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

• Kim H
• Kwon SH

• KMID: 2513306
• DOI: http://doi.org/10.7739/jkafn.2021.28.1.1

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