Affiliations 

  • 1 Institute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Malaysia
  • 2 Institute for Health Systems Research, National Institutes of Health, Ministry of Health Malaysia, Malaysia. fathullah@moh.gov.my
  • 3 Hospital Kuala Lumpur, Department of General Surgery, Kuala Lumpur, Malaysia
  • 4 Hospital Kuala Lumpur, Department of Anaesthesia and Intensive Care, Kuala Lumpur, Malaysia
  • 5 Nursing Practices Control Unit (Hospital), Nursing Division, Ministry of Health Malaysia, Malaysia
  • 6 Hospital Kuala Lumpur, Department of General Medicine, Kuala Lumpur, Malaysia
  • 7 Dato' Keramat (Setiawangsa) Health Clinic, Federal Territories of Kuala Lumpur and Putrajaya Health Department, Malaysia
Med J Malaysia, 2020 11;75(6):691-697.
PMID: 33219179

Abstract

INTRODUCTION: The quality of information and efficiency in the practice and care environments are important aspects of nursing care. The use of a reliable and valid scale can monitor the quality of handover and provide information for continuous improvement of practice. This study aims to describe the perception of nurses, on the domains of quality of information, efficiency, interaction and support and patient involvement.

METHOD: A cross-sectional descriptive study was conducted among 450 nurses from 37 wards in Hospital Kuala Lumpur. Nurses on shift duty were recruited by convenience sampling from the Medical, Surgery, Obstetrics & Gynaecology, Orthopaedic and Paediatric wards. Using a validated questionnaire (Handover Evaluation Scale), nurses self-rated their perceptions using a 7-point scale and provided open-ended responses to the strengths and challenges that they faced. Descriptive and inferential analyses were done while open-ended questions were summarised based on key themes.

RESULTS: A total of 414 nurses completed the survey (92.0% response rate). Nurses had an overall mean (SD) perception score of 5.01 (SD 0.56). They perceived good interaction and support during handover and on the quality of information that they received, with mean scores of 5.54 (SD 0.79) and 5.19 (SD 0.69), respectively. There was an association between the departments where the nurses worked and their overall perceptions on nursing handover (p<0.001). Interruptions being the most common theme emerged from the open-ended section.

CONCLUSION: Despite having substantial interaction and support amongst nurses, opportunities for improvements were noted. Improvements in the quality of handover information and reducing interruptions should be the main emphases as these were perceived to be essential in the current handover practices by nurses.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.