Application of optimized bedside handover process in holistic nursing with responsibility

Objective To discuss the methods and effect of optimized bedside handover process after implementation of holistic nursing with responsibility.Methods Totals of 41 wards in the Second Hospital of Hebei Medical University received optimized bedside handover,and self-designed questionnaire was used to investigate indexes including average time of handover,patients' satisfaction and nurses' awareness of responsibility before and after optimization,and to evaluate its effect.Results Average time of handover was (20.37 ± 3.81) min after optimization,obviously lower than before which was (47.51 ± 4.82) min,and the difference was statistically significant (t =28.91,P ＜ 0.01).Score of patients' satisfaction was (95.00 ± 7.53) after optimization and (91.97 ±7.87) before optimization,and the difference was statistically significant (t =4.82,P ＜0.01).Nurses awareness of responsibility was 86.00％ before optimization and 94.80％ after optimization,and the difference was statistically significant (x2 =18.36,P ＜ 0.01).Conclusions Optimized bedside nursing handover process can improve the pertinence and efficiency of nursing,patients' satisfaction and nurse management level,which is favorable for better quality nursing. Key words: Nursing evaluation;  Bedside handover process;  Holistic nursing with responsibility