SWITCH checklist 활용이 수술실 간호사의 의사소통 능력, 인수인계 만족도, 인수인계 자기효능감, 수술간호업무성과에 미치는 효과

Abstract

Purpose The study aimed to investigate the SWITCH (Surgical procedure, Wet, Instruments, Tissue, Counts, Have you any questions?) checklist’s effect on operating room nurses’ communication ability, handoff satisfaction, handoff self-efficacy, and surgical nursing performance.

Method This study employed a non-synchronized control group pre-post test design. The experimental group was introduced to a standardized handoff protocol called the SWITCH checklist program, containing one session education, motivation by unit managers, alarm message using social network service, and self-checklist. The control group took over the conventional handoff process. After a 4-week intervention, the participants answered structured questions on communication ability, handoff satisfaction, handoff self-efficacy, and surgical nursing performance. Descriptive statistics, Chi-square test, Fisher’s exact test, and independent t-test were used.

Result No statistical differences existed between the two groups in the baseline data of demographics and the study variables. The experimental group demonstrated significantly higher handoff satisfaction (p= .001), handoff self-efficacy (p= .005), and surgical nursing performance (p< .001) than the control group. No statistically significant difference in the level of communication ability existed between the two groups.

Conclusion Implementing the SWITCH checklist improved handoff satisfaction, handoff self-efficacy, and surgical nursing performance. Standardized handoff tools can aid in-person training and bedside handoffs of operating room nurses. For improving the adaptability of standardized handoff, it is important to incorporate various interventions such as unit managers’ participation, use of alarming messages, and submission of self-checklist.