Effect of Management Intervention Program on Intensive Care Unit Staff Nurses’ Shift Change Process at El Menshawy Hospital

Souma, Lamiaa Ashour Ibrahim; Shaaban, Foauda Mohammed; Eid, Walaa Mostafa

doi:10.21608/tsnj.2023.298500

Effect of Management Intervention Program on Intensive Care Unit Staff Nurses’ Shift Change Process at El Menshawy Hospital

Document Type : Original Article

Authors

¹ Nursing Specialist Elmenshawy Hospital, Egypt

² Professor, Nursing Service Administration, Faculty of Nursing Tanta University, Egypt

³ Assist. Professor Nursing Service Administration, Faculty of Nursing Tanta University, Egypt

10.21608/tsnj.2023.298500

Abstract

Background: Shift change is a nursing care process, and communication core element in this
process especially during the transfer of information. Steps of shift change process include
identification, situation, background, assessment and recommendation play an important role
in transferring responsibility and accountability in patient care from outgoing shifts to
incoming shifts. Unfortunately shift change shift change education still nonexistent or
inadequate. Objective: The aim of study was to determine effect of intervention management
program on ICUs staff nurses’ shift change process at El Menshawy Hospital. Method:
Design Quasi-experimental research design was used Setting The study was conducted in all
intensive care units (ICUs) of El Menshawy General Hospital. Subject: consisted of all
(n=164) nurses working in ICUs. Tools: Two tools were used for collecting data (1) Structure
Knowledge Questionnaire (2) Staff Nurses Perception about Shift Change Process
Performance. Results: staff nurses 95.1% had poor level of knowledge and 72.0% of staff
nurses had low level of perception about shift change process performance. Post management
intervention program staff nurses 70 %, 83.5% showed overall knowledge and high level of
perception about performance of shift change respectively. There was statistically significant
positive correlation between staff nurse total knowledge and perception of all dimensions of
shift change process preprogram and post program at (p=0.001). Except task management
dimensions showed no significant correlation. Conclusion: Staff nurses required to
communicate accurate and concise information, which can be easily understood by both the
outgoing nurse and the incoming to ensure the continuity and safety of patient care.
Recommendation: Staff nurses need restrict supervision and motivation by head nurses for
performing shift change process.