Standardisation and structuring of nursing handover in paediatric inpatient care : A quasi-experimental study
Buck Sainz Rozas, Pablo (Hospital Universitari Vall d'Hebron)
García Fernández, Laia (Hospital Universitari Vall d'Hebron)
Duque Domínguez, Marina (Hospital Universitari Vall d'Hebron)

Data:	2026
Resum:	Purpose To evaluate the effectiveness of a structured handover tool implemented in paediatric inpatient care. Poor communication during clinical handovers can compromise patient safety. The Situation, Background, Assessment, Recommendation tool adapted for Paediatric Inpatient Care (SBAR-HP) was designed to standardise and improve this process by addressing common barriers such as omission of critical information and lack of structure. Methods A pre-post quasi-experimental study was conducted at Vall d'Hebron Barcelona Hospital Campus using the Handoff CEX Scale to assess quality, adherence, and satisfaction before and after implementing the SBAR-HP. Descriptive analyses and the Wilcoxon test were used to evaluate pre-post changes, alongside a logistic regression model. Results A total of 110 nurses participated before the implementation and 81 afterwards. Of the total participants, 92. 7 % were women, with a mean age of 31. 1 years (SD = 9. 1). Handover quality improved significantly following the introduction of SBAR-HP: the setting dimension rose from 3. 8 to 5. 3 (p < 0. 00001), organisation from 5. 9 to 6. 7 (p = 0. 00354), and overall quality from 51. 5 to 69 (p < 0. 00001). A total of 70. 3 % rated their adherence as ≥7/9, and 71. 6 % positively assessed its applicability. A positive correlation was observed between self-assessed performance and handover quality, supporting the tool's effectiveness in structuring the process. Conclusion The SBAR-HP is an effective tool for structuring nursing handovers, fostering clear and safe communication in paediatric settings. Its adoption may enhance both patient safety and staff satisfaction. Implications for practice Implementing the SBAR-HP tool in paediatric settings may enhance handover quality, promote safer communication among nurses, and foster a culture of structured clinical exchange.
Ajuts:	Spanish General Council of Nursing Foundation Instituto Español de Investigación Enfermera
Nota:	This study was supported by the Spanish General Council of Nursing and the Foundation Instituto Espa\u00F1ol de Investigaci\u00F3n Enfermera (2023).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Patient safety ; Patient handover ; Communication ; Nurses ; Paediatrics ; Reference standards
Publicat a:	Journal of Pediatric Nursing, Vol. 86 (January 2026) , p. 324-330, ISSN 1532-8449

DOI: 10.1016/j.pedn.2025.11.028

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