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
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Date
2020-07
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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.
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Keywords
Clinical handover, emergency department, communication, nurses