The nurses’ own views about the inter-shift handover process

Rikos, Nikos; Linardakis, Manolis; Economou, Charalampos; Rovithis, Michael; Philalithis, Αnastas

doi:10.1080/10376178.2019.1606723

Cited by 6 publications

(5 citation statements)

References 34 publications

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“…These second‐level indicators indicate the potential abilities to acquire knowledge and skills. The probability of medical disputes on night shifts is higher than that on day shifts; therefore, the nurses on night shifts must have good communication and coordination skills (Rikos et al, 2019 ). Personal trait‐related indicators also indicate the importance of recessive traits, which is in line with the connotation of the iceberg model.…”

Section: Discussionmentioning

confidence: 99%

Construction of a competency index system for shift nurses in China: A Delphi study

Liu,

Qiu,

Zhang

et al. 2023

Nursing Open

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To meet the requirements of the rapidly developing society, shift work has become more common. In the United States, the penetration rate of shift work is approximately 20%, and the healthcare sector is no exception (Gupta et al., 2019). Nurses account for approximately 50% of the workforce in the healthcare sector.Because of the particularity of their occupations, only a small number of nurses work fixed day shifts, with most nurses being rotating shift workers. Both day and night shifts are crucial for determining the quality of care services, thereby ensuring the health and safety of patients. Night shift nurses play an essential role in acute episodes

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Section: Discussionmentioning

confidence: 99%

Construction of a competency index system for shift nurses in China: A Delphi study

Liu,

Qiu,

Zhang

et al. 2023

Nursing Open

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“…The importance of utilizing a structured and logical handover process has also been emphasized in the literature not only for the quality of such a process but also for patients' safety. Leonardsen et al [36] and Rikos et al [37] stated that implementing a structured tool of communication that is based on a logical workable process with some standard interdepartmental communication mechanisms is significant for improving the safety and quality of handover and ensuring the consistency and continuity of patient care.…”

Section: Discussionmentioning

confidence: 99%

Perceived Quality of Postoperative Handover by Saudi Nurses: A Single-Center Cross-Sectional Study

Mohsen Mohammed Al-Qarni,

Mohamed Mohamed Bayoumy,

Alosaimi

2023

Cureus

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Background: Handover is considered a basic nursing practice in which a patient's care information is moved to another nurse. Handover of patients after surgery is critical due to a number of care transitions, the presence of a surgical procedure, and the influence of anesthesia. High-quality postoperative handover is essential to safe patient care. Few studies have been conducted to evaluate the quality of current postoperative handover practices and the factors contributing to the quality of such processes, especially in Saudi Arabia. Aim: The present research aimed at evaluating nurses' perceptions of postoperative handover quality and assessing factors impacting this process. This cross-sectional study targeted registered nurses with at least one year of professional experience who were actively involved in the conduction of postoperative handovers across various surgical departments. A total sample of 143 nurses was selected via a convenient sampling technique. Study instruments included Handover Quality Rating Form, patient status, and nurses’ background characteristics. Results: Overall, postoperative handover quality was perceived as high by handing over and receiving nurses. Generally, 55.2% of nurses agreed on the different items supporting the positive circumstance for handover, and 92.3% agreed on the good conduct of handover compared to only 7.69% disagreement (p˂0.001). Significant agreements were observed for teamworking (p˂0.001), as well as four indicators (out of five) measuring the overall handover quality (p<0.001). The type of involved departments impacted significantly the handover quality perception (p=0.004). The respondents' age had a significant effect on quality (p=0.036), as well as circumstances of postoperative handover (p=0.046). Moreover, significant statistical differences were found for the circumstance of handover (p=0.031), as well as teamwork (p=0.019) according to the nurses' roles. Finally, the patient's blood circulation and respiration had a significant effect (p=0.023, p=0.033, respectively), as did the patient’s level of consciousness (p=0.006) in the nurses’ perception of the overall postoperative handover quality. Conclusion: Postoperative handover quality was highly perceived by nurses. This research explored a multitude of factors such as patient health status and nurses’ socio-demographic variables and their impact on nurses’ perception of handover quality. Several nurse and patient-related factors were found to impact the handover process. This current research provided findings that could direct future improvements in nursing handover practice to ensure high-quality patient care.

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“…It has been suggested that handoffs should be studied at the minimum by unit type (Rikos, Linardakis, Economou, Rovithis, & Philalithis, 2019; Staggers & Blaz, 2013). Differences exist between unit cultures and job requirements (Rosenberg et al., 2018).…”

Section: Discussionmentioning

confidence: 99%

Inter‐shift handoff: Changes over a 6‐year interval

Itoh

2020

Journal of Advanced Nursing

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Aims To capture inter‐shift handoff changes over a 6‐year interval and to verify whether the handoff supporting system and aids (e.g., guidelines, training, and protocols) and environment really affect handoff performance. Design A non‐experimental cross‐sectional research design. Data from the 2017 and 2011 surveys were used for comparisons. Methods A questionnaire survey was conducted among nursing staff in 31 general hospitals in 2017 and 4,282 staff responses were collected from inpatient wards such as internal medicine and surgery, the intensive care unit, emergency department and operating room. These were compared with the 1,182 responses collected in the previous 2011 survey. Results Changes in the 6‐year interval included the introduction of handoff guidelines and increased provision of training. The handoff approach changed significantly and relied more on electronic systems, especially in inpatient wards. However, there was no significant improvement in interruptions. Information transfer improvement was limited and only observed in the surgery wards. Significant correlations verified that in hospitals where nursing staff more positively evaluated the effectiveness of the guidelines, faced fewer interruptions and had more time, handoff performance was better overall, and a higher frequency of sufficient information transfer was evident. Conclusion Although the inter‐shift handoff supporting system had great changes, improvement of information transfer occurred only in the surgery wards and was limited. It was verified that more effective handoff guidelines and a better handoff environment contributed significantly to improving inter‐shift handoff performance. Impact This study addressed the question as to whether inter‐shift handoffs have really improved. The answer is yes, but in a limited way. Based on the survey results and handoff practices in Japanese hospitals, a mixed approach (verbal, written, technological) is suggested for inter‐shift handoffs. In addition, it is important to improve the current handoff procedures, guidelines and training.

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The nurses’ own views about the inter-shift handover process

Cited by 6 publications

References 34 publications

Construction of a competency index system for shift nurses in China: A Delphi study

Construction of a competency index system for shift nurses in China: A Delphi study

Perceived Quality of Postoperative Handover by Saudi Nurses: A Single-Center Cross-Sectional Study

Inter‐shift handoff: Changes over a 6‐year interval

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