Nyikuri Mary
Strathmore University Business School, P.O. Box 59857, 00200, City Square, Nairobi, Kenya.
Heliyon. 2020 Feb 28;6(2):e03500. doi: 10.1016/j.heliyon.2020.e03500. eCollection 2020 Feb.
Examining how nurses hand over provides an opportunity to identify opportunities for improvement. Although recognised as a complex and dynamic interaction among nurses, there is little consensus regarding the primary function, location and structure of handover. The aim of this study was to understand from nurses' perspectives, the purpose and structure of handover in three different health sector newborn units in Nairobi.
This was an ethnographic qualitative research designed study. Between January 2017 and March 2018, I carried out 150 hours of non-participant observations, conducted 29 in-depth interviews with nurses (10) public sector (8) faith based and (11) private sector. All data was managed by Nvivo 10 (QSR International) and analysed using a thematic framework.
The purpose of handover was to pass on the management of a patient (s) from one outgoing nurse to incoming nurse at the end of a shift. In all three hospitals, handover took place at the nurse station, but for the nurses in both public and faith based hospitals, this was followed up by bed to bed handover. The structure differed from hospital to hospital, from nurse to nurse and what was actually handed over. The shift system, time available for handover, familiarity with babies, medical emergencies and use of notes were factors that influenced the structure of handover across hospitals.
Although the purpose of handover was similar across the newborn units, the structure was different. There is need to perhaps develop communication guidelines for this key care process sothat all relevant information about the patients is maintained across nurses.
研究护士如何进行交接班为识别改进机会提供了契机。尽管交接班被认为是护士之间复杂且动态的互动，但在其主要功能、地点和结构方面几乎没有达成共识。本研究的目的是从护士的角度了解内罗毕三个不同卫生部门新生儿病房交接班的目的和结构。
这是一项设计好的人种志定性研究。在2017年1月至2018年3月期间，我进行了150小时的非参与观察，对护士进行了29次深入访谈（公立部门10名、基于信仰的部门8名、私立部门11名）。所有数据由Nvivo 10（QSR国际公司）管理，并使用主题框架进行分析。
交接班的目的是在轮班结束时将患者的护理工作从一名即将下班的护士交接给接班护士。在所有三家医院，交接班都在护士站进行，但对于公立和基于信仰的医院的护士来说，随后还要进行逐床交接。不同医院之间、护士之间以及实际交接的内容，交接班的结构都有所不同。轮班制度、可用于交接班的时间、对婴儿的熟悉程度、医疗紧急情况以及记录的使用都是影响各医院交接班结构的因素。
尽管新生儿病房交接班的目的相似，但结构不同。或许有必要为这一关键护理流程制定沟通指南，以便护士之间能保留有关患者的所有相关信息。
