J Korean Acad Nurs Adm.  2024 Jun;30(3):294-305. 10.11111/jkana.2024.30.3.294.

Improving Handover Efficiency for Emergency Nurses

• Lee S
• Yun H
• Lee Y
• Kang M
• Jo E
• Yoo S
• Jo IG
• Heo JH
• Choi MJ

• KMID: 2563018
• DOI: http://doi.org/10.11111/jkana.2024.30.3.294

Abstract

Purpose
Patient handovers are critical for patient safety. Studies have shown that nurses are often interrupted during handovers, and standardized guidelines are lacking. This study aimed to develop and evaluate the effectiveness of a new handover method for emergency nurses.
Methods
This quasi-experimental study implemented a new handover method from August 1, 2022, at the emergency department of a university hospital. Pre- (34 responses) and post-(16 responses, six months later) surveys and post-interviews (six participants) were conducted. In the pre-survey, data were collected regarding handover-related characteristics, cause of handover error, handover perception and handover error experience. Data regarding handover perception and handover error experience were obtained again at the post-survey. Wilcoxon’s signed rank test was used to compare handover perception and handover error experience. The interview results were analyzed using inductive content analysis.
Results
There were no significant differences in information quality or interaction and support, but the new handover method was more efficient, and handover errors decreased. Four themes were identified from interview responses.
Conclusion
By providing a quiet place and allowing emergency nurses to independently review patient records during handovers, we expect to maintain nursing continuity, increase efficiency, and ultimately ensure patient safety and nurses’ job satisfaction.

Keyword

Nursing handover; Efficiency; Emergency departments; Nurses; Patient safety