A scientometric analysis and visualization of prenatal attachment research: A global perspective.

Situation-Background-Assessment-Recommendation (SBAR) is a structured communication framework designed to improve the completeness, clarity, and consistency of clinical information transfer. It has been widely adopted in healthcare handover and escalation contexts because it encourages clinicians to communicate the current situation, relevant background, clinical assessment, and recommended actions in a concise sequence. In pediatric wards, where disease progression can be rapid and symptom presentation may be atypical, structured communication is particularly important for maintaining continuity of care. Pediatric Early Warning Score (PEWS) systems provide a quantitative approach to recognizing early physiological deterioration in children. The Brighton PEWS and related pediatric early warning tools have been used to support timely risk recognition, escalation, and decision-making. Integrating PEWS into bedside handover may help nurses communicate not only descriptive information, but also risk-stratified assessment of a child’s current clinical status. Electronic handover tools can reduce repetitive documentation and improve the standardization of information transfer by extracting selected clinical information from hospital information systems (HIS). However, many electronic handover forms remain based mainly on routine items and local experience rather than on a structured communication framework and validated early warning assessment. Studies combining SBAR, early warning scoring, handover templates, and information technology remain limited, especially in pediatric inpatient settings.