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Análisis de transferencia por los equipos de enfermería de pacientes complejos hospitalizados en Medicina Interna.

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Title: Análisis de transferencia por los equipos de enfermería de pacientes complejos hospitalizados en Medicina Interna.
Alternate Title: Analysis of handover of complex hospitalised patients by nursing teams in Internal Medicine.
Authors: Roldán-Valcárcel, María Dolores1,2 mdroldanvalcarcel@gmail.com, Veiga Rodríguez, María3, Ruiz Merino, Guadalupe4
Source: Enfermería Global. ene-abr2026, Vol. 25 Issue 1, p1-18. 18p.
Subjects: CROSS-sectional method, HOSPITAL nursing staff, HOSPITAL care, SCIENTIFIC observation, QUESTIONNAIRES, CONTINUUM of care, DESCRIPTIVE statistics, QUANTITATIVE research, AGE distribution, WORK experience (Employment), LONGITUDINAL method, INTERNAL medicine, NURSES' attitudes, RESEARCH, RESEARCH methodology, COMMUNICATION, DATA analysis software, SHIFT systems
Geographic Terms: SPAIN
Abstract (English): Introduction: Currently, nursing teams lack standardised tools to ensure patient handovers during shift changeovers and to guarantee continuity of care, particularly for highly complex patients. This issue prompts reflection on shift changeovers with regard to patient safety. Objectives: To analyse the perceptions of nursing team professionals regarding the handover of complex chronic patients (PCC) hospitalised in internal medicine units in the Region of Murcia. Method: Multicentre, descriptive, observational, prospective and cross-sectional study with a quantitative approach. An adapted questionnaire was administered to nursing teams in internal medicine units across the Region of Murcia. Sociodemographic, work-related and perception variables were analysed using descriptive and inferential statistics (p<0.05) with SPSS 23.0. Results: Of the 244 participants, 85% believed they performed patient handovers correctly; however, 84.83% felt that handovers could be improved for more complex patients. The majority of participants were women (88.11%), over 40 years of age (68.4%), and working 12-hour shifts (82.4%). Significant associations were found between years of experience and the appropriateness of the handover location; between being a nurse and forgetting information after a night shift; and between working 12-hour shifts or holding a supervisory position and the need to contact others due to missing information. Conclusions: The findings reveal a positive yet insufficient perception of the handover process. Standardisation of information transfer for complex patients, together with the establishment of multidisciplinary teams, is required to strengthen patient safety and ensure continuity of care. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: Actualmente los Equipos de Enfermería no disponen de herramientas estandarizadas que aseguren la transferencia de pacientes en los pases de guardia y que garanticen la continuidad de la atención al paciente, sobre todo cuando son de alta complejidad. Lo que nos lleva a reflexionar sobre los cambios de turno por la seguridad del paciente. Objetivos: Analizar la percepción de los profesionales de los Equipos de Enfermería en la transferencia que realizan de pacientes crónicos complejos (PCC) Hospitalizados en Medicina Interna de la Región de Murcia. Método: Estudio multicéntrico, descriptivo, observacional, prospectivo y transversal, con enforque cuantitativo. Se aplicó un cuestionario adaptado a los Equipos de Enfermería de las Unidades de Medicina Interna de la Región de Murcia. Se analizaron variables sociodemográficas, laborales y percepciones mediante estadística descriptiva e inferencial (p<0,05) con SPSS 23.0. Resultados: De los 244 participantes, el 85% creen hacer correctamente la transferencia, pero un 84,83% opina que puede mejorarse en pacientes más complejos. Predominaron mujeres (88,11%), mayores de 40 años (68,4%), y profesionales con turno de 12 horas (82,4%). Se hallaron asociaciones significativas entre años de experiencia y adecuación del lugar de relevo; ser enfermera y olvidar datos tras turno nocturno; y entre turnos de 12 horas/supervisión con la necesidad de contactar por déficit informativo. Conclusiones: Los resultados revelan una percepción positiva, pero insuficiente. Se requiere estandarizar la transferencia de información en pacientes complejos, y conformación de equipos multidisciplinares, para fortalecer la seguridad y continuidad asistencial. [ABSTRACT FROM AUTHOR]
Copyright of Enfermería Global is the property of Servicio de Publicaciones de la Universidad de Murcia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Introduction: Currently, nursing teams lack standardised tools to ensure patient handovers during shift changeovers and to guarantee continuity of care, particularly for highly complex patients. This issue prompts reflection on shift changeovers with regard to patient safety. Objectives: To analyse the perceptions of nursing team professionals regarding the handover of complex chronic patients (PCC) hospitalised in internal medicine units in the Region of Murcia. Method: Multicentre, descriptive, observational, prospective and cross-sectional study with a quantitative approach. An adapted questionnaire was administered to nursing teams in internal medicine units across the Region of Murcia. Sociodemographic, work-related and perception variables were analysed using descriptive and inferential statistics (p<0.05) with SPSS 23.0. Results: Of the 244 participants, 85% believed they performed patient handovers correctly; however, 84.83% felt that handovers could be improved for more complex patients. The majority of participants were women (88.11%), over 40 years of age (68.4%), and working 12-hour shifts (82.4%). Significant associations were found between years of experience and the appropriateness of the handover location; between being a nurse and forgetting information after a night shift; and between working 12-hour shifts or holding a supervisory position and the need to contact others due to missing information. Conclusions: The findings reveal a positive yet insufficient perception of the handover process. Standardisation of information transfer for complex patients, together with the establishment of multidisciplinary teams, is required to strengthen patient safety and ensure continuity of care. [ABSTRACT FROM AUTHOR]
ISSN:16956141
DOI:10.6018/eglobal.683591