Korean J Occup Health Nurs.  2024 Nov;33(4):141-152. 10.5807/kjohn.2024.33.4.141.

Exploring Clinical Nurses' Strategies For Desirable Shift Handoffs: A Focus Group Interview

• Kim EJ
• Choi JY

• KMID: 2564505
• DOI: http://doi.org/10.5807/kjohn.2024.33.4.141

Abstract

Purpose
This qualitative study aimed to explore clinical nurses' experience with desirable handoffs, competencies, and strategies for desirable handoffs.
Methods
Between March 4 and June 10, 2023, 13 nurses working shifts in general or tertiary hospitals were divided into two groups. Data were collected through focus group interviews and analyzed using conventional content analysis through coding and thematic identification.
Results
Three themes emerged regarding the desired handoff experience: "handoff that allows accurate identification of patient status," "handoff with less time and effort," and "handoff that allows inspection to prevent patient safety accidents." Four competencies required for a desirable handoff were followed: "ability to identify key information," "information utilization," "logical information delivery ability," and "the attitude of trust and respect." Five themes were derived regarding desirable handoff strategies: "understanding standard treatment and nursing processes for each clinical case," "rehearsal and feedback for handoffs," "presenting standards for a desirable handoff," "continuous handoff education," and "ensuring uninterrupted time and space."
Conclusion
This study identified desirable handoffs, competencies, and strategies for hospital nurses. This study is significant because it provides basic data for developing an effective handoff program for new nurses.

Keyword

Nurses; Patient handoff; Focus group