J Korean Acad Fundam Nurs.  2021 Feb;28(1):1-10. 10.7739/jkafn.2021.28.1.1.

Effects of Handoff Education using Concept Mapping and PASS-BAR

Affiliations
  • 1Nurse, Chilgok Kyungpook University Hospital, Daegu, Korea
  • 2Associate Professor, College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea

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.

Keyword

Education; Handoff; Nurses; Patient safety; Randomized controlled trial; 인수인계, 환자안전, 간호사, 교육, 무작위실험연구
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