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Developing a Standardized Tool to Improve Nurse Communication During Shift Report

Jukkala, Angela M. PhD, RN, CNL, CNE; James, David DNP, MSN, RN; Autrey, Pamela PhD, MSN, MBA, RN; Azuero, Andres PhD; Miltner, Rebecca PhD, RNC

doi: 10.1097/NCQ.0b013e31824ebbd7

Standardization of communication has been suggested as an effective approach to improve communication during patient handoffs such as shift report. Using the clinical microsystem framework, unit leaders and nursing staff developed and pilot tested the medical intensive care unit communication tool. Findings from the pilot study indicated that perceived communication among nurses in general and communication specific to shift report improved significantly following implementation of the tool.

School of Nursing, University of Alabama at Birmingham (Drs Jukkala, Azuero, and Miltner), and University of Alabama at Birmingham Hospital (Drs James and Autrey), Birmingham.

Correspondence: Angela M. Jukkala, PhD, RN, CNL, CNE, School of Nursing, University of Alabama at Birmingham, 312 School of Nursing Bldg, 1701 University Blvd, Birmingham, AL 35294 (

The authors declare no conflict of interest.

Accepted for publication February 6, 2012

Published online before print: March 20, 2012.

© 2012 Lippincott Williams & Wilkins, Inc.