4b952b3de245ab52e9c77cb0580f4ed4 327723.pdf 62a3e840c4bf122990b01d372ee5770505c08262 327723.pdf 501f4f8aa6478330265f3525bf1f559d9a7723509c7d748442052071fb4e8ca4 327723.pdf Title: Standardisation Strategies for Nursing Handovers in Paediatric Hospitalisation: A Scoping Review Subject: Background/Objectives: To identify existing evidence on strategies for standardising nursing handovers in paediatric hospital settings, given their impact on communication, safety, and quality of care. International bodies such as the WHO and The Joint Commission recommend standardisation as a key measure to reduce patient safety incidents. Methods: A scoping review was conducted in December 2022 using Medline, Cochrane Library, Scopus, and CINAHL databases. The search strategy included documents published between 2012 and 2022, in Spanish, English, Catalan, French, and/or Portuguese. We screened according to inclusion criteria (professional nurses and hospitalisation) and exclusion criteria (intensive care and medical professionals) and tabulated the results according to concurrent themes. The PRISMA-ScR guidelines were followed. Results: A total of 308 records were identified. After screening, 25 full-text articles were assessed for eligibility. Following quality appraisal, six were excluded for not meeting predefined criteria, resulting in 19 studies included in the final synthesis. The evidence mapped shows that most structured communication tools have been developed or validated in adult or medical contexts, with limited evaluation in paediatric nurse-to-nurse inpatient settings. Standardised structured communication tools used in hospital settings include SBAR, I-PASS, and Flex 11, while assessment instruments such as the Handoff CEX Scale and Handover Evaluation Scale have been applied to evaluate handover quality. Conclusions: Structured communication tools may contribute to improving information transfer and perceived quality of handover; however, paediatric nurse-specific evidence remains limited and frequently derives from non-nursing or adult contexts. Further adaptation and validation in paediatric inpatient nursing settings are required. Keywords: patient safety; patient handover; communication; nurses; paediatrics; reference standards Author: Pablo Buck Sainz-Rozas, Laia García Fernández and Marina Duque Domínguez Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25; modified using OpenPDF 1.4.2 CreationDate: Tue Mar 3 10:39:29 2026 CET ModDate: Tue Mar 3 10:42:53 2026 CET Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 648965 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- IDITXI+VnURWPalladioL Type 1 Custom yes yes yes 126 0 PNCMIT+URWPalladioL-Bold Type 1 Custom yes yes yes 127 0 JZWORV+URWPalladioL-Roma Type 1 Custom yes yes yes 128 0 HIANIP+URWPalladioL-Ital Type 1 Custom yes yes yes 129 0 ADCEOE+PalatinoLinotype TrueType WinAnsi yes yes no 243 0 ADCEOC+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 244 0 ADCEOA+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 245 0 PDTLUH+CMSY10 Type 1 Builtin yes yes yes 281 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-04-24 04:53:31 CEST RepresentationInformation: 327723.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-04-23 12:23:06 CEST Size: 648965 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 450 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Item: Title: Materials and Methods Children: Item: Title: Sources of Information and Search Strategy Item: Title: Inclusion and Exclusion Criteria Item: Title: Study Selection Process Item: Title: Tools for Assessing Quality and Risk of Bias Item: Title: Data Extraction and Synthesis Item: Title: Results Children: Item: Title: Selection of Studies Item: Title: Risk of Bias and Characteristics of the Studies Item: Title: Context of Evidence by Population and Professional Scope Item: Title: Discussion Children: Item: Title: Structured Communication Tools for Patient Handover Item: Title: Assessment of Patient Handovers Item: Title: Limitations Item: Title: Applicability Item: Title: Conclusions Item: Title: References Info: Title: Standardisation Strategies for Nursing Handovers in Paediatric Hospitalisation: A Scoping Review Author: Pablo Buck Sainz-Rozas, Laia García Fernández and Marina Duque Domínguez Subject: Background/Objectives: To identify existing evidence on strategies for standardising nursing handovers in paediatric hospital settings, given their impact on communication, safety, and quality of care. International bodies such as the WHO and The Joint Commission recommend standardisation as a key measure to reduce patient safety incidents. Methods: A scoping review was conducted in December 2022 using Medline, Cochrane Library, Scopus, and CINAHL databases. The search strategy included documents published between 2012 and 2022, in Spanish, English, Catalan, French, and/or Portuguese. We screened according to inclusion criteria (professional nurses and hospitalisation) and exclusion criteria (intensive care and medical professionals) and tabulated the results according to concurrent themes. The PRISMA-ScR guidelines were followed. Results: A total of 308 records were identified. After screening, 25 full-text articles were assessed for eligibility. Following quality appraisal, six were excluded for not meeting predefined criteria, resulting in 19 studies included in the final synthesis. The evidence mapped shows that most structured communication tools have been developed or validated in adult or medical contexts, with limited evaluation in paediatric nurse-to-nurse inpatient settings. Standardised structured communication tools used in hospital settings include SBAR, I-PASS, and Flex 11, while assessment instruments such as the Handoff CEX Scale and Handover Evaluation Scale have been applied to evaluate handover quality. Conclusions: Structured communication tools may contribute to improving information transfer and perceived quality of handover; however, paediatric nurse-specific evidence remains limited and frequently derives from non-nursing or adult contexts. Further adaptation and validation in paediatric inpatient nursing settings are required. 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