ClinicalQuestion            Communication between nurses comprisesthe transfer of essential information, which can be vital to the patient’srecovery. Furthermore, Handover responsibility of patient is essential to securecontinuity of care, treatment and patient’s safety (Kohn,2009). For this reason, an effective communication between health careproviders is an integral component on patient’s recovery during the postoperativeperiod that will improve patient’s outcomes and enhance health care delivery.             Ineffective communication, duringpostoperative, among nurses become a problem as it contribute to breaches inpatient’s care.

Turning into a significantproblem leading to a fragmentationon care plan, increasing the risk of medical errors, poor quality care and contributingto other adverse outcomes during the postoperative period, such as; wrongpatient, wrong medication administration, and patient deaths due to misinformationand poor care coordination (IOM, 2009). Inthe hope to support safety, to guaranty good patient center care, improve nursecommunication and reduce medical errors during the provision of treatment atpostoperative, the implementation of “standardized approach to handoffcommunication” (JCAHO, 2006) was created and included as part of patient safetygoal. A good Handoff communication, as a part of practicing nurse, should beperformed at bedside to promotes communication and should convey essentialpatient health information to meet therapeutic goals and  assure patient’s safety during postoperative .

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            Different organizations providestatistics about the impact of communication on patient safety during thepostoperative handover.  As indicated onresearch done on 2005 by Joint Commission, 70% of sentinel events wereinitiated by a failure on communication, where more than half happened duringchange of shift between nurses. (JCAHO, 2006). Similarly, The Institute of Medicine,on its report from 2009 estimated that between 44,000 and 98,000 patients dieyearly because of medical errors triggered by a missed communication amonghealth care Providers (Kohn 2009).            Research studies using a mixed methods,applying a qualitative and quantitative approach, have been providing knowledgethat can be applied to the practice of nursing.

PICO (T) questions facilitatethe analysis and interpretation of bedside Handoffs communications, related toits impact on patient’s at postoperative unit.Population:Patient in the postoperative recovery unit.Intervention:Decrease patient time on postoperative unit, decreasing risk of complicationand improving patient outcomes.  Comparison:Patient on postoperative unit handover by telephone call.Outcome:Promote a better continuity of care, decreasing length of hospitalization.

Time:Admission to Hospital Discharge.            The purpose of this paper is to displayhow communication between nurses can compromise patient’s recuperation.  How the care of patients on post-operativeunit, can improve and assure better continuity of care, when the handoff communicationis done face to face, at bedside, versus when the handoff is skipped or donethrough a telephone call.Level of Evidence            Houser, (2018) claimed that in nursing practice is very importantthe use of cause and effect scientific study as part of evidence – basedpractice. This research project employed a therapy question with a quantitativeapproach to answer; how nursing actions can influence patientoutcome during the postoperative recuperation. The quantitative approach questionhelped to produce a statistical analysis to show that the sentinel events werelinked to miscommunication among nurse during postoperative handover.

The best evidence to answer thequestion is obtain from the study report of  a reduction on information omission from 9 to3 % per hand over, reducing patient time on postoperative unit (Nagpal, 2013). Inthe same way, the qualitative approach involving nurses’ interviews overlapwith previous results; In this case, nurse perception about the importance ofbedside handoff showed an improvement, team work and nurse satisfaction scoreimproved to 4% (Nagpal, 2013).Search Strategy            The searchstrategy for this project begun with the identification of major conceptslinked to the clinical question. First, general data base utilizedwere Google Scholar and Chamberlain Library, where basic search terms related to searchtopic were input along with Boolean operators  to narrow the search; “Postoperativerecuperation and handoff”, AND “Post-operative care bedside Handover”, “Handoffat post-operative unit”, AND “Patient safety bedside handoff” . Then, process movedfrom broad to a more narrowed research, limiting sources to those supportedby reputable providers such as: ERIC Educational Resources Information,National Guidelines clearinghouse (AHRQ) and professional journals focus onnursing research and evidence based.

            In the process of refiningthe research results, filtering tools were applied to find onlyinformation relevant to handoffs at postoperative care. The results werelimited to specific dates – recent data, research with specific evidence and ableto demonstrates data results. Therefore, only Information obtained by scholarlyjournals databases CINAHL and PubMed were selected.            Finally, the twomost relevant and helpful articles to contribute to team project were selected.The first article, “Team Communication during Patient Handover, in the postoperative care unit” (Tanja, 2013) was used.This article utilizes a prospective observational fieldand presents the results using statistical data. In like manner, Nagpal (2013)”Improving postoperative handover” convey qualitative and quantitative data to portrayand prove the information presented on the article.

Both Articles exposed howeffective the use of mixed methods involving elements of quantitative andqualitative research can be. Indeed, both Articles provide effective guidelinesfor the group project because they portray the fluid and dynamic process thatcarry a research process.  Conclusion            A good search strategy should be done in a systematic way, with theobjective of be able to track down sources,find enough information, data and evidence to bearing on the researchtopic.

A good research project should be impartial, should have thecapacity to evidence the truth, and the effect, impact of handoffscommunication on a postoperative unit, as part of evidence practice. Therefore,it is important to gather and select quality and appropriate information from reputabledatabase that provides accurate information about handoffs communication on apostoperative unit, to be able to evaluate the topic as a part of practicingnurse