A questionnaire-based survey on nurse perceptions of patient handoffs in japanese hospitals

Xiuzhu Gu, Kenji Itoh, Henning Boje Andersen, Inger Margrete Siemsen, Marlene Dyrløv Madsen

    Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

    Abstract

    Patient handoff is a critically important process in healthcare. However, there have been few studies investigated healthcare staff perceptions of its quality and safety. In the present paper, we seek to explore essential characteristics of patient handoff. We discuss critical factors and strategies contributing to effective handoffs. A questionnaire survey was conducted in 2011, collecting 1462 valid responses (74% response rate) from nurses in six Japanese hospitals. There were 17 questions, each with reply options on a five-point Likert scale, covering five main aspects: information transfer, responsibility transfer, management goals, environment and handoff system. As an overall trend, Japanese nurses indicated that both information and responsibility for the patient were transferred moderately well within the hospital. They put a higher priority on the goal of patient safety and a relatively smaller on efficiency. Most respondents viewed their hospital's handoff system as immature. Significant differences were observed in nurses' perceptions not only across hospitals but also across wards/departments. In particular, during patient handoffs between different units, nurses working in intensive care unit, emergency department, operating room and the outpatient clinic showed significantly stronger awareness of different views of relevant information from other units, but more positive views of voicing their concerns during handoffs than inpatient ward nurses. The longer their working years in their current work unit and the longer their cumulative experience, the more positive was nurses' perceptions of patient handoffs within their hospital. According to respondents, patient information was transferred significantly more sufficiently between shifts than between different units. We would suggest improvement of handoff system, e.g., implementing IT systems, and appropriate guidelines, as well as its training for safer patient handoffs in Japanese hospitals. Copyright © (2012) by IAPSAM & ESRA.
    Original languageEnglish
    Title of host publicationProceedings from PSAM11 and ESREL 2012. 11th International Probabilistic Safety Assessment and Management Conference and The Annual European Safety and Reliability Conference
    Volume7
    PublisherProbablistic Safety Assessment and Management (IAPSAM)
    Publication date2012
    Pages5944-5953
    ISBN (Print)9781622764365
    Publication statusPublished - 2012
    Event11th International Probabilistic Safety Assessment and Management Conference and The Annual European Safety and Reliability Conference - Scandic Marina Congress Center, Helsinki, Finland
    Duration: 25 Jun 201229 Jun 2012
    http://www.psam11.org

    Conference

    Conference11th International Probabilistic Safety Assessment and Management Conference and The Annual European Safety and Reliability Conference
    LocationScandic Marina Congress Center
    CountryFinland
    CityHelsinki
    Period25/06/201229/06/2012
    Internet address

    Keywords

    • Intensive care units
    • Nursing
    • Safety engineering
    • Surveys
    • Information management

    Cite this

    Gu, X., Itoh, K., Andersen, H. B., Siemsen, I. M., & Madsen, M. D. (2012). A questionnaire-based survey on nurse perceptions of patient handoffs in japanese hospitals. In Proceedings from PSAM11 and ESREL 2012. 11th International Probabilistic Safety Assessment and Management Conference and The Annual European Safety and Reliability Conference (Vol. 7, pp. 5944-5953). Probablistic Safety Assessment and Management (IAPSAM).