Haliq Samer Al, AlShammari Talal
Department of Emergency Medical Care, Imam Abdulrahman Bin Faisal University, Dammam, 31441/1982, Saudi Arabia.
BMC Nurs. 2025 Jun 3;24(1):634. doi: 10.1186/s12912-025-03286-4.
Clear communication during emergency care handovers is crucial for patient safety, but barriers can compromise the process, increasing risks. The aim of this study is to compare and assess communication handover barriers perceived by nurses and paramedics in emergency care settings.
A cross-sectional survey was conducted using the modified Nursing Handover Perspectives Questionnaire. A convenience sample was used to recruit nurses and paramedics from multiple prehospital and emergency care settings in the Eastern Province of Saudi Arabia. Data were analyzed with SPSS 29, employing descriptive statistics, independent samples t-tests to compare scores between nurses and paramedics. Pearson correlations were utilized to explore relationships between perceptions and demographic variables. Statistical significance was set at P < 0.05.
Out of 250 distributed questionnaires, 219 were completed (87.6% response rate). Most participants were male (75.3%) and held a bachelor's degree (70.8%). Nurses tended to be older compared to paramedics, who were younger. Nurses reported greater awareness regarding the omission of important vital sign measurements during handover (p = 0.006) and greater opportunities to ask questions about things they did not understand (p = 0.049). Paramedics reported experiencing interruptions during handover at a higher rate than nurses (p = 0.036). Nurses also perceived greater benefit in using a structured handover tool like ISBAR for improving communication (p = 0.014) and patient safety (p = 0.019). No significant correlations were found between demographic variables and perceptions of communication handover barriers.
Nurses reported a higher awareness of omitted vital signs during handover, while paramedics experienced more frequent interruptions. Addressing these barriers through targeted training and the use of supportive technologies may improve communication and patient safety in emergency care. Strengthening collaboration between nurses and paramedics, along with reducing interruptions, could support more effective care transitions. This study adds a comparative perspective on handover barriers in emergency settings and identifies areas for potential intervention. The findings contribute to ongoing discussions on enhancing handover practices and highlight the perceived value of structured frameworks and technology-driven solutions for improving communication efficiency and safety.
急诊护理交接过程中的清晰沟通对患者安全至关重要，但各种障碍可能会影响这一过程，增加风险。本研究的目的是比较和评估急诊护理环境中护士和护理人员所感知到的沟通交接障碍。
使用经过修改的《护理交接观点问卷》进行横断面调查。采用便利抽样的方法，从沙特阿拉伯东部省份的多个院前和急诊护理机构招募护士和护理人员。使用SPSS 29对数据进行分析，采用描述性统计、独立样本t检验来比较护士和护理人员的得分。利用Pearson相关性分析来探讨认知与人口统计学变量之间的关系。设定统计学显著性水平为P < 0.05。
在分发的250份问卷中，219份问卷被完成（回复率为87.6%）。大多数参与者为男性（75.3%），拥有学士学位（70.8%）。与护理人员相比，护士的年龄往往更大，护理人员更年轻。护士报告称，他们对交接过程中遗漏重要生命体征测量的认知更高（p = 0.006），并且有更多机会询问他们不理解的事情（p = 0.049）。护理人员报告称，他们在交接过程中受到干扰的发生率高于护士（p = 0.036）。护士还认为使用像ISBAR这样的结构化交接工具对改善沟通（p = 0.014）和患者安全（p = 0.019）更有益。在人口统计学变量与沟通交接障碍认知之间未发现显著相关性。
护士报告称对交接过程中遗漏的生命体征有更高的认知，而护理人员受到的干扰更频繁。通过有针对性的培训和使用支持性技术来解决这些障碍，可能会改善急诊护理中的沟通和患者安全。加强护士和护理人员之间的协作，同时减少干扰，有助于实现更有效的护理过渡。本研究为急诊环境中的交接障碍提供了一个比较视角，并确定了潜在干预领域。这些发现有助于正在进行的关于改进交接实践的讨论，并突出了结构化框架和技术驱动解决方案对提高沟通效率和安全性的感知价值。
