Ismbar Framework Essay

According to the Australian Commission on Safety and Quality in Health Care or ACSQHC, it has been estimated that up to 70% of errors and adverse events involve poor communication during handover (ACSQHC 2012, p. 7). In responding to that concern, our hospital has just started implementing a standardised tool for bedside handover in compliance to the policy directive, however this has created doubts on its effectiveness. In exploring different findings, it will provide a better evidence and understanding of the efficacy of bedside handover utilising ISBAR framework. The ACSQHC (2012) described the bedside handover as an interactive communication between nurses and patient through the gathering of relevant information in providing continuity
of care. There are many instances that miscommunication during handover have resulted in an unanticipated event, especially when important information was missed. It has been emphasised by ACSQHC (2012) that bedside handover is very important because it is a time when vital information about a patient is handed over to the incoming nurse. Furthermore, it has been identified that if bedside handover is practised, it can minimise or prevent communication errors and will achieve patient safety and satisfaction (ACSQHC 2012). It can be achievable by using Identity, Situation, Background, Assessment and Recommendation or ISBAR framework to deliver a clear communication. As defined by the World Health Organisation or WHO, ISBAR is the tool for an effective communication among patients and healthcare provider (WHO, 2016). If the implementation of ISBAR tool is maximise during bedside handover, there could be a positive outcome that can result to the patient satisfaction that will prevent mistakes and will improve patient safety.

Bedside handover using ISBAR among nurses and adult patients in surgical ward.
Bedside handover using ISBAR.
No comparison.
To determine the efficacy of bedside handover in patient’s care and safety.

In surgical ward, how effective is bedside handover with the utilisation of ISBAR in the management of patient’s safety and satisfaction?

This study is desirable to use, because the majority of the results can give a solid evidence for any speculation from the research question, which has the highest quality of evidence. Berlin and Golub 2014 claimed that using this type of study could be the best possible source of evidence to inform decision making. At the same time, all the integrated findings from various studies can be looked at to enhance our understanding about the topic.
This study is great to use, because it carried out a completely open and explicit approach, which minimises any biases.
At the same time, it is applicable to a day-to-day practice and most often the authors will include the implication of the results from the study that can be use as evidence.
This study is best to use, because this can reliably identify whether the effectiveness of the bedside handover using ISBAR is better than the standard. Also, ACN 2016 described this type of study as the ‘golden standard’ or the best evidence to explore a study in connection to the viability of an intervention.
This study is good to use, because it can provide detailed information about the effectiveness of bedside handover and its influence in nursing care. Moreover, it can be use retrospectively to allow us to go backward in time and identify the effectiveness of the intervention before and at the present time with the available evidences.
This study is satisfying as an additional support, because this will be helpful in providing additional information or evidence from an expert opinion on the impact of bedside handover. According to ACN (2016) this type of study can be use as the basis to our practice if the research no available evidence; but a thorough evaluation is recommended if using this type of study to produce better
evidence.