{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:02:17Z","timestamp":1790395337882,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Poor handovers from ICU to general surgical wards cause communication and teamworking challenges, loss of information, readmission to the ICU within 48\u2009h and increased hospital stay and may result in unexpected death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The primary aim of this research was to evaluate the effects of implementing a standardized patient handover process, supported by a structured handover checklist, on postoperative handovers from the Surgical Intensive Care Unit (SICU) to surgical wards among nurses. The secondary aim was to evaluate nurses' perceptions of the acceptability, feasibility and appropriateness of the standardized handover process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This study was conducted in the general surgery ICU (SICU) and the general surgical ward of a 900\u2010bed public hospital in T\u00fcrkiye. A total of 100 patient handovers from the SICU to the ward were observed (50 pre\u2010implementation, 50 post\u2010implementation). Following pre\u2010implementation data collection, nurses received training on the standardized handover process. Nurses completed validated implementation outcome surveys at 1\u2010 and 10\u2010month post\u2010implementation to evaluate the acceptability, feasibility and appropriateness of the handover standardization; they also completed a satisfaction questionnaire administered 1\u2010month post\u2010implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 39 nurses participated in the study. Following implementation of the standardized handover, coverage of patient care elements increased, with the largest and statistically significant improvements with significant improvements in patient identification and drain\/catheter information (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Handover duration increased, but the difference was not statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.051). Interruptions were observed in 50% of handovers before implementation and in 48% of handovers after implementation. Nurses reported high satisfaction with the standardized handover process and perceived implementability\u2014including acceptability, feasibility and appropriateness\u2014was high at both 1\u2010 and 10\u2010month post\u2010implementation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The implementation of a standardized patient handover process improved information transfer and was perceived as satisfactory, acceptable, feasible and appropriate by nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>This study is relevant to clinical practice as it presents a newly developed, effective and implementable SICU\u2010to\u2010ward handover strategy for nurses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70703","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:45:36Z","timestamp":1790394336000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving Handover From Intensive Care Units to Surgical Wards Using a Standardized Patient Handover Process: A Prospective Clinical Quality Improvement and Implementation Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2117-1952","authenticated-orcid":false,"given":"Ebru","family":"\u00d6nler","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Tekirda\u011f Nam\u0131k Kemal University  Tekirda\u011f Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1377-1026","authenticated-orcid":false,"given":"Fatma Nair","family":"Akta\u015f","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Tekirda\u011f Nam\u0131k Kemal University  Tekirda\u011f Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Hull","sequence":"additional","affiliation":[{"name":"Diabetes Research Centre, College of Life Sciences University of Leicester  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep","family":"Sekhon","sequence":"additional","affiliation":[{"name":"Population Health Research Institute, City St George's University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7560-8924","authenticated-orcid":false,"given":"Nick","family":"Sevdalis","sequence":"additional","affiliation":[{"name":"Centre for Behavioural and Implementation Science Interventions (BISI), Yong Loo Lin School of Medicine National University of Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13377"},{"key":"e_1_2_14_3_1","volume-title":"Elevate Patient Safety with Structured Hand\u2010Off Protocols [Internet]","author":"AORN","year":"2024"},{"key":"e_1_2_14_4_1","volume-title":"Sentinel Event Alert 58: Inadequate Hand\u2010Off Communication [Internet]","author":"The Joint Commission","year":"2017"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14871"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010015\u20103666\u20108"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14254"},{"key":"e_1_2_14_8_1","volume-title":"National Patient Safety Goals: Effective January 2026 for the Hospital Program [Internet]","author":"The Joint Commission","year":"2026"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2374373521997733"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13037\u2010021\u201000299\u20101"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12936"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2014.09.007"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12276"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.01.001"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000530248.45711.60"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00101\u2010016\u20100237\u20105"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14288"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010016\u20101958\u20105"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488\u2010010\u20100319\u20107"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010023\u201001286\u2010z"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2018.03.009"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2016090"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2017.04.002"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000335"},{"key":"e_1_2_14_25_1","volume-title":"SBAR Communication Technique [Internet]","author":"Institute for Healthcare Improvement","year":"2017"},{"key":"e_1_2_14_26_1","volume-title":"WHO Patient Safety Solutions. Communication During Patient Handovers [Internet]","author":"World Health Organization","year":"2007"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20147"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744\u20106570.1975.tb01393.x"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.05.006"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12575"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010017\u20102031\u20108"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201007577\u20103"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100635\u20103"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102014\u2010003903"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2014.07.015"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12330"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.755"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20101\u20101"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70703","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.70703","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.70703","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:45:38Z","timestamp":1790394338000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.70703"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,25]]},"references-count":37,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/nicc.70703"],"URL":"https:\/\/doi.org\/10.1111\/nicc.70703","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,25]]},"assertion":[{"value":"2026-04-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70703"}}