Chung Jessie Yuk Seng, Li William Ho Cheung, Ho Laurie Long Kwan, Cheung Ankie Tan, Chung Joyce Oi Kwan
School of Nursing and Health Studies, The Open University of Hong Kong, Room C0925, The Open University of Hong Kong, 30 Good Shepherd Street, Ho Man Tin, Kowloon, Hong Kong.
School of Nursing, The University of Hong Kong, HKSAR, 4/F, William WM Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
Nurse Educ Today. 2021 Feb;97:104693. doi: 10.1016/j.nedt.2020.104693. Epub 2020 Nov 30.
Clinical handover is challenging for newly graduated nurses. Previous studies have showed that many new graduates perform handover ineffectively and unsystematically; however, our knowledge of newly graduated nurse perceptions of handover, including barriers and challenges to handover, is incomplete.
The study aimed to explore newly graduated nurse experience of clinical handover in Hong Kong public hospitals.
This was a descriptive phenomenological study.
Participants were recruited from 11 public acute care hospitals in Hong Kong.
The participants were a convenience sample of 20 nurses who had graduated within the previous 12 months.
Individual semi-structured interviews were conducted, and the data were analysed using content analysis.
Three themes emerged from the data: 'significance of clinical handovers,' 'feelings of frustration about clinical handover,' and 'perceived barriers to handover.' Participants perceived clinical handover as an essential nursing practice in the provision of continuous patient care. Further, some new graduates experienced stress and anxiety in clinical handover, which severely affected their quality of life. Perceived barriers to handover included inadequate professional judgement, poor ability to synthesize the important information, and unsystematic reporting.
Newly graduated nurses face challenges and encounter difficulties in performing clinical handover. Handover theory and, in particular, skills training should be introduced into the undergraduate nursing curriculum, to arm students with the confidence and competence to perform appropriate clinical handover.
临床工作交接对新毕业护士来说具有挑战性。以往研究表明，许多新毕业生进行工作交接时效率低下且缺乏系统性；然而，我们对新毕业护士对工作交接的看法，包括工作交接的障碍和挑战的了解并不完整。
本研究旨在探索香港公立医院新毕业护士的临床工作交接体验。
这是一项描述性现象学研究。
研究对象从香港11家公立急症医院招募。
参与者是20名在过去12个月内毕业的护士，采用便利抽样法选取。
进行个体半结构式访谈，并采用内容分析法对数据进行分析。
数据中出现了三个主题：“临床工作交接的重要性”、“对临床工作交接感到沮丧”以及“工作交接的感知障碍”。参与者认为临床工作交接是提供持续患者护理过程中的一项重要护理实践。此外，一些新毕业生在临床工作交接中经历了压力和焦虑，这严重影响了他们的生活质量。工作交接的感知障碍包括专业判断不足、综合重要信息能力差以及报告缺乏系统性。
新毕业护士在进行临床工作交接时面临挑战并遇到困难。应将工作交接理论，特别是技能培训引入本科护理课程，以使学生有信心和能力进行适当的临床工作交接。
