Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.25(3) > 1058074

Jeoung, Bak, Lee, Park, Jin, Lee, Kang, and Sok: Effects of an Education Program for Effective Nursing Intershift Handoff Communication on Nurses' Intershift Performance, Self-Efficacy, and Interrelationship Stress among Clinical Nurses: A Pilot Study



The purpose of this study was to examine the effects of an education program for effective nursing intershift handoff communication (NIHC) on nursing intershift performance, self-efficacy, and interrelationship stress among clinical nurses.


The study was a pilot study using a one-group pretest-posttest design. Participants were 40 clinical nurses from Seoul/ Gyeonggi Province. The handoff dialogue pattern was developed by three professors and one doctoral student in 2014, and was based on an education program for effective (NIHC) from dialogue analysis. The education program as an experimental treatment was provided for 3 1/2 hoursto clinical nurses. Measures included nursing intershift performance scale, self-efficacy scale, and interrelationship stress scale. Collected data was processed and analyzed with SPSS PC+ Version 21.


There were significant differences in nursing intershift performance (hand over: t=-12.18,p<.001; undertaking: t=-6.88, p<.001), self-efficacy (hand over: t=9.42, p<.001; undertaking: t=8.13, p<.001), and interrelationship stress (hand over: t=11.46, p<.001; undertaking: t=10.49, p<.001) between pre and post-test.


Findings indicate that this education program can be utilized as a manual, and can be applied to improve nursing intershift performance and self-efficacy, and to decrease interrelationship stress for effective (NIHC) among clinical nurses. Findings will also help to reduce incorrect performances and increase work efficiency in clinical practice for nurses.

Figures and Tables

Figure 1

Phase pattern of the shift change dialogue between nurses.

Table 1-1
Table 1-2
Table 2

Flow Diagram of Experimental Intervention

Table 3

General Characteristics of Study Participants

Table 4

Effects on Nursing Intershift Performance

Table 5

Effects on Self-efficacy and Interrelationship Stress



This work was supported by the National Research Foundation of Korea Grant funded by the Korean Government (NRF-2012-S1A5A2A03- 034687)

CONFLICTS OF INTEREST The authors declared no conflict of interest.


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