Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150, Kelantan, Malaysia.
Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150, Kelantan, Malaysia
BMJ Open. 2024 Aug 6;14(8):e087612. doi: 10.1136/bmjopen-2024-087612.
To study nurses' perceptions of patient handoffs in tertiary care hospitals in Kelantan, Malaysia, and to identify predictors of these perceptions.
Cross-sectional study.
Three tertiary care hospitals in Kelantan, Malaysia, February-March 2023.
The study's inclusion criteria were nurses who were Malaysian citizens, working in shifts and possessing a minimum of 6 months of work experience. Nurses holding administrative positions and those unavailable during the study period were excluded from participation. A stratified proportionate random sampling method was employed, and a 100% response rate was achieved, with all 418 selected nurses participating in the study.
Nurses' perceptions of patient handoffs were assessed using the validated Hospital Patient Handoff Questionnaire. Predictors of these perceptions were identified through multiple linear regression analysis.
The study revealed an overall positive perception of handoffs, with a mean score of 3.5 on a 1-5 scale. Receiving formal in-service training on handoff practices (regression coefficient 0.089, 95% CI: 0.016 to 0.161) and expressing satisfaction with the handoff process (regression coefficient 0.330, 95% CI: 0.234 to 0.425) were positively associated with nurses' perceptions. Working in the paediatric department was associated with a lower perception of handoffs (regression coefficient -0.124, 95% CI: -0.195 to -0.053).
Formal in-service training, satisfaction and working in the paediatric department were significantly associated with nurses' perceptions of patient handoffs in Kelantan. These findings suggest the need for tailored interventions to improve handoff processes and enhance patient safety. Further research could explore the effectiveness of specific training programmes targeting these identified predictors.
研究马来西亚吉兰丹州三级保健医院护士对患者交接班的看法，并确定这些看法的预测因素。
横断面研究。
马来西亚吉兰丹州的 3 家三级保健医院，2023 年 2 月至 3 月。
本研究的纳入标准为马来西亚公民、轮班工作且至少有 6 个月工作经验的护士。不包括担任行政职务的护士和研究期间无法参加的护士。采用分层比例随机抽样方法，实现了 100%的应答率，所有 418 名选定的护士均参与了研究。
采用经过验证的医院患者交接班问卷评估护士对患者交接班的看法。通过多元线性回归分析确定这些看法的预测因素。
研究结果显示，总体上对交接班的看法较为积极，1-5 分制的平均得分为 3.5。接受关于交接班实践的正规在职培训（回归系数 0.089，95%CI：0.016 至 0.161）和对交接班过程感到满意（回归系数 0.330，95%CI：0.234 至 0.425）与护士的看法呈正相关。在儿科工作与对交接班的看法较低相关（回归系数 -0.124，95%CI：-0.195 至 -0.053）。
正规在职培训、满意度和在儿科工作与吉兰丹州护士对患者交接班的看法显著相关。这些发现表明，需要采取有针对性的干预措施来改善交接班过程，提高患者安全。进一步的研究可以探索针对这些确定的预测因素的特定培训计划的效果。
