ISBAR: A Handover Nursing Strategy in Emergency Departments, Scoping Review

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Feb 10

PMID 38338283

Authors

Veronica Chaica

Rita Marques

Patricia Pontifice-Sousa

Affiliations

Soon will be listed here.

Abstract

The present work aims to map the available scientific evidence on the benefits of using the ISBAR tool in the nursing care of acutely ill adult patients' handover in an emergency department context. To this end, a scoping review was conducted, according to the guidelines proposed by the Joanna Briggs Institute (JBI), to answer the following research question: "What are the benefits of using the ISBAR tool in the nursing care of acutely ill adult patients' handover in an emergency department context?" The bibliographic search was carried out during August and September 2023 in the following electronic databases: CINAHL Complete; MEDLINE Complete; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; and Cochrane Methodology Register. Only works published between 2013 and 2023 were deemed fit for inclusion. All the included studies (9) show that ISBAR methodology, as a standardized tool for transferring nursing care in the emergency service, allows for a safe, clear, and concise transition of nursing care. The benefits relate to patient and professional safety, continuity, and quality of care, as well as patient and professional comfort, with health gains.

Citing Articles

The Effects of an ISOBAR-Structured Patient Handover Conversation Between Rescue Services and Emergency Department Staff: The COPTER Trial.

Nuernberger M, Lang S, Maass T, Lehmann T, Brodoehl S, Lewejohann J J Am Coll Emerg Physicians Open. 2025; 6(1):100011.

PMID: 40012652 PMC: 11852710. DOI: 10.1016/j.acepjo.2024.100011.

Intrahospital Handovers before and after the Implementation of ISBAR Communication: A Quality Improvement Study on ICU Nurses' Handovers to General Medical Ward Nurses.

Reime M, Tangvik L, Kinn-Mikalsen M, Johnsgaard T Nurs Rep. 2024; 14(3):2072-2083.

PMID: 39311163 PMC: 11417951. DOI: 10.3390/nursrep14030154.

References

Campbell D, Dontje K . Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2018; 45(2):149-154. DOI: 10.1016/j.jen.2018.09.007. View

Bergs J, Lambrechts F, Mulleneers I, Lenaerts K, Hauquier C, Proesmans G . A tailored intervention to improving the quality of intrahospital nursing handover. Int Emerg Nurs. 2017; 36:7-15. DOI: 10.1016/j.ienj.2017.07.005. View

Bakon S, Craft J, Wirihana L, Christensen M, Barr J, Tsai L . An integrative review of graduate transition programmes: Developmental considerations for nursing management. Nurse Educ Pract. 2017; 28:80-85. DOI: 10.1016/j.nepr.2017.10.009. View

Marmor G, Li M . Improving emergency department medical clinical handover: Barriers at the bedside. Emerg Med Australas. 2017; 29(3):297-302. DOI: 10.1111/1742-6723.12768. View

Redley B, Botti M, Wood B, Bucknall T . Interprofessional communication supporting clinical handover in emergency departments: An observation study. Australas Emerg Nurs J. 2017; 20(3):122-130. DOI: 10.1016/j.aenj.2017.05.003. View

Fahim Yegane S, Shahrami A, Hatamabadi H, Hosseini-Zijoud S . Clinical Information Transfer between EMS Staff and Emergency Medicine Assistants during Handover of Trauma Patients. Prehosp Disaster Med. 2017; 32(5):541-547. DOI: 10.1017/S1049023X17006562. View

Tricco A, Lillie E, Zarin W, OBrien K, Colquhoun H, Levac D . PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018; 169(7):467-473. DOI: 10.7326/M18-0850. View

De Meester K, Verspuy M, Monsieurs K, Van Bogaert P . SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Resuscitation. 2013; 84(9):1192-6. DOI: 10.1016/j.resuscitation.2013.03.016. View

Smith C, Buzalko R, Anderson N, Michalski J, Warchol J, Ducey S . Evaluation of a Novel Handoff Communication Strategy for Patients Admitted from the Emergency Department. West J Emerg Med. 2018; 19(2):372-379. PMC: 5851513. DOI: 10.5811/westjem.2017.9.35121. View

10.

Ehlers P, Seidel M, Schacher S, Pin M, Fimmers R, Kogej M . Prospective Observational Multisite Study of Handover in the Emergency Department: Theory versus Practice. West J Emerg Med. 2021; 22(2):401-409. PMC: 7972381. DOI: 10.5811/westjem.2020.9.47836. View

11.

Dojmi Di Delupis F, Mancini N, di Nota T, Pisanelli P . Pre-hospital/emergency department handover in Italy. Intern Emerg Med. 2014; 10(1):63-72. DOI: 10.1007/s11739-014-1136-x. View

12.

Dahlquist R, Reyner K, Robinson R, Farzad A, Laureano-Phillips J, Garrett J . Standardized Reporting System Use During Handoffs Reduces Patient Length of Stay in the Emergency Department. J Clin Med Res. 2018; 10(5):445-451. PMC: 5862093. DOI: 10.14740/jocmr3375w. View

13.

Bakon S, Millichamp T . Optimising the emergency to ward handover process: A mixed methods study. Australas Emerg Nurs J. 2017; 20(4):147-152. DOI: 10.1016/j.aenj.2017.10.001. View