First Advisor

McNeill, Jeanette

Degree Name

Master of Science

Document Type

Thesis

Date Created

12-2019

Department

College of Natural and Health Sciences, Nursing, Nursing Student Work

Abstract

The purpose of this study was to investigate nurses’ perceptions before and after applying “I Pass (The) Baton” at University Medical Center at Ho Chi Minh City in Vietnam. Hand-off relates to transmission of patient information across clinical teams. This process required a standardized communication framework to avoid medical gaps related to the loss of vital information and emphasize patient safety. The quasi experimential method with an educational intervention to explore nurses’ awareness was evaluated by the TeamSTEPPS Perception Questionaire (Agency for Healthcare Research and Quality, 2012). This questionnaire included items on the Team Strucutre, the Leadership, the Situation Monitoring, the Mutual Support and the Communication components. Participants included 29 registered nurses in the Neurological Department and the Hepato Biliary Pancreatic Surgery Department. These participants completed TeamSTEPPS Perception surveys before and after learning “I Pass (The) Baton.” One nurse did not complete the survey after the training class. Overall mean scores utilizing the TeamSTEPPS Perception Questionaire (AHRQ, 2012) on a 5-point Likert scale for pre and post educational interventions were 3.87 ± 0.395 and 4.31 ± 0.457 (p = .003), respectively. Before and after the “I Pass (The) Baton” education, the Leadership component showed significant changes with t = - 2.829, p = .009 (p < .01) as well as the Situation Monitoring comparison, t = - 4.418 , p0.05. Cronbach’s Alpha reliability test of the TeamSTEPPS Perception Questionaire in Vietnamese was 0.915. Findings from this study suggested the “I Pass (The) Baton” might be an effective mnemonic communication tool that would support nurses to transmit brief and vital data as well as focused patient information in order to keep patients safe during care transitions. Direct observations would be implemented in the same groups of nurses used in this the study to investigate benefits and disadvantages of this tool in their hand-offs. Further, this study might be a first step to develop “I Pass (The) Baton” as an effective tool in bedside hand-offs at University Medical Center. Future projects in communication improvement would not only enhance nurses’ competence in teamwork but also eliminate medical errors from poor hand-offs.

Extent

73 pages

Rights Statement

Copyright is held by the author.

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