, Keebler, & Lazzara, The Journal of the Human Factors and Ergonomics Society, https://journals.sagepub.com/doi/pdf/10.1177/2327857919081069

Caruso, Marquez, Gipp, Kelleher, and Sharek
International Journal of Health Care Quality Assurance
https://doi.org/10.1108/IJHCQA-02-2016-0015

Reine, Rustoen, Raeder, and Aase , Journal of Clincal Nursing,
https://pubmed.ncbi.nlm.nih.gov/30183113/

Mukhopadhyay, et al., The American Journal of Surgery,
https://pubmed.ncbi.nlm.nih.gov/28823594/

Article Title and Year Published

Descriptive analysis of the design, implementation, and evaluation of structured anesthesia handoff protocols in current literature (2019)

Standardized ICU to OR handoff increases communication without delaying surgery (2017)

Postoperative patient handovers- variability in perceptions of quality. A qualitative focus group study (2018)

Implementation of a standardized handoff protocol for postoperative admissions to the surgical intensive care unit (2018)

Research Questions (Qualitative)/Hypothesis (Quantitative)

What is the best practice for developing and implementing handoff protocols?

Does the standardized ICU to OR handoff process increase face-to-face handoffs?

What factors influence the quality of handovers in postoperative care?

Does the implementation of a standardized handoff protocol improve communication among the postoperative care teams? 

Purposes/Aim of Study

To investigate the best practice for developing and implementing handoff protocols.

To establish whether s standardized ICU to OR handoff protocol would improve the handoff process and patient care.

To examine the perception of clinicians on the factors affecting postoperative handover quality.

To establish whether implementing a standardized handoff protocol improves communication among postoperative care teams during patient care transition from OR to SICU.

Design (Type of Quantitative, or Type of Qualitative)

Descriptive analysis

Longitudinal design-Prospective cohort

Exploratory design- Focus group

Prospective interventional design

Setting/Sample

Handoff protocol intervention studies

Pediatric hospital, Sample-26

Clinicians at a University Hospital, sample-37

Surgical and trauma intensive care unit of an academic medical center

Methods: Intervention/Instruments

Synthesis

I-PASS mnemonic handoff protocol

Semi-structured interviews

Standardized handoff protocol

Analysis

Descriptive analysis

SAS 9.4 was used to analyze pre-and post-intervention data

Thematic analysis of transcribed data

GraphPad Prism Software was used in the analysis

Key Findings

The most commonly used standoff protocol is the SBAR, IPUT PATIENT FIRST, and HAST. Evaluation includes surveys and direct observations.

The use of a standardized handoff increases face-to-face handoff communication and improves patient readiness for transportation from the ICU to OR.

Conflict, timing, patient condition, handoff structures, and individual and team characteristics affect the quality of handoffs.

A standardized handoff protocol significantly improved team handoff communication and involvement in the SICU

Recommendations

Healthcare professionals should use insights from the research to create structured handoff protocols.

Healthcare professionals should use standardized handoff protocols in the perioperative care.

Healthcare workers should consider the above factors when designing and implementing handoffs structures.

Healthcare professionals should utilize handoff standardization for improved communication and involvement.

Explanation of How the Article Supports EBP/Capstone Project

The article provides insights into how handoff protocols are evaluated

The article provides insight into the effectiveness of standardized handoff protocols

The article provides insight into factors I should consider while implementing the proposed change.

The study helps establish the effectiveness of a standardized handoff protocol, thus supporting my proposed change.

Criteria

Article 5

Article 6