Assessment of factors affecting patient clinical handover practice of nurses at emergency department of selected government hospitals with trauma center in Addis Ababa, Ethiopia 2020

No Thumbnail Available

Date

2020-07

Journal Title

Journal ISSN

Volume Title

Publisher

Addis Abeba University

Abstract

Background: The Emergency Department (ED) environment presents unique challenge for high quality communication. Poor handover practice is a threat to patient safety and associated with adverse outcomes. This study was aimed to assess factors affecting practice of patient clinical handover among nurses at emergency department of selected governmental hospitals with Trauma centers in Addis Ababa, Ethiopia. Methods and Materials: Institution based cross-sectional study was conducted among 120 nurses working in emergency department of selected government hospitals with trauma centers in Addis Ababa from February to March,2020. Data were collected using a pretested selfadministered structured questionnaire. Data were entered, cleaned using epi data v.4.7.2 and exported to IBM SPSS v.25 software for analysis. Logistic regression was used to check for association between variables and for adjust potential confounders. Results were presented using texts, tables and graphs. Result: Of the total 120 respondents 70(58.3%) were male. The age of participants was ranged from 20 to 32 years with a mean(±SD) of 28.1±2.17. The overall level of practice was 59.6%. Factors such as, access to technology [P-value 0.009, AOR: 5.937, 95%CI (1.099,32.063)], safety climate [P-value: 0.003, AOR: 2.942, 95%CI (1.020, 8.485)], patient/family involvement [P-value: 0.008, AOR: 11.878, 95%CI (1.370, 101.390)] and relationship level [P-value: 0.019, AOR: 2.419, 95%CI (1.0854, 6.452)] significantly associated with handover practice. Conclusion: Overall, participants of study had good handover practice. Access to technology, use of technology facilitate handover, safety climate, patient involvement and relationship level among nurses were significantly associated with handover practice. This study suggests training, patient involvement, access to technology and presence of standardized structured handover tools are key to improve handover practice.

Description

Keywords

Clinical handover, emergency department, communication, nurses

Citation