I-Corps: Mobile App for Nursing Handoff for Use in Education and Practice

该I-Corps项目的更广泛影响/商业潜力是为护理人员开发有效的电子解决方案，以支持准确的患者信息交换，促进护理点的信息访问，消除冗余文档，并提高患者安全性和护理质量。医疗保健中的信息传递被定义为在患者过渡期间在医疗保健提供者之间传递重要患者信息的通信过程。护理交接班教育的重要性得到了证实，研究发现，8名新护士中有7名在实践中发生了护理交接班失败的未遂事件和不良事件。然而，在护理教育中很少有交接班培训，这些培训是有限的或不切实际的。创建可靠和可重复的护理专家的挑战导致学生和新手护士在导航和收集患者病情信息方面的能力发展延迟，对患者治疗产生负面影响。移动的护理交接应用程序可以作为一种具有成本效益和方便的工具，以提供在教育环境中学习和实践护理交接的机会。一个移动的护理交接应用程序，设计与循证的，结构化的内容将促进适当的临床判断，并确保准确性，完整性和一致性在交接communication.This I-Corps项目是基于一个移动的应用程序的开发，护理交接通信，使护士查看和编辑电子病人数据。响应式网页设计是建立在这个应用程序上使用各种尺寸的移动的设备。在医疗保健行业中，存在用于切换通信的多种结构或格式;然而，在这些工具中包括的信息中存在不一致性。这种不一致性对于学生或新手护士来说是一个特别的问题，他们可能难以识别需要捕获和报告的必要评估参数。该应用程序集成了护理证据和知名的临床护理实践模型，以支持对患者进行全面，系统和实用的评估。 该应用程序促进可靠的，可重复的护理工作。该应用程序有一个评级系统来评估和报告患者的病情，并提供颜色警报来突出关键问题。文本数据输入字段使护士能够添加注释并传达护理优先级。随着患者病情的变化，通过稽查跟踪更新信息。该应用程序的功能帮助护士处理重要和紧急的病人护理元素，并支持有效和准确的床边护理交接，从而提高病人的安全性。该奖项反映了NSF的法定使命，并通过使用基金会的智力价值和更广泛的影响审查标准进行评估，被认为值得支持。

The broader impact/commercial potential of this I-Corps project is the development of an effective electronic solution for nursing handoffs to support accurate patient information exchange, facilitate information access at the point-of-care, eliminate redundant documentation, and increase patient safety and quality of care. Handoff in health care is defined as the communication process that transfers essential patient information among healthcare providers during patient transitions in care. The importance of nursing handoff education is validated by research findings that handoff failures have been implicated in seven out of eight novice nurses' near miss and adverse events in practice. However, there have been few handoff trainings in nursing education and these are limited or unrealistic. The challenge of creating reliable and repeatable nursing handoffs has led to delays in the competency development of students and novice nurses in navigating and collecting patient condition information, negatively impacting patient treatments. A mobile nursing handoff app may serve as a cost-effective and handy tool to provide opportunities to learn and practice nursing handoffs in an educational setting. A mobile nursing handoff app, designed with evidence-based, structured content will foster appropriate clinical judgment and ensure accuracy, completeness, and consistency in handoff communication.This I-Corps project is based on the development of a mobile app for nursing handoff communications, allowing nurses to view and edit electronic patient data. Responsive web design is built in this app to be used on diverse range of sizes of mobile devices. There are multiple structures or formats for handoff communication in the health care industry; however, there are inconsistencies in the information included in these tools. This inconsistency is a particular problem for students or novice nurses who may have difficulty in identifying the necessary assessment parameters that need to be captured and reported. This app integrates nursing evidence and a well-known clinical nursing practice model to support holistic, systematic, and practical assessments of patients. The app promotes reliable, reproducible nursing handoffs. The app has a rating system to assess and report patient acuity, and color alerts to highlight key concerns. The text data entry fields enable nurses to add notes and communicate priorities in care. Information is updated as the patient condition changes with an audit trail. The features of the app help nurses attend to significant and urgent elements of patient care and support effective and accurate nursing handoff at the bedside, leading to an increase in patient safety.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.