Abstract
INTRODUCTION: Shift handover is a critical moment for continuity of care in healthcare. In nursing, this process requires clear, objective communication free from omissions, and it is frequently associated with the occurrence of adverse events and care failures. Standardization of handover through structured tools has been recommended as a strategy to minimize errors and enhance patient safety. Several studies have explored the impact of protocols, checklists, and technologies on improving shift handover quality, as well as the active participation of patients in this process. Considering the relevance of this practice for safe and efficient care, it is essential to understand how standardization can positively influence clinical outcomes and strengthen the culture of safety in healthcare services. OBJECTIVES: To identify national and international literature evidence demonstrating that standardization of nursing shift handover prevents errors in the care process. METHOD: This is an integrative literature review conducted according to PRISMA guidelines. The search was performed in PubMed/MEDLINE, Virtual Health Library (BVS), Web of Science, CINAHL, and Scopus (Elsevier), using the descriptors: “Communication,” “Checklist,” “Handover,” “Nursing, Team,” and “Inpatients.” Studies published between 2019 and 2024, available in full text, in Portuguese or English, and directly addressing nursing shift handover were included. After critical reading and data extraction, studies were categorized according to objective, method, main findings, use of standardized tools, technology, and patient participation. RESULTS: Twelve studies were included, presenting different methodological approaches, including qualitative studies, observational studies, simulations, and conceptual analyses. The use of standardized tools such as the ISBAR protocol, checklists, and digital applications was found to improve information organization, enhance communication among professionals, and reduce omissions. Technology was identified as an important facilitator, especially when integrated into handover processes involving patient participation. However, some studies revealed limitations in the implementation of these tools, such as low adherence, lack of training, or insufficient team awareness. Patient involvement remains limited, although it shows benefits when applied. Overall, the studies converge on the importance of standardization as a safety strategy and the need for an organizational culture that supports effective communication in nursing care. DISCUSSION AND CONCLUSIONS: Standardization of shift handover is an essential practice for ensuring patient safety in nursing care. The use of structured protocols promotes clear communication and continuity of care, reducing failures. Technology can enhance this process, especially when combined with patient participation. However, its effectiveness depends on team training and institutional engagement. It is concluded that the adoption of standardized practices is a strategic measure to improve care quality and prevent avoidable errors in healthcare services.
