Factor Analysis Factors related to the Implementation of Patient Handovers in Hospitals: systematic literature review
DOI:
https://doi.org/10.62872/hvdzq752Keywords:
patient Handover, handover factors, patient safety, nurse supervision, hospital policyAbstract
Patient Handover is an important process in healthcare that serves to ensure continuity of care and prevent medical errors. This study aims to analyze the factors associated with the implementation of patient handover in hospitals through a systematic review of various relevant literature. The results of the analysis showed that some of the main factors that affect the effectiveness of handover include the level of education and experience of nurses, motivation and job satisfaction, effective supervision by the head nurse, as well as organizational policies that support patient safety culture. In addition, the use of structured protocols, such as checklists and standardized formats, has been shown to improve the accuracy of information delivered in handovers. However, the study also identified various challenges, including time pressure, high workload, as well as a lack of communication training for health workers. Therefore, a comprehensive strategy is needed that includes increasing the competence of nurses, strengthening hospital policies, and optimizing the use of technology to support the handover process. Implementation of these measures is expected to improve patient safety and quality of health care in hospitals.
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Abo Seada, A. I., Abo Habieb, E. T. E., Salameh, B. S., El-Wkeel, N. S., & Abdelkader Reshia, F. A. (2022). Developing Nursing Standards for Maintaining Shift Handover in the Intensive Care Unit: A Methodological and Cross-Sectional Study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 59, 00469580221144078.
Ahn, J. W., Jang, H. Y., & Son, Y. J. (2021). Critical care nurses’ communication challenges during handovers: A systematic review and qualitative meta‐synthesis. Journal of Nursing Management, 29(4), 623-634.
Anshasi, H., & Almayasi, Z. A. (2024). Perceptions of Patients and Nurses About Bedside Nursing Handover: A Qualitative Systematic Review and Meta‐Synthesis. Nursing research and practice, 2024(1), 3208747.
Brigitta, I. R., & Dhamanti, I. (2020). Literature review: cause factor analysis and an effort to prevent Medication Administration Error (MAE) at Hospital. Unnes Journal of Public Health, 9(2), 98-107.
Cruchinho, P., López-Franco, M. D., Teixeira, G., Lucas, P., & Gaspar, F. (2025). Translation and Validation for the Portuguese Population of the Bedside Handover Attitudes and Behaviors Questionnaire. Risk Management and Healthcare Policy, 185-203.
Desmedt, M., Ulenaers, D., Grosemans, J., Hellings, J., & Bergs, J. (2021). Clinical handover and handoff in healthcare: a systematic review of systematic reviews. International Journal for Quality in Health Care, 33(1), mzaa170. https://academic.oup.com/intqhc/article/33/1/mzaa170/6039082?form=MG0AV3
Do, J., & Shin, S. (2024). Development of nursing handoff competency scale: a methodological study. BMC nursing, 23(1), 272.
Falcone, M. L. (2022). Factor Structure and Construct Validity of a Hospital Survey on Patient Safety Culture Survey Using Exploratory Factor Analysis (Doctoral dissertation, University of Missouri-Saint Louis).
Falcone, M. L., Tokac, U., Fish, A. F., Van Stee, S. K., & Werner, K. B. (2023). Factor structure and construct validity of a Hospital survey on patient safety culture using exploratory factor analysis. Journal of Patient Safety, 19(5), 323-330.
Golling, M., Behringer, W., & Schwarzkopf, D. (2022). Assessing the quality of patient handovers between ambulance services and emergency department–development and validation of the emergency department human factors in handover tool. BMC Emergency Medicine, 22(1), 10.
Koppelaar, E., Knibbe, J. J., Miedema, H. S., & Burdorf, A. (2009). Determinants of implementation of primary preventive interventions on patient handling in healthcare: A systematic review. Occupational and Environmental Medicine, 66(6), 353–360. https://doi.org/10.1136/oem.2008.039578
Lazzari, C. (2024). Implementing the verbal and electronic handover in general and psychiatric nursing using the introduction, situation, background, assessment, and recommendation framework: a systematic review. Iranian journal of nursing and midwifery research, 29(1), 23-32.
Le, A., Lee, M. A., & Wilson, J. (2023). Nursing handoff education: An integrative literature review. Nurse Education in Practice, 68, 103570.
Lee, C. L., & Lin, S. Y. (2021). Measuring Nurses' Transition to Electronic Handover: Validation of the Perception and Adaptation Readiness of Electronic Handover Systems Scales. CIN: Computers, Informatics, Nursing, 39(11), 644-653.
Liu, H. C., Zhang, L. J., Ping, Y. J., & Wang, L. (2020). Failure mode and effects analysis for proactive healthcare risk evaluation: a systematic literature review. Journal of evaluation in clinical practice, 26(4), 1320-1337.
Maher, A., Hsu, H., Ebrahim, M. E. B. M., Vukasovic, M., & Coggins, A. Implementation of bedside handover that includes patients or carers in hospital settings: A systematic review. Journal of Evaluation in Clinical Practice.
Maher, A., Hsu, H.R., Ebrahim, M.E., Vukasovic, M., & Coggins, A.R. (2024). Implementation of bedside handover that includes patients or carers in hospital settings: A systematic review. Journal of evaluation in clinical practice. https://doi.org/10.1111/jep.14223
Mulfiyanti, D., & Satriana, A. (2022). The correlation between the use of the SBAR effective communication method and the handover implementation of nurses on patient safety. International Journal of Public Health Excellence (IJPHE), 2(1), 376-380.
Nasiri, E., Lotfi, M., Mahdavinoor, S. M. M., & Rafiei, M. H. (2021). The impact of a structured handover checklist for intraoperative staff shift changes on effective communication, OR team satisfaction, and patient safety: a pilot study. Patient Safety in Surgery, 15, Article number: 25. https://doi.org/10.1186/s13037-021-00299-1
Nuning, K.A., Nurul, J., & Mokhamad, N. (2017). SYSTEMATIC REVIEW OF FACTOR THAT AFFECT IMPLEMENTATION OFTHE PATIENT SAFETY CULTURE IN THE HOSPITAL. https://shorturl.at/LYSqt
Pun, J. (2021). Factors associated with nurses’ perceptions, their communication skills and the quality of clinical handover in the Hong Kong context. BMC nursing, 20(1), 95.
Raeisi, A.R., Rarani, M.A., & Soltani, F. (2019). Challenges of patient handover process in healthcare services: A systematic review. Journal of Education and Health Promotion, 8. https://doi.org/10.4103/jehp.jehp_460_18
Tataei, A., Rahimi, B., Lotfnezhad Afshar, H., Alinejad, V., Jafarizadeh, H., & Parizad, N. (2023). The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. BMC Health Services Research, 23, Article number: 527. https://doi.org/10.1186/s12913-023-09502-8
Tobiano, G., Marshall, A. P., Gardiner, T., Jenkinson, K., Shapiro, M., & Ireland, M. (2022). Development and psychometric testing of the patient participation in bedside handover survey. Health Expectations, 25(5), 2492-2502.
Tortosa-Alted, R., Reverte-Villarroya, S., Martinez-Segura, E., Lopez-Pablo, C., & Berenguer-Poblet, M. (2021). Emergency handover of critical patients. A systematic review. International Emergency Nursing, 56, 100997.
Wibrandt, I., & Lippert, A. (2020). Improving patient safety in handover from intensive care unit to general ward: a systematic review. Journal of Patient Safety, 16(3), 199-210.
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Copyright (c) 2025 Ali Ali, Yufitriana Amir, Sri Wahyuni (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
