Al Baker Ahmad S, Ibrahim Fatima, Obaid Lina M, Obdamen Febee Rose, Dimaocor Ashraff
Department of Nursing, Sultan Bin Abdulaziz Humanitarian City, Riyadh, SAU.
Cureus. 2023 Jun 6;15(6):e40026. doi: 10.7759/cureus.40026. eCollection 2023 Jun.
Handover is crucial during the transfer of patient care between healthcare professionals.Successful handover maintains patients' safety and high-quality care. The electronic handover of patients' information is achievable, feasible, and potentially improves the quality of patient care. However, the introduction of the electronic handover is relatively recent and challenging for healthcare providers, especially nurses.
Since Sultan Bin Abdulaziz Humanitarian City (SBAHC) has recently implemented an electronic handover system among nurses, the main aim of the current study was to develop a tool to assess the perception and barriers to electronic handover systems among nurses working at SBAHC and evaluate its psychometric properties.
The tool content and face validity were assessed by the content validity ratio (CVR). Exploratory and confirmatory factor analysis were used as validity methods, while the test-retest and inter-item consistency were used as reliability measures. The sample size was planned as five times the number of questions and a total of 200 nurses participated in the study.
The criteria required for factor analysis were met as indicated by the results of the Kaiser-Mayer-Olkin test and Bartlett's test of sphericity. The reliability results showed a Cronbach's alpha coefficient ranging from 0.858 to 0.910 for the perception subscale and from 0.564 to 0.789 for the barrier subscale, and an overall interclass correlation of 0.986, p<0.001.
The developed SBAHC electronic handover tool was valid and reliable, and it is advisable to consider it at the initial stages of implanting an electronic handover system to identify obstacles that are faced by the staff to be considered and addressed by the higher management.
在医护人员之间进行患者护理交接时，交接工作至关重要。成功的交接可维护患者安全并提供高质量护理。患者信息的电子交接是可行的，并且有可能提高患者护理质量。然而，电子交接的引入相对较新，对医护人员，尤其是护士来说具有挑战性。
由于苏丹·本·阿卜杜勒阿齐兹人道主义城（SBAHC）最近在护士中实施了电子交接系统，本研究的主要目的是开发一种工具，以评估在SBAHC工作的护士对电子交接系统的认知和障碍，并评估其心理测量特性。
通过内容效度比（CVR）评估工具内容和表面效度。探索性和验证性因素分析用作效度方法，而重测法和项目间一致性用作信度测量方法。样本量计划为问题数量的五倍，共有200名护士参与了该研究。
凯泽-迈耶-奥尔金检验和巴特利特球形度检验结果表明，满足了因素分析所需的标准。信度结果显示，认知子量表的克朗巴赫α系数在0.858至0.910之间，障碍子量表的克朗巴赫α系数在0.564至0.789之间，总体组内相关系数为0.986，p<0.001。
所开发的SBAHC电子交接工具有效且可靠，在植入电子交接系统的初始阶段，建议考虑使用该工具，以识别工作人员面临的障碍，供高层管理人员考虑和解决。
